The Problem of the Prevalence of Kidney Diseases in Children in the Context of Official Statistics and a Specialized Appointment with a Nephrologist
https://doi.org/10.52420/umj.24.1.70
EDN: NKECUJ
Abstract
Introduction. The problem of chronic kidney disease (CKD) in children is relevant. Studying the structure of kidney diseases is important for developing prevention.
Purpose — To analyze the structure of pathology in children at a nephrologist’s appointment at different age periods, to provide a comparative assessment with the incidence rates and established disability due to kidney disease in children in Russia and in the subjects of the Ural Federal District.
Materials and methods. Analysis of child morbidity in the class of “Diseases of the genitourinary system”, disability of the child population and report of a nephrologist of the Children’s City Hospital No. 8 (Ekaterinburg).
Results. The decrease in the incidence in the group “Glomerular, tubulointerstitial kidney diseases, other kidney and ureter diseases” contradicts the growth of “Renal failure”. 70 % of visits to a nephrologist are due to microbial inflammatory diseases, with the peak at 5–9 years, at an early age urodynamic and dysplastic diseases predominate.
Discussion. The nephrourological diseases associated with developmental anomalies leads to CKD in 42.5 %. In Russia 30.1 % congenital anomalies increased in children of the first year, with a proportion of urinary system defects of 25–50 %, indicates an increase their, worsening the prognosis of nephrourological diseases.
Conclusions. The decrease of urinary system diseases, according to official statistics, doesn’t reflect the problem of CKD in children. We need to identify the period of early age and register urinary system anomalies in the forms of official statistical observation.
About the Authors
E. V. Safina
Ural State Medical University
Russian Federation
Competing Interests:
Russian Federation
Elena V. Safina — Assistant of the Department of Pediatric Diseases
Ekaterinburg
Competing Interests:
The authors declare the absence of obvious or potential conflicts of interest.
I. A. Plotnikova
Ural State Medical University
Russian Federation
Competing Interests:
Russian Federation
Inga A. Plotnikova — Doctor of Sciences (Medicine), Associate Professor of the Department of Pediatric Diseases
Ekaterinburg
Competing Interests:
The authors declare the absence of obvious or potential conflicts of interest.
V. L. Zelentsova
Ural State Medical University
Russian Federation
Competing Interests:
Russian Federation
Vera L. Zelentsova — Doctor of Sciences (Medicine), Professor, Head of the Department of Pediatric Diseases
Ekaterinburg
Competing Interests:
The authors declare the absence of obvious or potential conflicts of interest.
O. I. Myshinskaya
Ural State Medical University
Russian Federation
Competing Interests:
Russian Federation
Olga I. Myshinskaya — Candidate of Sciences (Medicine), Associate Professor of the Department of Pediatric Diseases
Ekaterinburg
Competing Interests:
The authors declare the absence of obvious or potential conflicts of interest.
O. L. Malykh
Ekaterinburg Medical Scientific Center for Prevention and Health Protection of Industrial Workers
Russian Federation
Competing Interests:
Russian Federation
Olga L. Malykh — Candidate of Sciences (Medicine), Leading Researcher of the Laboratory of Social and Hygienic Monitoring and Risk Management
Ekaterinburg
Competing Interests:
The authors declare the absence of obvious or potential conflicts of interest.
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Safina EV, Plotnikova IA, Zelentsova VL, Myshinskaya OI, Malykh OL. The Problem of the Prevalence of Kidney Diseases in Children in the Context of Official Statistics and a Specialized Appointment with a Nephrologist. Ural Medical Journal. 2025;24(1):70–82. (In Russ.) https://doi.org/10.52420/umj.24.1.70. EDN: NKECUJ
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