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Erschienen in: The Indian Journal of Pediatrics 8/2018

23.05.2018 | Editorial Commentary

Screening Urinalysis in Detection of Chronic Kidney Disease in Children

verfasst von: Aditi Sinha, Arvind Bagga

Erschienen in: Indian Journal of Pediatrics | Ausgabe 8/2018

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Excerpt

In this issue of the Journal, Suthar et al. report results of urinalysis in 3340 children in a screening program in 17 government schools in Ahmedabad [1]. Urinalysis was abnormal in 5.8% patients, most commonly due to isolated proteinuria or hematuria (2% each); hematuria with proteinuria was rare at 0.2%. As discussed by the authors, these findings are similar to those in reports of school screening programs across Asia [24]. While the authors report differences based on sex and age, the clinical significance of their findings is unclear. The authors report asymptomatic bacteriuria in approximately 3% children, which is not equivalent to urinary tract infection and has unclear relevance in the medium- or long-term [5]. …
Literatur
2.
Zurück zum Zitat Hogg RJ. Screening for CKD in children: a global controversy. Clin J Am Soc Nephrol. 2009;4:509–15.CrossRefPubMed Hogg RJ. Screening for CKD in children: a global controversy. Clin J Am Soc Nephrol. 2009;4:509–15.CrossRefPubMed
3.
Zurück zum Zitat Imai E, Yamagata K, Iseki K, et al. Kidney disease screening program in Japan: history, outcome, and perspectives. Clin J Am Soc Nephrol. 2007;2:1360–6.CrossRefPubMed Imai E, Yamagata K, Iseki K, et al. Kidney disease screening program in Japan: history, outcome, and perspectives. Clin J Am Soc Nephrol. 2007;2:1360–6.CrossRefPubMed
4.
Zurück zum Zitat Murakami M, Hayakawa M, Yanagihara T, Hukunaga Y. Proteinuria screening for children. Kidney Int Suppl. 2005;67:S23–7.CrossRef Murakami M, Hayakawa M, Yanagihara T, Hukunaga Y. Proteinuria screening for children. Kidney Int Suppl. 2005;67:S23–7.CrossRef
5.
Zurück zum Zitat Kemper KJ, Avner ED. The case against screening urinalyses for asymptomatic bacteriuria in children. Am J Dis Child. 1992;146:343–6.PubMed Kemper KJ, Avner ED. The case against screening urinalyses for asymptomatic bacteriuria in children. Am J Dis Child. 1992;146:343–6.PubMed
6.
Zurück zum Zitat Genovesi S, Antolini L, Gallieni M, et al. High prevalence of hypertension in normal and underweight Indian children. J Hypertens. 2011;29:217–21.CrossRefPubMed Genovesi S, Antolini L, Gallieni M, et al. High prevalence of hypertension in normal and underweight Indian children. J Hypertens. 2011;29:217–21.CrossRefPubMed
7.
Zurück zum Zitat Chaudhury AR, Reddy TV, Divyaveer SS, et al. A cross-sectional prospective study of asymptomatic urinary abnormalities, blood pressure, and body mass index in healthy school children. Kidney Int Rep. 2017;2:1169–75.CrossRefPubMedPubMedCentral Chaudhury AR, Reddy TV, Divyaveer SS, et al. A cross-sectional prospective study of asymptomatic urinary abnormalities, blood pressure, and body mass index in healthy school children. Kidney Int Rep. 2017;2:1169–75.CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Mueller PW, Caudill SP. Urinary albumin excretion in children: factors related to elevated excretion in the United States population. Ren Fail. 1999;21:293–302.CrossRefPubMed Mueller PW, Caudill SP. Urinary albumin excretion in children: factors related to elevated excretion in the United States population. Ren Fail. 1999;21:293–302.CrossRefPubMed
9.
Zurück zum Zitat Ferris M, Hogan SL, Chin H, et al. Obesity, albuminuria, and urinalysis findings in US young adults from the add health wave III study. Clin J Am Soc Nephrol. 2007;2:1207–14.CrossRefPubMed Ferris M, Hogan SL, Chin H, et al. Obesity, albuminuria, and urinalysis findings in US young adults from the add health wave III study. Clin J Am Soc Nephrol. 2007;2:1207–14.CrossRefPubMed
10.
Zurück zum Zitat Sekhar DL, Wang L, Hollenbeak CS, Widome MD, Paul IM. A cost-effectiveness analysis of screening urine dipsticks in well-child care. Pediatrics. 2010;125:660–3.CrossRefPubMed Sekhar DL, Wang L, Hollenbeak CS, Widome MD, Paul IM. A cost-effectiveness analysis of screening urine dipsticks in well-child care. Pediatrics. 2010;125:660–3.CrossRefPubMed
11.
Zurück zum Zitat Dodge W, West EF, Smith EH, Bunce H III. Proteinuria and hematuria in schoolchildren: epidemiology and early natural history. J Pediatr. 1976;88:327–47.CrossRefPubMed Dodge W, West EF, Smith EH, Bunce H III. Proteinuria and hematuria in schoolchildren: epidemiology and early natural history. J Pediatr. 1976;88:327–47.CrossRefPubMed
12.
Zurück zum Zitat Park JI, Baek H, Kim BR, Jung HH. Comparison of urine dipstick and albumin:creatinine ratio for chronic kidney disease screening: a population-based study. PLoS One. 2017;12:e0171106.CrossRefPubMedPubMedCentral Park JI, Baek H, Kim BR, Jung HH. Comparison of urine dipstick and albumin:creatinine ratio for chronic kidney disease screening: a population-based study. PLoS One. 2017;12:e0171106.CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Sutton AJ, Breheny K, Deeks J, et al; eGFR-C study group. Methods used in economic evaluations of chronic kidney disease testing: a systematic review. PLoS One. 2015;10:e0140063. Sutton AJ, Breheny K, Deeks J, et al; eGFR-C study group. Methods used in economic evaluations of chronic kidney disease testing: a systematic review. PLoS One. 2015;10:e0140063.
14.
Zurück zum Zitat Uchida D, Kawarazaki H, Shibagaki Y, et al. Underestimating chronic kidney disease by urine dipstick without serum creatinine as a screening tool in the general Japanese population. Clin Exp Nephrol. 2015;19:474–80.CrossRefPubMed Uchida D, Kawarazaki H, Shibagaki Y, et al. Underestimating chronic kidney disease by urine dipstick without serum creatinine as a screening tool in the general Japanese population. Clin Exp Nephrol. 2015;19:474–80.CrossRefPubMed
15.
Zurück zum Zitat Committee on Practice and Ambulatory Medicine and Bright Futures Steering Committee. Recommendations for preventive pediatric health care. Pediatrics. 2007;120:1376.CrossRef Committee on Practice and Ambulatory Medicine and Bright Futures Steering Committee. Recommendations for preventive pediatric health care. Pediatrics. 2007;120:1376.CrossRef
Metadaten
Titel
Screening Urinalysis in Detection of Chronic Kidney Disease in Children
verfasst von
Aditi Sinha
Arvind Bagga
Publikationsdatum
23.05.2018
Verlag
Springer India
Erschienen in
Indian Journal of Pediatrics / Ausgabe 8/2018
Print ISSN: 0019-5456
Elektronische ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-018-2707-z

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