The concept of chronic kidney disease in pediatric practicer
https://doi.org/10.52485/19986173_2025_2_164
Abstract
Chronic kidney disease (CKD) in children occupies a special position within the system of chronic non-communicable diseases, as it inevitably impacts quality of life and, in advanced stages, necessitates the use of burdensome and costly treatment methods: renal replacement therapy (RRT) – dialysis and organ transplantation, both associated with a high risk of mortality. The concept of CKD, originally intended for adult patients, has since been adapted for the pediatric category, however despite the provision of clear diagnostic criteria and treatment recommendations, several unresolved issues, discrepancies, and challenges remain at various stages of diagnosis and treatment in children. The main difficulties include the vague clinical symptoms in the early, prognostically favorable stages of the disease, the relative reliability of diagnostic indicators used, age restrictions on nephroprotective medications, and a lack of interest from pediatricians and nephrologists in this issue, among others. We present a clinical case of a child with end-stage CKD, diagnosed for the first time at the age of 13.
Supporting agencies: The study had no financial support
About the Authors
E. P. Bataeva
Chita State Medical Academy
Russian Federation
Russian Federation
Candidate of Medical Sciences, Associate Professor, Associate Professor of the Department
Department of Propaedeutics of Childhood Diseases
672000; 39a Gorky st.; Chita
I. K. Bogomolova
Chita State Medical Academy
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Head of the Department
Medical and Dental Faculty; Department of Pediatrics
672000; 39a Gorky st.; Chita
Researcher ID WoS R-2691-2017, Author ID РИНЦ 276798, Author ID Scopus 57205157038
L. R. Kalinina
GUZ «Regional Children's Clinical Hospital»
Russian Federation
Russian Federation
Head of the Department
Nephrology Department
672027; 20 Novobulvarnaya St.; Chita
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Supplementary files
Review
Chronic kidney disease (CKD) in children occupies a special position within the system of chronic non-communicable diseases, as it inevitably impacts quality of life and, in advanced stages, necessitates the use of burdensome and costly treatment methods: renal replacement therapy (RRT) – dialysis and organ transplantation, both associated with a high risk of mortality. The concept of CKD, originally intended for adult patients, has since been adapted for the pediatric population, however despite the provision of clear diagnostic criteria and treatment recommendations, several unresolved issues, discrepancies, and challenges remain at various stages of diagnosis and treatment in children. The main difficulties include the vague clinical symptoms in the early, prognostically favorable stages of the disease, the relative reliability of diagnostic indicators used, age restrictions on nephroprotective medications, and a lack of interest from pediatricians and nephrologists in this issue, among others. We present a clinical case of a child with end-stage CKD, diagnosed for the first time at the age of 13.
For citations:
Bataeva E.P., Bogomolova I.K., Kalinina L.R. The concept of chronic kidney disease in pediatric practicer. Transbaikalian Medical Bulletin. 2025;(2):164-175. (In Russ.) https://doi.org/10.52485/19986173_2025_2_164
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