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Results of epidemiological investigation of nephrotic syndrome in children according to regional register

Abstract

The aim of this study was to determine the incidence of nephrotic syndrome (NS) in children according to data of a regional register. A retrospective study was undertaken to describe demographic of all 90 children (54 boys and 36 girls) under 10 years diagnosed with NS in Voronezh region (Russia) over a 15-year period. The mean age of the onset was 3,25 years. The annual incidence of NS was 2,5 (1,8; 3,1) children per 100 000. The incidence of steroid sensitive NS was 2,0/100 000, of steroid resistant NS – 0,3/100 000, frequently relapsing and steroid dependent NS – 0,6/100 000, infrequently relapsing NS – 0,6/100 000. A negative correlation was found between the time courses of the incidence of steroid sensitive NS and of steroid resistant NS (r = –0,533, p = 0,041). The incidence of children with NS in Voronezh region of Russia is similar to overseas studies. The data of regional registry provide a more accurate picture of the epidemiology of NS.

About the Authors

T. L. Nastausheva
ГОУ ВПО «Воронежская государственная медицинская академия им. Н.Н. Бурденко Росздрава»
Russian Federation


A. P. Shvirjov
ГУЗ «Воронежская областная детская клиническая больница № 1»
Russian Federation


E. N. Kulakova
ГОУ ВПО «Воронежская государственная медицинская академия им. Н.Н. Бурденко Росздрава»
Russian Federation


L. I. Stahurlova
ГУЗ «Воронежская областная детская клиническая больница № 1»
Russian Federation


T. G. Zvjagina
ГУЗ «Воронежская областная детская клиническая больница № 1»
Russian Federation


L. N. Lukankina
ГУЗ «Воронежская областная детская клиническая больница № 1»
Russian Federation


References

1. Бикбов Б.Т., Томилина Н.А. О состоянии заместительной терапии больных с хронической почечной недостаточностью в Российской Федерации в 1998–2003: отчет по данным регистра Российского диализного общества // Нефрология и диализ. 2005. Т. 7. № 3. С. 204–275.

2. Власов В.В. Эпидемиология: Учебное пособие. 2-е изд., испр. М.: ГЭОТАР-Медиа, 2006. 464 с.

3. Детская нефрология / Под ред. Н. Сигела: пер. с англ. М.: Практика. 2006. 336 с.

4. Козлова Л.В., Дружинина Т.В., Рябухин Ю.В. и др. Эпидемиология нефротического синдрома у детей Смоленской области. 5 Российский конгресс по детской нефрологии: сборник тезисов. Воронеж. 2006. С. 110–111.

5. Кондратьева Е.И., Богоряд Т.И., Длин В.В. и др. Регистр нефротического синдрома перспективная информационная система помощи детскому населению. М.: 6 Российский конгресс по детской нефрологии: материалы конгресса, 2007. С. 67–68.

6. Лоскутова С.А. Гломерулонефриты: заболеваемость, структура, факторы прогрессирования, исходы у детей, проживающих в Новосибирской области: автореф. дис. … д-ра мед. наук. Новосибирск: Гос. Мед. Акад. 2004. 35 с.

7. Лоскутова С.А., Чупрова А.В., Мовчан Е.А. Выживаемость больных первичным гломерулонефритом, дебютировавшим в детском возрасте // Педиатрия. 2005. № 4. С. 29–33.

8. Международная нефрологическая школа Европейской ассоциации педиатров-нефрологов: Лекции. СПб, 2004. 292 с.

9. Нефрология детского возраста / Под ред. В.А. Таболина, С.В. Бельмера, И.М. Османова. М.: ИД МЕДПРАКТИКА, 2005. 712 с.

10. Рациональная фармакотерапия детских заболеваний: Рук. для практикующих врачей: в 2 книгах / Под ред. А.А. Баранова, Н.Н. Володина, Г.А. Самсыгиной. М.: Литера, 2007. Кн. 1. 1167 с.

11. Abeyagunawardena A.S., Dillon M.J., Rees L. et al. The use of steroid-sparing agents in steroid-sensitive nephrotic syndrome // Pediatr. Nephrol. 2003. Vol. 18. № 9. P. 919–924.

12. Avner E.D, Harmon W., Niaudet P. Pediatric Nephrology. Lippincott Williams, Wilkins. 2003. 1564 p.

13. Batinic D., Scukanec-Spoljar M., Milosevic D. et al. Clinical and histopathological characteristics of biopsy-proven renal disease in Croatia // Acta Med. Croatica. 2007. Vol. 61. № 4. P. 361.

14. Bazina M., Glavina-Durdov M., Scukanec-Spoljar M. et al. Epidemiology of renal disease in children in the region of southern Croatia: a 10-year review of regional renal biopsy databases // Med. Sci. Monit. 2007. Vol. 13. № 4. CR. 172–176.

15. Bircan Z., Yavuz Y.A., Katar S. et al. Childhood idiopathic nephrotic syndrome in Turkey // Pediatr. Int. 2002. Vol. 44. № 6. P. 608–611.

16. Cerkauskiene R., Rockiene R. 10-years follow-up study of SSNS in children in Lithuania // Pediatr. Nephrol. 2005. Vol. 20. № 9. P. 76.

17. Consensus statement on management and audit potential for steroid responsive nephrotic syndrome: report of a Workshop by the British Association for Paediatric Nephrology and Research Unit // Archives of disease in childhood. 1994. Vol. 70. P. 151–157.

18. Coppo R., Gianoglio B., Porcellini M.G. et al. Frequency of renal disease and clinical indications for renal biopsy in children (report of the Italian National Registry of Renal Biopsies in Children). Group of Renal Immunopathology of the Italian Society of Pediatric Nephrology and Group of Renal Immunopathology of the Italian Society of Nephrology // Nephrol. Dial. Transplant. 1998. Vol. 13. № 2. P. 293–297.

19. Covic A., Schiller A., Volovat C. et al. Epidemiology of renal disease in Romania: a 10 year review of two regional renal biopsy databases // Nephrol. Dial. Transplant. 2006. Vol. 21. № 2. P. 419–424.

20. Durkan A.M., Hodson E.M., Willis N.S. et al. Immunosuppressive agents in childhood nephrotic syndrome: a meta-analysis of randomized controlled trials // Kidney Int. 2001. Vol. 59. № 5. P. 1919–1927.

21. Elzouki A.Y., Amin F., Jaiswal P. Primary nephrotic syndrome in Arab children // Archives of disease in childhood. 1984. Vol. 59. P. 253–255.

22. Evans J.H.C., Long E. A national audit of nephrotic syndrome: the initial course of prednisolone and outcome // Pediatr. Nephrol. 1998. Vol. 12. № 7. P. 154.

23. Gulati S., Sharma A.P., Sharma R.K. et al. Do current recommendations for kidney biopsy in nephrotic syndrome need modifications? // Pediatr. Nephrol. 2002. Vol. 17. № 6. P. 404–408.

24. Heaf J., Lokkegaard H., Larsen S. The epidemiology and prognosis of glomerulonephritis in Denmark 1985–1997 // Nephrol. Dial. Transplant. 1999. Vol. 14. P. 1889–1897.

25. Hodson E.M., Alexander S.I. Evaluation and management of steroid-sensitive nephrotic syndrome // Curr. Opin. Pediatr. 2008. Vol. 20. № 2. P. 145–150.

26. Hodson E.M., Craig J.C., Willis N.C. Evidence-based management of steroid-sensitive nephrotic syndrome // Pediatr. Nephrol. 2005. Vol. 20. № 11. P. 1523–1530.

27. Hodson E.M., Willis N.C., Craig J.C. Corticosteroid therapy for nephrotic syndrome in children // Cochrane Database Syst Rev. 2007. Vol. 17. № 4. CD001533.

28. Hodson E.M., Willis N.C., Craig J.C. For the Australian and New Zealand Paediatric Nephrology Association through the Australian Paediatric Surveillance Unit. Incidence of nephrotic syndrome in Australian children // Journal of Paediatrics Child Health. 2000. Vol. 36. № 3. P. A1.

29. Hogg R. Kidney Disorders in Children and Adolescents. Taylor Francis. 2006. 288 p.

30. Lahdenkari A.T. Clinical features and outcome of childhood minimal change nephrotic syndrome: is genetics involved? // Pediatr. Nephrol. 2005. Vol. 20. № 8. P. 1073–1080.

31. Malafronte P., Mastroianni-Kirsztajn G., Betonico G.N. et al. Paulista registry of glomerulonephritis: 5-year data report // Nephrol. Dial. Transplant. 2006. Vol. 21. № 11. P. 3098–3105.

32. McKinney P.A., Feltbower R.G., Brocklebank J.T. et al. Time trend and ethnic patterns of childhood nephrotic syndrome in Yorkshire, UK // Pediatr. Nephrol. 2001. Vol. 16. № 12. P. 1040–1044.

33. Peco-Antic A. Management of idiopathic nephrotic syndrome in childhood // Srp. Arh. Celok. Lek. 2004. Vol. 132. № 9–10. P. 352–359.

34. Rivera F., Lopez-Gomez M., Perez-Garcia R. Frequency of renal pathology in Spain 1994–1999 // Nephrol. Dial. Transplant. 2002. Vol. 17. P. 1594–1602.

35. Rychlik I., Jancova E., Tesar V. et al. The Czech registry of renal biopsies. Occurrence of renal disease in the years 1994–2000 // Nephrol. Dial. Transplant. 2004. Vol. 19. № 12. P. 3040–3049.

36. Schena F.P. Survey of the Italian Registry of renal biopsies. Frequency of the renal disease for 7 consecutive years. The Italian Group of renal immunopathology // Nephrol. Dial. Transplant. 1997. Vol. 12 (Issue 3). P. 418–426.

37. Sharples P.M., Poulton J., White R.H.R. Steroid responsive nephrotic syndrome is more common in Asian // Archives of disease in childhood. 1985. Vol. 60. P. 1014–1017.

38. Siegel N.J., Gaudio K.M., Krassner L.S. et al. Steroid-dependent nephrotic syndrome in children: histopathology and relapses after cyclophosphamide treatment // Kidney International. 1981. Vol. 19. P. 454–459.

39. Simon P., Ramee M.P., Boulahrouz R. et al. Epidemiologic data of primary glomerular disease in western France // Kidney Int. 2004. Vol. 66, № 3. P. 905–908.

40. Srivastava T., Simon S.D., Alon U.S. High incidence of focal segmental glomerulosclerosis in nephrotic syndrome of childhood // Pediatr. Nephrol. 1999. Vol. 13. № 1. P. 13–18.

41. The primary nephrotic syndrome in children. Identification of patients with minimal change nephrotic syndrome from initial response to prednisone. A report of the International Study of Kidney Disease in Children // The Journal of Pediatrics. 1981. Vol. 98 (Issue 4). P. 561–564.

42. Trachtman H., Gauthier B. Pediatric Nephrology. Informa Health Care. 1998. 416 p.

43. Wijk J.A.E., Bakkali L.E., Pereira R.R. Idiopathic nephrotic syndrome in children in the Netherlands in 2003–2006: results of a Nationwide registration // Pediatr. Nephrol.: abstracts from 14th Congress of the International Pediatric Nephrology Association. 2007. Vol. 22, № 7. P. 1607.

44. Wijk J.A.E., Loubna E.L.B, Rob R.P. Idiopathic nephrotic syndrome in the Netherlands in 2003–2004: results of a nation wide registration // Pediatr. Nephrol. 2005. Vol. 20. № 9. C75.

45. Wong W. Idiopathic nephrotic syndrome in New Zealand children, demographic, clinical features, initial management and outcome after twelve-month follow-up: result of a three-year national surveillance study // J. Paediatr. Child Health. 2007. Vol. 43. № 5. P. 337–341.

46. Wyatt R.J., Marx M.B., Kazee M. et al. Current estimates of the incidence of steroid responsive idiopathic nephrosis in Kentucky children 1–9 years of age // Int. J. Pediatr. Nephrol. 1982. Vol. 3. № 2. P. 63–65.

47. Zaki M., Helin I., Manandhar D.S. et al. Primary nephrotic syndrome in Arab children in Kuwait // Pediatr. Nephrol. 1989. Vol. 3. № 2. P. 218–220.


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For citations:


Nastausheva T.L., Shvirjov A.P., Kulakova E.N., Stahurlova L.I., Zvjagina T.G., Lukankina L.N. Results of epidemiological investigation of nephrotic syndrome in children according to regional register. Nephrology and Dialysis. 2010;12(2):090-095. (In Russ.)

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