Ayse Balat1, Beltinge Demircioglu Kilic2, Bagdagul Aksu3,4,5, Mehtap Akbalik Kara2, Mithat Buyukcelik2, Ayse Agbas5, Fehime Kara Eroglu6, Tulin Gungor6, Demet Alaygut7, Nurdan Yildiz8, Funda Bastug9, Bahriye Atmis10, Engin Melek10, Midhat Elmaci11, Sebahat Tulpar12, Cemile Pehlivanoglu13, Serra Surmeli Doven14, Elif Comak15, Yilmaz Tabel16, Atilla Gemici17, Berfin Uysal18, Gamze Seval Ozzorlar19, Nuran Kuçuk20, Ali Delibas21, Gul Ozcelik22, Nilufer Goknar23, Ismail Dursun24, Pelin Ertan25, Ipek Akil Ozunan25, Ferah Sonmez26. 1. Division of Pediatric Nephrology, School of Medicine, Gaziantep University, 27310, Gaziantep, Turkey. aysebalat@hotmail.com. 2. Division of Pediatric Nephrology, School of Medicine, Gaziantep University, 27310, Gaziantep, Turkey. 3. Department of Pediatric Basic Sciences, Institute of Child Health, Istanbul University, Istanbul, Turkey. 4. Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. 5. Department of Pediatrics, Haseki Training and Research Hospital, Istanbul, Turkey. 6. Division of Pediatric Nephrology, Dr. Sami Ulus Children Training and Research Hospital, Ankara, Turkey. 7. Division of Pediatric Nephrology, University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Turkey. 8. Division of Pediatric Nephrology, School of Medicine, Marmara University, Istanbul, Turkey. 9. Department of Pediatrics, Kayseri Training and Research Hospital, Kayseri, Turkey. 10. Division of Pediatric Nephrology, School of Medicine, Cukurova University, Adana, Turkey. 11. Department of Pediatrics, Konya Dr. Ali Kemal Belviranli Maternity and Children's Hospital, Konya, Turkey. 12. Department of Pediatrics, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey. 13. Department of Pediatrics, Umraniye Training and Research Hospital, Istanbul, Turkey. 14. Department of Pediatrics, Mersin City Hospital, Mersin, Turkey. 15. Division of Pediatric Nephrology, School of Medicine, Akdeniz University, Antalya, Turkey. 16. Division of Pediatric Nephrology, School of Medicine, Inonu University, Malatya, Turkey. 17. Department of Pediatrics, Aydin Maternity and Children's Hospital, Aydin, Turkey. 18. Department of Pediatrics, Bursa Dortcelik Training and Research Hospital, Bursa, Turkey. 19. Department of Pediatrics, School of Medicine, Gaziantep University, Gaziantep, Turkey. 20. Department of Pediatrics, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey. 21. Division of Pediatric Nephrology, School of Medicine, Mersin University, Mersin, Turkey. 22. Department of Pediatrics, Sariyer Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey. 23. Division of Pediatric Nephrology, Goztepe Education and Research Hospital Istanbul, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey. 24. Division of Pediatric Nephrology, Faculty of Medicine, Erciyes University, Kayseri, Turkey. 25. Division of Pediatric Nephrology, Faculty of Medicine, Celal Bayar University Hafsa Sultan Hospital, Manisa, Turkey. 26. Division of Pediatric Nephrology, Adnan Menderes University, Aydin, Turkey.
Abstract
BACKGROUND: Children are one of the most vulnerable groups in conflict zones, especially those with chronic diseases. This study aimed to investigate kidney disease profiles and problems during follow-up in a population of Syrian refugee children residing in Turkey. METHODS: Syrian refugee children aged between 0 and 18 years were included in the study. Demographic data, diagnosis, particular interventions due to nephrological problems, and problems encountered during follow-up were obtained from all participating pediatric nephrology centers. RESULTS: Data from 633 children from 22 pediatric nephrology centers were included. Mean age of the children was 94.8 ± 61.7 months and 375 were male (59%). 57.7% had parental consanguinity and 23.3% had a close relative(s) with kidney disease. The most common kidney diseases were congenital anomalies of the kidney and urinary tract (CAKUT) (31.0%), glomerular disease (19.9%), chronic kidney disease (CKD) (14.8%), and urolithiasis (10.7%). Frequent reasons for CAKUT were nonobstructive hydronephrosis (23.0%), vesico-ureteral reflux (18.4%), and neurogenic bladder (15.8%). The most common etiology of glomerular diseases was nephrotic syndrome (69%). Ninety-four children had CKD, and 58 children were on chronic dialysis. Six children had kidney transplantation. Surgical intervention was performed on 111 patients. The language barrier, lack of medical records, and frequent disruptions in periodic follow-ups were the main problems noted. CONCLUSIONS: CAKUT, glomerular disease, and CKD were highly prevalent in Syrian refugee children. Knowing the frequency of chronic diseases and the problems encountered in refugees would facilitate better treatment options and preventive measures.
BACKGROUND: Children are one of the most vulnerable groups in conflict zones, especially those with chronic diseases. This study aimed to investigate kidney disease profiles and problems during follow-up in a population of Syrian refugee children residing in Turkey. METHODS: Syrian refugee children aged between 0 and 18 years were included in the study. Demographic data, diagnosis, particular interventions due to nephrological problems, and problems encountered during follow-up were obtained from all participating pediatric nephrology centers. RESULTS: Data from 633 children from 22 pediatric nephrology centers were included. Mean age of the children was 94.8 ± 61.7 months and 375 were male (59%). 57.7% had parental consanguinity and 23.3% had a close relative(s) with kidney disease. The most common kidney diseases were congenital anomalies of the kidney and urinary tract (CAKUT) (31.0%), glomerular disease (19.9%), chronic kidney disease (CKD) (14.8%), and urolithiasis (10.7%). Frequent reasons for CAKUT were nonobstructive hydronephrosis (23.0%), vesico-ureteral reflux (18.4%), and neurogenic bladder (15.8%). The most common etiology of glomerular diseases was nephrotic syndrome (69%). Ninety-four children had CKD, and 58 children were on chronic dialysis. Six children had kidney transplantation. Surgical intervention was performed on 111 patients. The language barrier, lack of medical records, and frequent disruptions in periodic follow-ups were the main problems noted. CONCLUSIONS: CAKUT, glomerular disease, and CKD were highly prevalent in Syrian refugee children. Knowing the frequency of chronic diseases and the problems encountered in refugees would facilitate better treatment options and preventive measures.
Authors: Andrew S Levey; Kai-Uwe Eckardt; Nijsje M Dorman; Stacy L Christiansen; Ewout J Hoorn; Julie R Ingelfinger; Lesley A Inker; Adeera Levin; Rajnish Mehrotra; Paul M Palevsky; Mark A Perazella; Allison Tong; Susan J Allison; Detlef Bockenhauer; Josephine P Briggs; Jonathan S Bromberg; Andrew Davenport; Harold I Feldman; Denis Fouque; Ron T Gansevoort; John S Gill; Eddie L Greene; Brenda R Hemmelgarn; Matthias Kretzler; Mark Lambie; Pascale H Lane; Joseph Laycock; Shari E Leventhal; Michael Mittelman; Patricia Morrissey; Marlies Ostermann; Lesley Rees; Pierre Ronco; Franz Schaefer; Jennifer St Clair Russell; Caroline Vinck; Stephen B Walsh; Daniel E Weiner; Michael Cheung; Michel Jadoul; Wolfgang C Winkelmayer Journal: Kidney Int Date: 2020-03-09 Impact factor: 10.612
Authors: Khalid Alhasan; Noura M Aloudah; Amaar A Bakhit; Yassin M Alhamad; Kechrid M Chihabeddine; Talal A Alfaadhel; Tariq E Aljohani; Hanadi M Alhozali; Abdulkareem O Alsuwaida Journal: Saudi Med J Date: 2020-04 Impact factor: 1.484