Browse by author
Lookup NU author(s): Dr Charlie Pickles
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
© The Author(s) 2023.Risks of contralateral kidney abnormalities and chronic kidney disease necessitate follow-up for unilateral multicystic dysplastic kidneys (MCDK). A nationwide survey of senior UK pediatricians was conducted. Of the 60 responses obtained, 62% routinely perform a dimercaptosuccinic acid scan to confirm diagnosis. Eight percent routinely perform a cystogram to investigate contralateral vesicoureteric reflux. Sixty-two percent would routinely measure renal function (frequency ranging from once only to “every 2 years”). Twenty-five percent recalled MCDK nephrectomy being performed within the previous 5 years. Respondents voiced concerns that national guidance may result in an overcautious approach but could balance consensus and safe variation, and offer families choice and reassurance. The mean estimated cost of follow-up from birth to 18 years ranged from £258 to £3854. Results demonstrate significant variation in management, highlighting the need for a clear pathway to decrease unwanted variability and to ensure those at high risk of renal sequelae are recognized early, without undue investigatory burden.
Author(s): Harmer MJ, Stewart DJ, Prasad P, Veligratli F, Pickles C, Kim JS, Raja M
Publication type: Article
Publication status: Published
Journal: Clinical Pediatrics
Year: 2024
Volume: 63
Issue: 4
Pages: 4825-487
Print publication date: 01/05/2024
Online publication date: 06/06/2023
Acceptance date: 02/04/2021
ISSN (print): 0009-9228
ISSN (electronic): 1938-2707
Publisher: Sage
URL: https://doi.org/10.1177/00099228231177808
DOI: 10.1177/00099228231177808
PubMed id: 37278332
Altmetrics provided by Altmetric
