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Teenagers and young adults with a past of allogenic hematopoietic stem cell transplantation are at significant risk of chronic kidney disease

Authors :
Julie Hu
Luciano Selistre
Carine Domenech
Yves Bertrand
Justine Bacchetta
Marie-Pierre Goutagny
Laurence Dubourg
Vandréa De Souza
Cecile Renard
Source :
Pediatric Nephrology. 37:1365-1375
Publication Year :
2021
Publisher :
Springer Science and Business Media LLC, 2021.

Abstract

Allogenic hematopoietic stem cell transplantation (aHSCT) remains the treatment of choice for some malignant hemopathies in children, albeit with the risk of long-term consequences, including chronic kidney disease (CKD). In our single tertiary referral center, we retrospectively assessed the long-term renal outcome in a cohort of children and adolescents who had undergone aHSCT for malignant hemopathies between 2003 and 2017. We distinguished glomerular and tubular dysfunctions and assessed the accuracy of the most common formula(s) to estimate glomerular filtration rate (GFR) during standard clinical follow-up. Among the 166 patients who had received aHSCT, 61 underwent kidney functional assessment 1 to 10 years post-transplantation. Twenty-seven patients (44.3%) had a CKD with glomerular impairment, including 20 patients with a GFR

Details

ISSN :
1432198X and 0931041X
Volume :
37
Database :
OpenAIRE
Journal :
Pediatric Nephrology
Accession number :
edsair.doi...........57d1c2acf54a862779fa05b2e4eed1e1
Full Text :
https://doi.org/10.1007/s00467-021-05319-x