ArticlePediatric nephrology (Berlin, Germany)2014
Ambulatory blood pressure monitoring is recommended in the clinical management of children with a solitary functioning kidney.
Article in Pediatric nephrology (Berlin, Germany), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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23 citing papers in PubMed, 33 citations in OpenAlex.
- Predictors and course of hypertension in Wilms tumour patients: a retrospective observational cohort study.BMJ paediatrics open · 2025Observational
- Management of the congenital solitary kidney: consensus recommendations of the Italian Society of Pediatric Nephrology.Pediatric nephrology (Berlin, Germany) · 2022Review
- Multidisciplinary approaches for elucidating genetics and molecular pathogenesis of urinary tract malformations.Kidney international · 2022Review
- Do children with solitary or hypofunctioning kidney have the same prevalence for masked hypertension?Pediatric nephrology (Berlin, Germany) · 2021Article
- Clinical Management of Children with a Congenital Solitary Functioning Kidney: Overview and Recommendations.European urology open science · 2021Review
- Cardiovascular risk assessment in children and adolescents with congenital solitary kidneys.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- Should we need more sensitive early diagnostic markers in children with congenital solitary functioning kidneys?Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- Evaluation of renal injury in children with a solitary functioning kidney.Turkish archives of pediatrics · 2021Article
- Identifying risk factors for chronic kidney disease stage 3 in adults with acquired solitary kidney from unilateral nephrectomy: a retrospective cohort study.BMC nephrology · 2020Article
- Born with a solitary kidney: at risk of hypertension.Pediatric nephrology (Berlin, Germany) · 2020Article
- Physiology and Pathophysiology of Compensatory Adaptations of a Solitary Functioning Kidney.Frontiers in physiology · 2020Review
- Towards adulthood with a solitary kidney.Pediatric nephrology (Berlin, Germany) · 2019Review
- A clinical predictive model of renal injury in children with congenital solitary functioning kidney.Pediatric nephrology (Berlin, Germany) · 2019Article
- Correlation between hypertrophy and risk of hypertension in congenital solitary functioning kidney.Pediatric surgery international · 2019Article
- Consequences of hyperfiltration after significant renal ablation early in life.Clinical and experimental nephrology · 2018Article
- Life with one kidney: response to comments by Marzuillo and Polito.Pediatric nephrology (Berlin, Germany) · 2018Article
- Life with one kidney.Pediatric nephrology (Berlin, Germany) · 2018Review
- Role of renal sympathetic nerve activity in prenatal programming of hypertension.Pediatric nephrology (Berlin, Germany) · 2018Review
- Outcomes of prenatally diagnosed solitary functioning kidney during early life.Journal of perinatology : official journal of the California Perinatal Association · 2017Article
- Ambulatory Blood Pressure Monitoring in Children and Adolescents: a Review of Recent Literature and New Guidelines.Current hypertension reports · 2017Review
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChildren with a solitary functioning kidney are at increased risk of developing chronic kidney disease. Hypertension may be an early indicator of renal dysfunction in these patients. We determined blood pressure (BP) profiles of children with a solitary functioning kidney by using ambulatory BP monitoring (ABPM).
methodsTo assess the occurrence with (pre)hypertension, we compared ABPM to office BP measurement in 47 children with a solitary functioning kidney. None of the subjects used antihypertensive agents or had been hypertensive during previous clinical visits.
resultsMean age of study subjects was 12.7 (±3.3) years. Hypertension was identified in ten (21 %) subjects with ABPM, whereas only two (4 %) children were hypertensive during office BP measurement (p < 0.01). Fifteen (32 %) children had an ABPM standard deviation (SD) value ≥90th percentile versus six (13 %) subjects based on office BP measurement (p = 0.051). Although 24-h ABPM SD scores were higher in the congenital type than in the acquired type of solitary functioning kidney (p ≤ 0.01), the proportions of subjects with 24-h ABPM hypertension were similar between groups (congenital 25 % versus acquired 16 %; p = NS).
conclusionsBased on ABPM, one in five children with a solitary functioning kidney has hypertension. As the majority of these subjects were not hypertensive during office BP measurements, ABPM should be considered in the clinical management of solitary functioning kidney patients.
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