ArticlePediatric nephrology (Berlin, Germany)2017
Effect of the timing of dialysis initiation on left ventricular hypertrophy and ınflammation in pediatric patients.
Article in Pediatric nephrology (Berlin, Germany), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Dialysis-associated cardiovascular disease risk in children: mechanism and management.Pediatric nephrology (Berlin, Germany) · 2026Review
- Developing a trigger tool to monitor adverse events during haemodialysis in children: a pilot project.Pediatric nephrology (Berlin, Germany) · 2023Article
- Bedside sonographic assessments for predicting predialysis fluid overload in children with end-stage kidney disease.European journal of pediatrics · 2021Article
- Should we abandon GFR in the decision to initiate chronic dialysis?Pediatric nephrology (Berlin, Germany) · 2020Review
- Clinical characteristics at the renal replacement therapy initiation of Japanese pediatric patients: a nationwide cross-sectional study.Clinical and experimental nephrology · 2020Article
- Assessment and management of fluid overload in children on dialysis.Pediatric nephrology (Berlin, Germany) · 2019Review
- Assessment of dialysis adequacy: beyond urea kinetic measurements.Pediatric nephrology (Berlin, Germany) · 2019Review
- Prediction of Hemodialysis Timing Based on LVW Feature Selection and Ensemble Learning.Journal of medical systems · 2018Article
- Beyond playing games: nephrologist vs machine in pediatric dialysis prescribing.Pediatric nephrology (Berlin, Germany) · 2018Article
- Peritoneal dialysis and infants: further insights into a complicated relationship.Pediatric nephrology (Berlin, Germany) · 2018Article
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Authors and funding
10 authors.
Funding
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Abstract
backgroundThe optimal time for dialysis initiation in adults and children with chronic kidney disease remains unclear. The aim of this study was to evaluate the impact of dialysis timing on different outcome parameters, in particular left ventricular (LV) morphology and inflammation, in pediatric patients receiving peritoneal dialysis and hemodialysis.
methodsThe medical records of pediatric dialysis patients who were followed-up in nine pediatric nephrology centers in Turkey between 2008 and 2013 were retrospectively reviewed. In addition to demographic data, we retrieved anthropometric measurements, data on dialysis treatment modalities, routine biochemical parameters, complete blood count, serum ferritin, parathormone, C-reactive protein (CRP), and albumin levels, as well as echocardiographic data and hospitalization records. The patients were divided into two groups based on their estimated glomerular filtration rate (eGFR) levels at dialysis initiation, namely, an early-start group, characterized by an eGFR of >10 ml/min/1.73 m
resultsA total of 245 pediatric dialysis patients (mean age ± standard deviation 12.3 ± 5.1 years, range 0.5-21 years) were enrolled in this study. Echocardiographic data were available for 137 patients, and the mean LV mass index (LVMI) was 58 ± 31 (range 21-215) g/m
conclusionAlthough early dialysis initiation did not have a significant effect on important clinical outcome parameters, including LVH, inflammatory state, and hospitalization, in our pediatric dialysis patients, this area of study deserves further attention.
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