SynthesisActa paediatrica (Oslo, Norway : 1992)2025
A Systematic Review for Guidelines: Sports and High-Grade Kidney Injuries in Children With Solitary Kidneys.
Synthesis in Acta paediatrica (Oslo, Norway : 1992), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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6 authors.
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Abstract
aimTo determine the risk of Grades IV and V kidney injury due to common children's sports.
methodsA systematic review of studies reporting traumatic kidney injuries (TKIs) associated with basketball, cycling, equestrian, motorsports, netball, rugby, Australian football or soccer. Studies with patients exclusively 18 years or older, non-TKIs or non-sport-related mechanisms were excluded.
resultsTwenty-five studies with 24 424 patients were included. The estimated risk of kidney loss from sports injuries is 0.37 per million child-years. However, the incidence of Grades IV and V injuries could not be calculated in at-risk populations due to limited prospective data. The prevalence of TKIs from sport-specific trauma was low, ranging from 0.6% to 2.2%. Few studies graded the severity of kidney injury, but in the small number reported, Grades IV and V injuries occurred in 33% of soccer TKIs, 26% of bicycling, 23% of Australian football, 20% of basketball and 17% of equestrian injuries. The high number of ungraded kidney injuries (5514/5607) impacts the reliability of findings.
conclusionRecommendations to exclude children with congenital single kidneys from specific sports lack a firm evidence-base. Given bio-psycho-social consequences, such recommendations must be carefully considered, particularly for equestrian and motorised vehicles, which carry a higher risk of trauma.
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