%0 Journal Article %T Evaluation of Glomerular Filtration Rate and Urinary Abnormalities in Children with Cancer before Chemotherapy %A Mamadou Moustapha Diop %A Aissata Barry %A Ouo Ouo Koli¨¦ %A Emanuel Camara %A Mohamed Lamine Diallo %A Kaba Bangoura %A Mamadou Aliou Doukour¨¦ %A P¨¦ Neabel Beimy %A Dienab Diallo %A Moustapha Kouyate %A Mohamed Lamine Kaba %J Open Journal of Pediatrics %P 594-603 %@ 2160-8776 %D 2023 %I Scientific Research Publishing %R 10.4236/ojped.2023.134066 %X
Introduction: Glomerular filtration is an important elimination pathway for many types of chemotherapy. Accurate estimation of glomerular filtration is essential in the management of children with cancer. Methodology: This was a prospective cross-sectional study of the descriptive type extending over a period of 6 months from July 01 to December 31, 2021 on all children with cancer followed in the pediatric hemato-oncology unit of the HND with a renal, blood and urinary assessment associated with the GFR calculated by the SCHWARTZ formula during the study period. Results: During the study period, we registered 41 new cases of cancer in the pediatric oncology unit. The age group of 0 - 5 years was the most represented, i.e. 65.85% and the average age was 5.6 ¡À 4 years. The most cited clinical signs were fever ie 56.10% followed by abdominal pain 34.15% and anemia 26.83%. The most represented diagnosis was Burkitt¡¯s Lymphoma, i.e. 26.83% followed by Retinoblastoma 24.39%. Mean serum creatinine was 70.65 ¡À 68.93 ¦Ìmol/L. In our series, patients whose normal glomerular filtration rate were more represented, i.e. 70.73% and 29.27% had an abnormal GFR with an average of 87.28 ¡À 70 mL/min/1.73m2. Proteinuria and leukocyturia were observed in 31.71% and 19.51% respectively. Glycosuria and hematuria with common frequencies of 2.44% of patients. Conclusion: The prevention of renal toxicity of anticancer drugs always involves the precise evaluation of renal function using the Schwartz formula in %K GFR %K Child %K Cancer %K Chemotherapy %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=126636