全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Evaluation of Glomerular Filtration Rate and Urinary Abnormalities in Children with Cancer before Chemotherapy

DOI: 10.4236/ojped.2023.134066, PP. 594-603

Keywords: GFR, Child, Cancer, Chemotherapy

Full-Text   Cite this paper   Add to My Lib

Abstract:

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 ± 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 ± 68.93 μmol/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 ± 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

References

[1]  Brooke Bernhardt, M. and Moffett, B.S., et al. (2015) Agreement between Measurements and Estimates of Glomerular Filtration in Children with Cancer. Pediatric Blood & Cancer, 62, 80-84.
https://doi.org/10.1002/pbc.25194
[2]  Grönroos, M.H., Jahnukainen, T., Möttönen, M., Perkkiö, M., Irjala, K., et al. (2008) Long-Term Follow-Up of Renal Function after High-Dose Methotrexate Treatment in Children. Pediatric Blood & Cancer, 51, 535-539.
https://doi.org/10.1002/pbc.21650
[3]  Lameire, N., Kruse, V. and Rottey, S. (2011) Nephrotoxicity of Anticancers—An Estimated Problem? Department of Medicine and 2 Department of Medical Oncology, Hospital.
[4]  Mburu, M., Wamalwa, D., Bashir, A. and Wainaina, L. (2012) Glomerular Filtration Rate Profiles in Pediatric Cancer Chemotherapy Patients at Kenyatta National Hospital, Kenya. East African Medical Journal, 89, 45-52.
[5]  Xiong, M.Q., Wang, L., Su, L.C., Luo, W.H., et al. (2021) Acute Kidney Injury in Hospitalized Children with Cancer. Pediatric Nephrology, 36, 171-179.
https://doi.org/10.1007/s00467-020-04678-1
[6]  Silva, V.T.C., Costalonga, E.C., Coelho, F.O., Caires, R.A., et al. (2018) Assessment of Kidney Function in Patients with Cancer. Advances in Chronic Kidney Disease, 25, 49-56.
https://doi.org/10.1053/j.ackd.2017.10.010
[7]  Barry, A., Diop, M.M., Doukoure, M.A., Camara, E., Diallo, S.B., Tadjom, N.V.G., et al. (2020) Retinoblastoma: Socio-Demographic, Clinical and Therapeutic Aspects in the Hemato-Oncology Unit of the Department of Pediatrics of Donka National Hospital, Guinea. Open Journal of Pediatrics, 10, 561-569.
https://doi.org/10.4236/ojped.2020.103057
[8]  Diallo, B. (2013) Epidemiological and Anatomopathological Study of Childhood Cancers in Mali from 2003 to 2012: Data from the Cancer Register at the CHU du Point G. Doctoral Thesis, CHU Point G, Bamako.
[9]  Jankowski, M., Dresse, M.F., Forget, P., Piette, C., Florkin, B. and Hoyoux, C. (2019) Epidemiology of Childhood Cancer, A Single-Center Study (1985-2016). Revue Médicale de Liège, 74, 146-151.
[10]  Coulibaly, B. (2011) Epidemiological and Anatomo—Clinical Study of Childhood Cancers in Bamako and Kati Hospitals. Doctoral Thesis, University of Sciences, Techniques and Technologies of Bamako, Bamako, 21-83.
[11]  Gateu Tadjom, N.V. (2020) Childhood Retinoblastoma: Epidemiological, Diagnostic and Therapeutic Aspects in the Hemato-Oncology Unit of the Pediatric Department of the DONKA National Hospital. Doctoral Thesis in Medicine, University of Sciences, Techniques and Technologies of Conakry, Conakry.
[12]  Amégbor, K., Darre, T., Padaro, E., Amewuame, E., Guédénon, J. and Napo-Koura, G. (2011) Solid Childhood Cancers in Togo: Epidemiological and Histopathological Aspects about 365 Cases Observed at the Tokoin University Hospital in Lomé. African Journal of Cancer, 3, 24-28.
https://doi.org/10.1007/s12558-010-0129-6
[13]  Yao, A., Couitchere, L., Atimere, Y.N., Kone, D. and Adon, S. (2008) Profile of the Initial Biological Assessment of the Child with Burkitt’s Lymphoma in Abidjan. Revue International des Sciences Médicales, 10, 21-25.
[14]  Traore, S. (2012) The Side Effects of Cancer Chemotherapy in the Hemato-Oncology Unit of the Pediatric Department of the Gabriel Touré Teaching Hospital from June 2006 to June 2007.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133