[Survey of renal replacement therapy in childhood with chronic renal failure]

Abstract

Objective: To investigate the renal replacement therapy and outcome of chronic renal failure (CRF) in childhood, a nation-wide survey was conducted and data of hospitalized children (younger than 18 years old) with CRF during the period of 2007 to 2011 were analyzed.

Method: Questionnaires of renal replacement therapy of patients with CRF in childhood were designed and distributed to 28 hospitals in China. The data were collected and analyzed.

Result: There were 1033 hospitalized children with CRF from January 1, 2007 to December 31, 2011 in 28 hospitals. There were 474 patients (45.9%) received renal replacement therapy. Hemodialyses were given to 380 patients; 133 patients (35.0%) got acute complications with hemodialysis and 119 patients (31.3%) got chronic complications. Peritoneal dialysis were given to 177 patients and 79 patients got complications. Forty patients received renal transplantation and 9 patients got rejections.

Conclusion: Renal replacement therapy in CRF in childhood has been improved but there is imbalance in China. Hemodialysis is the common way in maintenance dialysis and peritoneal dialysis is still underdeveloped. Renal transplantation in children is in the early stages.