Jain Sunil
Department of Paediatrics, Military Hospital Secunderabad, Secunderabad 500015, India.
World J Nephrol. 2023 Jan 25;12(1):10-20. doi: 10.5527/wjn.v12.i1.10.
Specialized centers are needed for nephrology and urology care of children. The justifications are the specialized nature of care needed and the growing incidence and prevalence. Children with chronic kidney disease (CKD) are at risk of morbidity, mortality, and decreased quality of life. Current pediatric practice structures are apparently poorly suited for the increasing demands of chronic disease in children. Kidney diseases account for around 8%-10% of total outpatients and 12% of admissions to the pediatric ward in hospitals. The major causes of pediatric CKD in registries are congenital anomalies of the kidney and urinary tract (around 50%), followed by inherited nephropathies and glomerulonephritis. The nephrologist's role is important for specialized investigations and treatment. Urologist's services are essential for the wide variety of conditions from birth to early adult age for complete cure and complementing medical management. Children have a right to treatments and to resources that are as sophisticated and advanced as those available to adults. Simple and sophisticated care for all children with ailments of the kidneys and related structures is important for ensuring 'health for all'. The availability of 'Child Kidney Care Centers' will go a long way in improving the lives of affected children.
儿童肾脏病学和泌尿外科学护理需要专门的中心。理由在于所需护理的专业性以及发病率和患病率的不断上升。慢性肾脏病（CKD）患儿面临发病、死亡风险，生活质量也会下降。当前的儿科医疗结构显然难以满足儿童慢性病日益增长的需求。肾脏疾病约占医院儿科门诊总量的8%-10%，占儿科病房住院人数的12%。登记在册的儿科CKD主要病因是肾脏和尿路先天性异常（约50%），其次是遗传性肾病和肾小球肾炎。肾病学家在专业检查和治疗方面的作用至关重要。泌尿科医生的服务对于从出生到成年早期的各种病症实现彻底治愈以及补充药物治疗管理必不可少。儿童有权获得与成人一样先进复杂的治疗和资源。为所有患有肾脏及相关结构疾病的儿童提供简单和复杂的护理对于确保“全民健康”至关重要。“儿童肾脏护理中心”的设立将大大改善患病儿童的生活。
