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- W2321167951 abstract "Background and aims: Growth failure is a common feature in Chronic Kidney Disease (CKD) and frequently leads to decreased adult height. Malnutrition, biochemical abnormalities and reduced sensitivity to growth hormone (GH) contribute to growth failure. We compared our practice to the standards set by Renal Association for growth monitoring and National guidelines on GH use. Methods: Growth monitoring in children with GFR < 20ml/min/1.73mwas reviewed over a period of 2 years from 2008-2009. 16 cases were identified. Case notes and growth charts were reviewed. Results: 4/16 (25%) children did not have height and weight plotted during every clinic visit as recommended. All children < 2 years old had their head circumference plotted. 82% children had 3 monthly dietary review as recommended. 10/16(62.5%) children had Parathyroid hormone (PTH) > 15pmol/L (3 x upper limit) and 4/16(25%) had bicarbonate < 20mmol/L. 50% children were referred to growth clinic appropriately. 7/16(43%) had height < 3centile and 5/16(31%) had height velocity < 3centile. 4/16 children (25%) had both height and height velocity < 3centile. Of these 2 children were prescribed GH, one child was only recently referred to growth clinic and one child is being monitored as PTH level is high. Conclusion: Growth monitoring could be improved to meet Renal Association recommendations. This analysis shows that biochemical control in advanced CKD is difficult to achieve despite dietary and medical manipulations. Growth Hormone therapy was prescribed appropriately and can only be considered after nutrition optimised and metabolic abnormalities corrected." @default.
- W2321167951 created "2016-06-24" @default.
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- W2321167951 date "2010-11-01" @default.
- W2321167951 modified "2023-09-26" @default.
- W2321167951 title "988 Growth Monitoring in Chronic Kidney Disease" @default.
- W2321167951 doi "https://doi.org/10.1203/00006450-201011001-00988" @default.
- W2321167951 hasPublicationYear "2010" @default.
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