The theme of World Kidney Day 2016 is Kidney Disease & Children: Act Early to Prevent It! The effort is a joint initiative by the International Society of Nephrology (ISN) and the International Federation of Kidney Foundations (IFKF) to raise awareness and support for kidney care.
Some children are born with kidney disease and others develop it while young. Kidney problems result from high-risk birth, congenital anomalies of the kidney and urinary tract, and inherited disorders. When acute kidney injury (AKI) occurs in childhood, it can lead to hypertension and chronic kidney disease later (CKD) later in life. Many adults also have risk factors for kidney disease that began in childhood, even prenatally.
Greater focus on early detection and management of kidney disease in childhood is paramount, according to an editorial by the World Kidney Day Steering Committee published in Pediatric Nephrology. The editorial described the spectrum of pediatric kidney diseases, their origins and development, and global disparities in health care resources.
Transitioning from pediatric to adult care was another important theme. It involves more than a simple transfer of care, according to the editorialists. Clinicians need to assess family support and pediatric patients’ emotional coping skills. “The ultimate goal is to foster a strong relationship and individualized plan in the new setting that allows the patient to feel comfortable enough to report non-adherence and other lapses in care.” Successful therapy in childhood is possible.
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