Title Chronic kidney disease in Lithuanian children: single center experience
Translation of Title Vaikų lėtinė inkstų liga: vieno Lietuvos pediatrijos centro patirtis.
Authors Rukšėnaitė, Ugnė ; Ažukaitis, Karolis ; Čerkauskienė, Rimantė ; Ruzgienė, Dovilė ; Vitkevič, Renata ; Litvinenko, Darija ; Jankauskienė, Augustina
DOI 10.15388/Amed.2026.33.1.10
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Is Part of Acta medica Lituanica.. Vilnius : Vilniaus universiteto leidykla. 2026, vol. 33, no. 1, p. 128-140.. ISSN 1392-0138. eISSN 2029-4174
Keywords [eng] chronic kidney disease ; CAKUT ; children ; CKD complications
Abstract [eng] Background: Chronic Kidney Disease (CKD) in children is relatively rare but carries high burden due to increased morbidity and mortality rates. Unlike adults, where CKD is often secondary to other conditions, pediatric CKD is primarily caused by Congenital Anomalies of the Kidney and Urinary Tract (CAKUT). In Lithuania, data on pediatric CKD are limited, and center-specific patient characteristics and management practices remain underreported in real life settings. This study aimed to assess the current patterns of pediatric CKD in a major Lithuanian tertiary center and evaluate how current practice aligns with guideline recommendations. Material and Methods: A cross-sectional study of children (0.05). Normal weight remained the predominant category at every CKD stage, with a prevalence of 60.0–66.7%. Nearly half of the patients had CKD-related complications, most commonly CKD-mineral and bone disorder, proteinuria, and arterial hypertension. Most children (76.9%) had received at least one treatment for CKD-related complications. Conclusions: Pediatric CKD in Lithuania remains predominantly caused by CAKUT, with most children diagnosed with CKD stage 2. Complications occur even in early stages, and the body mass index distribution does not vary significantly across the CKD stages. Management generally aligned with KDIGO guidelines, but gaps in treating proteinuria, anemia, and growth impairment remain.
Published Vilnius : Vilniaus universiteto leidykla
Type Journal article
Language English
Publication date 2026
CC license CC license description