Navegando por Palavras-chave "Chronic renal disease"

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    Impact of Radial and Partial Nephrectomy on Rental Function in Patients with Renal Cancer
    (Karger, 2014-01-01) Krebs, Rodrigo Ketzer [UNIFESP]; Andreoni, Cássio [UNIFESP]; Ortiz, Valdemar [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To evaluate renal function in renal cancer patients undergoing radical nephrectomy (RN) or partial nephrectomy (PN) (open or laparoscopic ORN, OPN, LRN or LPN) and to identify risk factors contributing to renal function loss. Methods: We analysed 228 consecutive renal cancer patients admitted for OPN, LPN, ORN or LRN. the variables analysed were age, gender, weight, type of surgery (radical versus partial), type of surgical access (open versus laparoscopic), preoperative renal function and history of hypertension, diabetes or malignancy. Absolute renal function was calculated as the difference in glomerular filtration rate (AGFR) between the renal function before (GFR(0)) and 12 months after surgery (GFR(12)). the relative renal function of patients undergoing PN and RN was evaluated by the change in chronic kidney disease stage. Results: LRN caused the greatest loss in absolute renal function, followed by ORN, LPN and OPN. A GFR of >= 60 ml/min was noted for 90(68.7%) patients before and 65 (49.6%) patients after RN and for 80 (82.5%) patients before and 74 (76.3%) patients after PN. the chronic kidney disease stage dropped to 4 or 5 in the case preoperative weight and type of surgery (radical versus partial) had a significant impact on renal function. Conclusion: Renal function significantly decreased in patients undergoing RN, irrespective of the access route. Patients With preoperative poor renal function are at risk of postoperative end-stage renal disease. (c) 2014 S. Karger AG, Basel
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    Quality of life in children on dialysis
    (Springer, 2012-10-01) Brunelli, Giovanna [UNIFESP]; Nogueira, Paulo Cesar Koch [UNIFESP]; Pestana, Jose Osmar Medina [UNIFESP]; Diniz, Denise Helena de Madureira Pará [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    In recent years, the survival of patients with end stage renal disease (ESRD) has increased but few studies have assessed the quality of life in children on dialysis. the aim of the present cross-sectional study was to analyze the quality of life in this pediatric population and compare it with healthy controls using the Autoquestionnaire Qualit, de Vie Enfant Image.Thirty-three children on dialysis paired for gender, age, and social level with 33 healthy children.A significant difference was observed between the groups regarding the question on the practicing of sports. for this question, 29/33 healthy children reported to be very satisfied, while only 17/33 out of the ESRD group stated likewise. When asked about satisfaction of the children at the table with the family, 23/33 of the controls and 16/33 of the ESRD group reported to be very satisfied, showing a trend toward a significant difference (P = 0.059). No differences were observed for the remaining questions. We conclude that ESRD was linked to lower perception of quality of life in leisure aspects (sports) and a trend regarding functional issues (meal at the table).