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ORIGINAL ARTICLE
Year : 2022  |  Volume : 5  |  Issue : 1  |  Page : 14-20

Pediatric tubular and inherited disorders in asia: results of preliminary survey of the asian pediatric nephrology association (aspna) tubular and inherited working group


1 Department of Pediatrics, Division of Pediatric Nephrology, College of Medicine, University of the Philippines-Philippine General Hospital, Las Pinas, Philippines
2 Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan
3 Ali Asghar Clinical Research Development Center, Ali Asghar Children hospital, Iran University of Medical Sciences, Tehran, Iran
4 Department of Pediatric Nephrology, St John's Medical College Hospital, Bengaluru, India
5 Department of Pediatrics, Peking University First Hospital, Beijing, China
6 Department of Pediatrics, Seoul National University Children's Hospital, Seoul, South Korea

Correspondence Address:
Lourdes Paula Real Resontoc
47 Nimbus Street Moonwalk Village, Las Pinas
Philippines
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajpn.ajpn_2_22

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Background and Objective: The registries and guidelines for kidney diseases in children mostly do not include the Asian population and hence, its applicability is questionable. As a first step to address this question, the tubular and inherited disease working group of the Asian Pediatric Nephrology Association aimed to assess the current situation of pediatric tubular and inherited disorders in Asia. Methods: Our group conducted an online survey among the members of AsPNA from September to October 2020. Data collected included demographics, number of patients each physician cares for per year, methods of diagnosis, and access to genetic tests. Descriptive analysis was performed. Results: A total of 299 pediatric nephrologists from 21 countries in Asia participated. Distal renal tubular acidosis, Bartter syndrome, autosomal dominant polycystic kidney disease, autosomal recessive kidney disease, and Alport syndrome were the commonly reported diseases. Around 70% employed clinical history, radiologic imaging, and biochemical tests for diagnosis. More than half (55.4%) of the institutions have access to genetic testing. For future collaborative projects, 88% expressed interest to participate. Conclusions: The results highlight the diversity of disease prevalence, diagnostic practices, capability, and access to genetic tests across Asia. The data gathered from this preliminary survey can be used to address knowledge gaps, and improve management and outcomes.


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