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[ Article ] Morphological and Structural Study of Native Kidneys in Chronic Kidney Disease Patients on Dialysis Compared to Non-Dialysis Patients

Date de soumission: 14-01-2021
Année de Publication: 2020
Entité/Laboratoire Unité de Néphrologie
Document type : Article
Discipline(s) : Urologie & Néphrologie
Titre Morphological and Structural Study of Native Kidneys in Chronic Kidney Disease Patients on Dialysis Compared to Non-Dialysis Patients
Auteurs VIGAN JACQUES [1], AHOUANSOU YEKPE Patricia [2], Adjanohoun Sonia [3], AHOUI SERAPHIN [4], AGBOTON LÉOPOLD BRUNO [5], KPOVIESSI Hosana [6], BIAOU OLIVIER [7],
Journal: Open Journal of Nephrology
Catégorie Journal: Internationale
Impact factor: 0.42
Volume Journal: 10
DOI: 10.4236/ojneph.2020.104034
Resume Whether on dialysis or not, native kidneys in chronic kidney disease (CKD) patients undergo morphological and structural changes. Objective: To study native kidney morphometric and structural aspects in CKD patients on dialysis and non-dialysis patients. Methods: It was a descriptive, analytical, and cross-sectional study conducted from May to December 2018. The study enrolled CKD patients on dialysis or not followed at CNHU-HKM in Cotonou. Renal ultrasound was performed to locate cysts and uroscanner completed in the presence of atypical cysts. Through logistic regression, associated factors were determined. Results: The sample size was 240 patients, of which 151 (62.9%) were receiving dialysis and 89 (37.1%) non-dialysis patients. Male subjects were predominant (sex ratio = 1.5). The average size of the right kidney, expressed in mm in patients on dialysis was: pole-to-pole length = 78.56; width = 42.06; cortical thickness = 11.80; and the left kidney: pole-to-pole length = 79.76; width = 41.53; cortical thickness = 12.6. For nondialysis patients, the following size was recorded for the right kidney: pole-to-pole length = 92.35; width = 47.61; cortical thickness = 15.64; and left kidney: length = 92.13; width = 47.82; cortical thickness = 15.43. Predictive factors for the occurrence of acquired renal cysts were: old age (p = 0.0001), dialysis (p < 0.001) and diabetic nephropathy (p = 0.0014). Conclusion: CKD patients on dialysis have small kidneys and are more likely to develop acquired renal cysts. There is a need to carry out an annual ultrasound screening for native kidneys in patients receiving dialysis
Mots clés Chronic Kidney Disease, Dialysis, Acquired Renal Cysts
Pages 348 - 360
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