Abstract | BACKGROUND: Renal glomerular filtration rate (GFR) of pediatric cancer patients at diagnosis has previously been investigated in a limited number of studies. PROCEDURE: GFR, measured by iohexol clearance, was prospectively investigated in 55 children over the age of 1 year with malignancies, (group A). Elevated GFR (>175 ml/min/1.73 m(2)) at diagnosis was found. To investigate if this finding was consistent, a second group of 76 children with malignancies was studied, (group B). As a method control for GFR obtained by iohexol clearance, group A and B together were compared to 298 pediatric patients without cancer, group C. RESULTS: GFR was elevated in 40/131 (31%) in Group A + B but only in 17/298 (6%) in Group C. GFR was significantly higher in children aged 1-5 in group A + B (47%) compared to group C (3%). Bone marrow involvement was significantly associated with higher GFR. Children without bone marrow involvement also hyperfiltrated more often than controls, but less often. Urea in urine was used as a marker of renal protein clearance in 14 patients in group A. A significant correlation between u- urea (mmol/L)/u- creatinine (mmol/L) and GFR was noted. CONCLUSIONS: Hyperfiltration is sometimes present in children with cancer at diagnosis. This may be related to increased amino acid turn over in patients with a large tumor burden. An elevated initial GFR in a child with cancer, which normalizes after chemotherapy may indicate chemotherapy-induced decreased renal function, but can be due to normalization of an initially high GFR.
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Authors | Lars Hjorth, Thomas Wiebe, Diana Karpman |
Journal | Pediatric blood & cancer
(Pediatr Blood Cancer)
Vol. 56
Issue 5
Pg. 762-6
(May 2011)
ISSN: 1545-5017 [Electronic] United States |
PMID | 21370408
(Publication Type: Evaluation Study, Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2011 Wiley-Liss, Inc. |
Chemical References |
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Topics |
- Adolescent
- Age Factors
- Bone Marrow
(pathology)
- Child
- Child, Preschool
- Contrast Media
(pharmacokinetics)
- Female
- Glomerular Filtration Rate
- Humans
- Infant
- Iohexol
(pharmacokinetics)
- Kidney
(metabolism)
- Male
- Neoplasms
(diagnosis, metabolism)
- Prognosis
- Prospective Studies
- Sex Factors
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