Prognosis of patients with unilateral renal agenesis

Luis R. Argueso, Michael L. Ritchey, Emmett T. Boyle, Dawn S. Milliner, Erik J. Bergstralh, Stephen A. Kramer

Research output: Contribution to journalArticle

133 Scopus citations

Abstract

The clinical course was reviewed in 157 patients with unilateral renal agenesis and a normal contralateral kidney for the purpose of establishing a prognosis. There were 85 males (54%) and 72 females (46%). The mean age at diagnosis of unilateral renal agenesis was 37 years. The mean years at risk was 56. Proteinuria (>150 mg/24h) was found in 19% of the 37 patients tested (P<0.001), hypertension developed in 47% of the 47 patients tested (P=0.010), and renal function (adjusted for age and sex) was decreased in 13% of the 32 patients tested (P=0.001). An increased filtration fraction was found in 7 (54%) of 13 patients evaluated. At the completion of this study, 114 patients (73%) were alive, and the survival rate was similar to that of age-, sex-matched United States life tables. Forty-three patients (27%) died; 6 deaths (4%) were caused by renal failure. Our review indicates that patients with unilateral renal agenesis and a normal solitary kidney are at increased risk of proteinuria, hypertension, and renal insufficiency. Therefore, it is essential to have prolonged and careful follow-up and to employ strategies that maximize renal preservation.

Original languageEnglish (US)
Pages (from-to)412-416
Number of pages5
JournalPediatric Nephrology
Volume6
Issue number5
DOIs
StatePublished - Sep 1 1992

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Keywords

  • Hyperfiltration
  • Hypertension
  • Proteinuria
  • Renal insufficiency
  • Unilateral renal agenesis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

Cite this

Argueso, L. R., Ritchey, M. L., Boyle, E. T., Milliner, D. S., Bergstralh, E. J., & Kramer, S. A. (1992). Prognosis of patients with unilateral renal agenesis. Pediatric Nephrology, 6(5), 412-416. https://doi.org/10.1007/BF00873996