Standard of care for children and adolescents with chronic kidney disease and its Peculiarities: a call to action!
The Pediatric Nephrology Standard of Care is essential for the diagnosis, monitoring, and management of children with Chronic Kidney Disease (CKD). Early detection of kidney changes is essential since many conditions can be silent, but have a major impact on the child's growth and development. The Standard of Care structure includes neonatal screening, assessment of predisposing conditions for kidney disease, calculation of the estimate of renal function and classification of the CKD stage to propose drug and nondrug therapeutic interventions. Challenges such as shortage of specialists, need for screenings and unequal access to services reinforce the importance of robust public policies and training programs. Personalized protocols are recommended to delay progression to Renal Replacement Therapy. In September 2024, the Clinical Guidelines and Therapeutic Protocol (CGTP) for CKD in adults was launched. In this Opinion article, a group of Pediatric Nephrologists comment on the perspectives for creating a CGTP for children and adolescents with CKD.
Authors
- Emília Maria Dantas Soeiro (ORCID: https://orcid.org/0000-0002-0491-6783)
- Rejane de Paula Bernardes (ORCID: https://orcid.org/0000-0002-9286-2825)
- Roberta Mendes Lima Sobral (ORCID: https://orcid.org/0000-0002-5963-0168)
- Clotilde Druck Garcia (ORCID: https://orcid.org/0000-0002-9014-3819)
- Nilzete Liberato Bresolin (ORCID: https://orcid.org/0000-0002-7880-1858)
- V. de Souza (ORCID: https://orcid.org/0000-0001-7306-5639)
- Suzana Aparecida Greggi de Alcantara (ORCID: https://orcid.org/0009-0006-9230-511X)
- Olberes Vitor Braga de Andrade (ORCID: https://orcid.org/0000-0003-2898-1763)
- Arnauld Kaufman (ORCID: https://orcid.org/0000-0002-3654-0709)
- Maria Goretti Moreira Guimarães Penido (ORCID: https://orcid.org/0000-0002-1534-3861)
- Lílian Monteiro Pereira Palma (ORCID: https://orcid.org/0000-0002-0334-8470)
- Káthia Liliane da Cunha Ribeiro Zuntini (ORCID: https://orcid.org/0000-0002-6724-0215)
- Maria Cristina de Andrade (ORCID: https://orcid.org/0000-0003-4519-0613)
- Marcelo de Sousa Tavares (ORCID: https://orcid.org/0000-0002-9766-9354)
- Vera Hermina Kalika Koch (ORCID: https://orcid.org/0000-0001-7478-3931)
Institutions
- Universidade Federal do Rio de Janeiro (BR)
- Universidade Federal da Bahia (BR)
- Universidade Federal do Rio Grande do Sul (BR)
- Universidade Federal de Ciências da Saúde de Porto Alegre (BR)
- Universidade de São Paulo (BR)
- Universidade Estadual de Campinas (UNICAMP) (BR)
- Universidade de Caxias do Sul (BR)
- Universidade Federal de Santa Catarina (BR)
- Irmandade da Santa Casa de Misericórdia de São Paulo (BR)
- Hospital Samaritano de São Paulo (BR)
- Instituto de Medicina Integral Professor Fernando Figueira (BR)
- Grupo Santa Casa de Belo Horizonte (BR)
- Fruit Research Institute (CN)
- Hospital Infantil Albert Sabin (BR)
- Hospital Ana Nery (BR)
- Universidade Federal de São Paulo (BR)
Publication Details
- Journal
- Brazilian Journal of Nephrology
- Published
- 2025-12-19
- DOI
- https://doi.org/10.1590/2175-8239-jbn-2025-0178en
- Primary Topic
- Chronic Kidney Disease and Diabetes
- Type
- article
- Field-Weighted Citation Impact
- 0.00