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Ongoing impacts of childhood-onset glomerular diseases during young adulthood.
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- Author(s): Furuie, Keishiro; Kuraoka, Shohei; Ban, Hideki; Hidaka, Yuko; Nagata, Hiroko; Tamura, Hiroshi; Nagano, Koji; Kawano, Tomoyasu; Furuse, Akio; Nakazato, Hitoshi; Nakamura, Kimitoshi
- Source:
Pediatric Nephrology; Jun2024, Vol. 39 Issue 6, p1791-1799, 9p- Subject Terms:
RISK assessment; PATIENT education; PATIENT compliance; PSYCHOLOGICAL distress; ADOLESCENT health; DESCRIPTIVE statistics; TRANSITIONAL care; NEPHROTIC syndrome; GLOMERULONEPHRITIS; LONGITUDINAL method; CHRONIC diseases; QUALITY of life; KIDNEY diseases; DRUGS; KIDNEY glomerulus; DISEASE progression; DISEASE complications; CHILDREN; ADULTS - Source:
- Additional Information
- Abstract: Background: Childhood-onset glomerular disease often requires ongoing treatment and follow-up into adulthood. However, few studies have analyzed the associated impact and distress experienced by patients with this condition during the transition from childhood to adolescence and adulthood. Methods: At three facilities, we recruited patients who developed idiopathic nephrotic syndrome or IgA nephropathy during childhood and were at least 18 years old at the time of study entry. Among them, a questionnaire-based survey was administered to patients who consented to participate, and the results were analyzed in conjunction with clinical information. Results: Data from a total of 38 patients were analyzed. Of these patients, 15 had idiopathic nephrotic syndrome and 23 had IgA nephropathy. The age of transition from pediatrics to the adult medicine department was correlated with the number of recurrences. Many patients also reported being significantly affected by exercise restrictions and physical decline associated with their diseases and medications. Various impacts, including distress, affected decision-making regarding higher education, with patients engaging in higher education at a significantly higher rate compared with the regional average (66.7% vs. 46.9%, p = 0.028). Conclusion: We analyzed the impact of childhood-onset glomerular disease and distress during the transition period from pediatric to adult care. This study highlighted the significant impact of medications and exercise restrictions on patients' decisions regarding higher education. Future prospective studies will be needed to examine patients' distress in more detail and establish management approaches to enhance patient quality of life. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Pediatric Nephrology is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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