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Protein restriction for children with chronic renal failure

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Protein restriction for children with chronic renal failure

Sübutlu məlumatların xülasələri
01.08.2017 • Sonuncu dəyişiklik 01.08.2017
Editors

Protein restriction is probably not effective in delaying the progression of chronic kidney disease to end-stage kidney disease in children.

A Cochrane review included 2 studies with a total of 250 children. One study included 24 infants recruited at the age of 6 months or less and the other study 226 children aged 2 to18 years (mean 10.4 years). No significant differences were found in the number of renal deaths meaning commencement of dialysis, kidney transplant or death (RR 1.12, 95% CI 0.54 to 2.33, 1 study, n=191), progression of kidney disease (creatinine clearance at two years: WMD 1.47, 95% CI -1.19 to 4.14, 1 study, n=191) or growth (weight - WMD -0.13, 95% CI -1.10 to 0.84; height - WMD -1.99, 95% CI -4.84 to 0.86, 2 studies, n=215).

Comment: The quality of evidence is downgraded by study quality (unclear allocation concealment and lack of blinding) and by imprecise results (limited study size for each comparison).

Ədəbiyyat

  1. Chaturvedi S, Jones C. Protein restriction for children with chronic renal failure. Cochrane Database Syst Rev 2007 Oct 17;(4):CD006863.