Walker, Emma YX;
Winyard, Paul;
Marlais, Matko;
(2023)
Congenital anomalies of the kidney and urinary tract: antenatal diagnosis, management and counselling of families.
Pediatric Nephrology
10.1007/s00467-023-06137-z.
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Abstract
Congenital anomalies of the kidney and urinary tract are collectively one of the most commonly diagnosed antenatal conditions. Clinicians have several tools available to diagnose anomalies, including imaging, biomarkers, family history and genetic studies. In certain cases, antenatal interventions such as vesico-amniotic shunting may be considered to improve postnatal outcomes. Congenital kidney anomalies detected antenatally can vary in clinical significance from almost no impact postnatally to significant morbidity and perinatal mortality. Prognosis broadly depends on kidney size, structure and amount of amniotic fluid, alongside genetics and family history, and progression on subsequent scans. It is important to counsel parents appropriately using a parent-focused and personalised approach. The use of a multidisciplinary team should always be considered.
| Type: | Article |
|---|---|
| Title: | Congenital anomalies of the kidney and urinary tract: antenatal diagnosis, management and counselling of families |
| Location: | Germany |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1007/s00467-023-06137-z |
| Publisher version: | https://doi.org/10.1007/s00467-023-06137-z |
| Language: | English |
| Additional information: | Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
| Keywords: | ACCURACY, CAKUT, Children, Congenital anomaly of the kidney and urinary tract, Counselling, FETAL CYSTOSCOPY, FUSION, INTERVENTION, Life Sciences & Biomedicine, Multidisciplinary team, OBSTRUCTION, Pediatrics, PERFORMANCE, POSTNATAL RENAL-FUNCTION, PROPHYLAXIS, Science & Technology, SONOGRAPHY, Ultrasound, ULTRASOUND DIAGNOSIS, Urology & Nephrology |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10178568 |
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