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- Title
Congenital anomalies of the kidney and urinary tract: antenatal diagnosis, management and counselling of families.
- Authors
Walker, Emma Y. X.; Winyard, Paul; Marlais, Matko
- 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.
- Subjects
KIDNEY abnormalities; URINARY organ abnormalities; BIOMARKERS; PRENATAL diagnosis; COUNSELING; EMBRYOLOGY; SURGICAL anastomosis; URINARY tract infections; MISCARRIAGE; SERUM; FAMILIES; GENETIC testing; EMOTIONAL trauma; MAGNETIC resonance imaging; UNCERTAINTY; RISK assessment; GENITOURINARY organ abnormalities; HEALTH care teams; ANXIETY; FETAL ultrasonic imaging; FAMILY history (Medicine); DISEASE risk factors
- Publication
Pediatric Nephrology, 2024, Vol 39, Issue 4, p1065
- ISSN
0931-041X
- Publication type
Article
- DOI
10.1007/s00467-023-06137-z