Adolescent nephrology: An emerging frontier for kidney care in sub-Saharan Africa.

Journal: Nephrology (Carlton, Vic.)

Volume: 22

Issue: 12

Year of Publication: 2018

Affiliated Institutions:  Department of Nephrology and Hypertension, Groote Schuur Hospital, Cape Town, South Africa. Paediatric Intensive and Critical Unit, Red Cross War Memorial Children's Hospital, Rondebosch, South Africa.

Abstract summary 

Adolescents make up a quarter of the world's population and are important users of health services. In South Africa little is known about the extent of renal disease or outcomes in this group. Adolescents are a vulnerable age group, due to their neurocognitive development, engagement in high-risk social activities, prevalence of mental illness and increasing rates of HIV infection. In Africa access to renal replacement therapy is rationed, therefore the focus of renal disease must be one of prevention rather than dealing with the management of end stage renal disease. Treating adolescents is a challenging field, as compliance is essential as a preventative strategy. This review will outline how a cost effective adolescent service was established in a resource limited setting. The adolescent friendly clinic aims to ease transition of adolescents, improve engagement within the health service and ultimately aims to improve compliance. In order to treat adolescents, it is important to deliver age-appropriate treatment that can be implemented in any chronic disease setting to give the adolescent the greatest chance of success.

Authors & Co-authors:  Davidson Bianca B Okpechi Ikechi I McCulloch Mignon M Wearne Nicola N

Study Outcome 

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Statistics
Citations : 
Authors :  4
Identifiers
Doi : 10.1111/nep.13135
SSN : 1440-1797
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Africa;adolescent;renal care
Study Design
Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
Australia