Retrospective Audit of a Pediatric Nephrology Clinic at a Tertiary Care Teaching Hospital

To provide basic renal data in the pediatric age group in a poorly resourced hilly state of India which may be utilized by researchers and health planners.

Retrospective analysis of case records of children reporting to pediatric nephrology clinic from April 2016 to March 2017 was performed. Case records were analyzed and broadly categorized into various groups and subgroups based on clinical presentations and investigation findings.

205 children presented with renal diseases at the pediatric nephrology clinic over a period of 1 year. Registered kids presenting to pediatric nephrology clinic were broadly categorized into 10 groups. Nephrotic syndrome (NS) was the commonest renal disease observed contributing 45.6% of registered cases. It was followed by congenital anomalies of kidney and urinary tract (CAKUT( which accounted for 26.8% cases. Edema was the commonest presenting symptom and proteinuria was the common urinary finding detected. Focal segmental glomerulosclerosis was the commonest histopathological finding reported on renal histopathology and peritoneal dialysis was found to be the most frequently used modality for renal replacement therapy.

Our data reflects geographical variations of patterns of renal diseases in a resource poor hilly state of northern India. Improvement of pediatric renal services and training of health workers would help in early detection and treatment of these conditions leading to reduction in their morbidity and mortality.