title: Chronic kidney disease in children: the National Paediatric Hospital experience in Hanoi, Vietnam.
abstract: OBJECTIVE
  The goal of this descriptive study was to evaluate the aetiology and the socioeconomic status in hospitalized children in Hanoi and propose solutions to improve prevention and basic health care of patients with chronic kidney disease in Hanoi City.
  
  
  METHODS
  The records of all 152 hospitalized children with chronic kidney disease in the National Paediatric Hospital in Hanoi from January 2001 to December 2005 were analyzed.
  
  
  RESULTS
  The incidence of paediatric chronic kidney disease native to Hanoi City was estimated to be 5.1/million-child population (pmcp). Median age was 11.29 years; 60.5% were boys and 39.5% were girls; 65% of patients were in end-stage renal disease. Causes of chronic kidney disease included glomerulonephritis (66.4%) and congenital/hereditary anomalies (13%). In 19.8% of children, the aetiology was unavailable. During hospitalization, five patients died and 76 patients (50%) refused the treatment although beneficiaries of health insurance. Thirty patients (19.74%) received peritoneal dialysis and haemodialysis, and seven patients received renal transplantation with a familial living donor.
  
  
  CONCLUSIONS
  Late referral, and limited facilities for renal replacement therapy explain the poor outcome in this study. We need a program to delineate the burden of chronic kidney disease and improve primary health care for health promotion and prevention of paediatric chronic kidney disease.
authors.affiliation: Department of Paediatric Nephrology, Paediatric National Hospital, Hanoi, Vietnam. ntqhuong18@yahoo.com
authors.forename: Nguyen Thi Quynh
authors.initials: NT
authors.lastname: Huong
authors.forename: Tran Dinh
authors.initials: TD
authors.lastname: Long
authors.forename: François
authors.initials: F
authors.lastname: Bouissou
authors.forename: Nguyen Thanh
authors.initials: NT
authors.lastname: Liem
authors.forename: Dinh Minh
authors.initials: DM
authors.lastname: Truong
authors.forename: Do Kim
authors.initials: do K
authors.lastname: Nga
authors.forename: Tran Thi
authors.initials: TT
authors.lastname: Chien
authors.forename: Jean-Loup
authors.initials: JL
authors.lastname: Bascands
mesh_terms: D000293:Adolescent; D002648:Child; D002908:Chronic Disease; D005260:Female; D005919:Glomerular Filtration Rate; D006760:Hospitalization; D006801:Humans; D007223:Infant; D007674:Kidney Diseases / Q000209:etiology*; D016030:Kidney Transplantation; D008297:Male; D006435:Renal Dialysis; D012923:Social Class; D014744:Vietnam