title: UK Renal Registry 17th Annual Report: Chapter 9 Clinical, Haematological and Biochemical Parameters in Patients Receiving Renal Replacement Therapy in Paediatric Centres in the UK in 2013: National and Centre-specific Analyses.
abstract: BACKGROUND
  The Paediatric Registry analyses renal replacement therapy (RRT) data in children. All 13 UK paediatric nephrology centres submit electronic data.
  
  
  OBJECTIVE
  To provide centre specific data and to determine adherence to relevant audit standards.
  
  
  METHODS
  Data analysis to calculate summary statistics and achievement of an audit standard.
  
  
  RESULTS
  The median height z-score for children on dialysis was -2.0 and for children with a functioning transplant -1.3. Children transplanted before age 11 years improved their height z score subsequently, whereas those >11 maintained their height z-score, with all transplanted patients having a similar height z-score after 3 years of starting RRT.The median weight z-score for children on dialysis was -1.2, and for children with a functioning transplant -0.2.Of those with data, 75% of the prevalent paediatric RRT population had .1 risk factors for cardiovascular disease, with 1 in 10 having all three risk factors evaluated. For transplant patients, 76% achieved the systolic blood pressure (SBP)standard and 91% achieved the haemoglobin standard. For haemodialysis patients, 53% achieved the SBP standard,66% the haemoglobin standard, 84% the calcium standard,43% the phosphate standard and 43% achieved the parathyroid hormone (PTH) standard. For peritoneal dialysis patients, 61% achieved the SBP standard, 83% the haemoglobin standard, 71% the calcium standard, 56% the phosphate standard and 36% achieved the PTH standard.
  
  
  CONCLUSIONS
  Quarterly data collection will improve quality and reporting. Continued focus on improving height and avoiding obesity is needed. Awareness and management of cardiovascular risk is an important long term strategy.
authors.affiliation: UK Renal Registry, Bristol, UK.
authors.forename: Alexander J
authors.initials: AJ
authors.lastname: Hamilton
authors.forename: Rishi
authors.initials: R
authors.lastname: Pruthi
authors.forename: Heather
authors.initials: H
authors.lastname: Maxwell
authors.forename: Anna
authors.initials: A
authors.lastname: Casula
authors.forename: Fiona
authors.initials: F
authors.lastname: Braddon
authors.forename: Carol
authors.initials: C
authors.lastname: Inward
authors.forename: Malcolm
authors.initials: M
authors.lastname: Lewis
authors.forename: Catherine
authors.initials: C
authors.lastname: O'Brien
authors.forename: Jelena
authors.initials: J
authors.lastname: Stojanovic
authors.forename: Yincent
authors.initials: Y
authors.lastname: Tse
authors.forename: Manish D
authors.initials: MD
authors.lastname: Sinha
mesh_terms: D002648:Child; D006801:Humans; D007676:Kidney Failure, Chronic / Q000378:metabolism / Q000628:therapy*; D012042:Registries; D017582:Renal Replacement Therapy; D006113:United Kingdom