When is one kidney not enough?

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When is one kidney not enough? Robert L. Chevalier Kidney International Volume 76, Issue 5, Pages 475-477 (September 2009) DOI: 10.1038/ki.2009.244 Copyright © 2009 International Society of Nephrology Terms and Conditions

Figure 1 Progression of congenital renal disorders. Optimal management of the fetus with congenital anomalies of the kidney and urinary tract (CAKUTs) requires prenatal care to optimize maternal nutrition, and to avoid exposure to nephrotoxic drugs that can interfere with nephrogenesis. The pediatric nephrologist and urologist establish a diagnosis, assess risk factors, and initiate a plan for monitoring renal status and slowing progression of renal insufficiency. Handover of care from pediatric to adult health providers is a critical transition in the life of the child with CAKUTs (curved arrow): many patients experience accelerated deterioration in renal function in late adolescence (dashed line). With adherence to quality initiatives,14 renal function may be maintained (solid line). Kidney International 2009 76, 475-477DOI: (10.1038/ki.2009.244) Copyright © 2009 International Society of Nephrology Terms and Conditions