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Pediatric Onco-Nephrology: Time to Spread the Word: Part I: Early Kidney Involvement in Children with Malignancy

Research output: Contribution to journalArticlepeer-review

Abstract

Onco-nephrology has been a growing field within the adult nephrology scope of practice. Even though pediatric nephrologists have been increasingly involved in the care of children with different forms of malignancy, there has not been an emphasis on developing special expertise in this area. The fast pace of discovery in this field, including the development of new therapy protocols with their own kidney side effects and the introduction of the CD19-targeted chimeric antigen receptor T cell (CAR-T) therapy, has introduced new challenges for general pediatric nephrologists because of the unique effects of these treatments on the kidney. Moreover, with the improved outcomes in children receiving cancer therapy come an increased number of survivors at risk for chronic kidney disease related to both their cancer diagnosis and therapy. Therefore, it is time for pediatric onco-nephrology to take its spot on the expanding subspecialties map in pediatric nephrology.

Original languageAmerican English
Pages (from-to)2227–2255
Number of pages29
JournalPediatric Nephrology
Volume36
Issue number8
DOIs
StatePublished - Aug 2021
Externally publishedYes

ASJC Scopus Subject Areas

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

Keywords

  • CAR-T
  • Cancer
  • Chemotherapy
  • Children
  • Contrast nephropathy
  • Kidney injury
  • Wilms tumor

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