Attitudes Of Pediatric Urologists Regarding Sports Participation By Children With A Solitary Kidney

Field: Medicine (Health Sciences)

No AccessJournal of UrologyTrauma1 Oct 2002Attitudes Of Pediatric Urologists Regarding Sports Participation By Children With A Solitary Kidney David S. Sharp, Jonathan H. Ross, and Robert Kay David S. SharpDavid S. Sharp More articles by this author , Jonathan H. RossJonathan H. Ross More articles by this author , and Robert KayRobert Kay More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64420-5AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Little data are available regarding sports participation and appropriate long-term followup of children with a solitary kidney. We determine the current practice patterns and recommendations among pediatric urologists regarding sports participation and followup of these patients. Materials and Methods: A survey was mailed to the 231 active members of the American Academy of Pediatrics, Section on Urology. The survey included questions regarding counseling of patients with a solitary kidney and physician estimates of long-term risk to overall renal function. Results: Of the 231 surveys 182 were returned for an overall response rate of 79%. Of the respondents 68% recommend that patients with a solitary kidney avoid contact sports. Recommendations in regard to participation in contact sports were further stratified as strongly against participation (27%), against participation with rare exceptions (30%), no recommendation either way (14%), allow participation (25%) and no restrictions be made (4%). Of the respondents 88% agreed that the estimated risk of renal loss from a child participating regularly in contact sports is less than 1% and 60% recommended special medical followup. Conclusions: Despite the consensus that the risk of renal injury in contact sports is low, a significant number of pediatric urologists advise avoidance. There appears to be a lack of consensus regarding long-term medical surveillance of these patients. Studies designed to obtain accurate clinical data regarding these issues are warranted to establish evidence based guidelines for the long-term treatment of children with a solitary kidney. References 1 American Academy of Pediatrics Committee on Sports Medicine and Fitness: Medical conditions affecting sports participation. Pediatrics 107 2001 1205 Google Scholar 2 American Academy of Pediatrics Committee on Sports Medicine: Recommendations for participation in competitive sports. Pediatrics 81 1988 737 Google Scholar 3 : Pediatric genitourinary trauma. Urol Clin North Am1995; 22: 177. Google Scholar 4 : Are pediatric patients more susceptible to major renal injury from blunt trauma? A comparative study. J Urol1998; 160: 138. Link, Google Scholar 5 : Blunt renal trauma in childhood. Features indicating severe injury. Br J Urol1990; 66: 526. 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Google Scholar From the Section of Pediatric Urology, Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byJacobs M, Hotaling J, Mueller B, Koyle M, Rivara F and Voelzke B (2012) Conservative Management vs Early Surgery for High Grade Pediatric Renal Trauma—Do Nephrectomy Rates Differ?Journal of Urology, VOL. 187, NO. 5, (1817-1822), Online publication date: 1-May-2012.Wu H and Gaines B (2007) Dirt Bikes and All Terrain Vehicles: The Real Threat to Pediatric KidneysJournal of Urology, VOL. 178, NO. 4S, (1672-1674), Online publication date: 1-Oct-2007.JOHNSON B, CHRISTENSEN C, DiRUSSO S, CHOUDHURY M and FRANCO I (2018) A NEED FOR REEVALUATION OF SPORTS PARTICIPATION RECOMMENDATIONS FOR CHILDREN WITH A SOLITARY KIDNEYJournal of Urology, VOL. 174, NO. 2, (686-689), Online publication date: 1-Aug-2005.GERSTENBLUTH R, SPIRNAK J and ELDER J (2018) Sports Participation and High Grade Renal Injuries in ChildrenJournal of Urology, VOL. 168, NO. 6, (2575-2578), Online publication date: 1-Dec-2002. Volume 168Issue 4 Part 2October 2002Page: 1811-1815 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordssports, wounds and injurieskidney, pediatrics, urologyMetricsAuthor Information David S. Sharp More articles by this author Jonathan H. Ross More articles by this author Robert Kay More articles by this author Expand All Advertisement PDF downloadLoading ...