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Garnier A, Brochard K, Kwon T, Sellier-Leclerc AL, Lahoche A, Launay EA, Nobili F, Caillez M, Taque S, Harambat J, Michel-Bourdat G, Guigonis V, Fila M, Cloarec S, Djamal-Dine D, de Parscaux L, Allard L, Salomon R, Ulinski T, Frémeaux-Bacchi V, Morin C, Olivier-Abbal P, Colineaux H, Auriol F, Arnaud C, Kieffer I, Brusq C. Efficacy and Safety of Eculizumab in Pediatric Patients Affected by Shiga Toxin-Related Hemolytic and Uremic Syndrome: A Randomized, Placebo-Controlled Trial. J Am Soc Nephrol 2023; 34:1561-1573. [PMID: 37303085 PMCID: PMC10482062 DOI: 10.1681/asn.0000000000000182] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Accepted: 04/21/2023] [Indexed: 06/13/2023] Open
Abstract
SIGNIFICANCE STATEMENT Shiga toxin-related hemolytic uremic syndrome (STEC-HUS) is a serious condition, characterized by multiorgan thrombotic microangiopathy, mainly affecting children. Renal involvement is severe, with approximately half of patients requiring dialysis. So far, no specific treatment has been proven efficient in STEC-HUS. The use of eculizumab, a monoclonal antibody inhibiting terminal complement complex, has demonstrated remarkable success in atypical hemolytic uremic syndrome, but its use in uncontrolled studies to treat STEC-HUS has yielded inconsistent results. In this Phase 3 randomized, placebo-controlled trial in 100 pediatric patients with STEC-HUS, the findings did not show efficacy of eculizumab during the acute phase of the disease. However, the results indicated a reduction of renal sequelae in eculizumab-treated patients at 1-year follow-up. Larger prospective studies would be needed to further explore eculizumab as a potential treatment. BACKGROUND Shiga toxin-related hemolytic uremic syndrome (STEC-HUS) in children is a severe condition, resulting in approximately 50% of patients requiring RRT. Furthermore, at least 30% of survivors experience kidney sequelae. Recently, activation of the complement alternative pathway has been postulated as a factor in STEC-HUS pathophysiology, leading to compassionate use of eculizumab, a monoclonal antibody inhibiting the terminal complement complex, in affected patients. Given the lack of therapy for STEC-HUS, a controlled study of eculizumab efficacy in treating this condition is a priority. METHODS We conducted a Phase 3 randomized trial of eculizumab in children with STEC-HUS. Patients were randomly assigned in a 1:1 ratio to receive either eculizumab or placebo during 4 weeks. Follow-up lasted for 1 year. The primary end point was RRT duration <48 hours after randomization. Secondary endpoints included hematologic and extrarenal involvement. RESULTS Baseline characteristics were similar among the 100 patients who underwent randomization. The rate of RRT <48 hours did not differ significantly between the two groups (48% in the placebo versus 38% in the eculizumab group; P = 0.31) or in the course of ARF. The two groups also exhibited similar hematologic evolution and extrarenal manifestations of STEC-HUS. The proportion of patients experiencing renal sequelae at 1 year was lower in the eculizumab group than in the placebo group (43.48% and 64.44%, respectively, P = 0.04). No safety concern was reported. CONCLUSIONS In pediatric patients with STEC-HUS, eculizumab treatment does not appear to be associated with improved renal outcome during acute phase of the disease but may reduce long-term kidney sequelae. CLINICAL TRIALS REGISTRATIONS EUDRACT (2014-001169-28) ClinicalTrials.gov ( NCT02205541 ).
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Affiliation(s)
- Arnaud Garnier
- Department of Pediatric Nephrology, Hôpital des Enfants, CHU Toulouse, Toulouse, France
| | - Karine Brochard
- Department of Pediatric Nephrology, Hôpital des Enfants, CHU Toulouse, Toulouse, France
| | - Theresa Kwon
- Department of Pediatric Nephrology, Hôpital Robert Debré, Paris, France
| | | | - Annie Lahoche
- Department of Pediatric Nephrology, Hôpital Jeanne de Flandre, Lille, France
| | | | - François Nobili
- Department of Pediatric Nephrology, CHU Besançon, Besançon, France
| | - Mathilde Caillez
- Department of Pediatric Nephrology, Hôpital La Timone, Marseille, France
| | - Sophie Taque
- Department of Pediatric Nephrology, CHU Anne de Bretagne, Rennes, France
| | - Jerôme Harambat
- Department of Pediatric Nephrology, CHU Pellegrin, Bordeaux, France
| | | | - Vincent Guigonis
- Department of Pediatric Nephrology, Hôpital de la Mère et de l’Enfant, Limoges, France
| | - Marc Fila
- Department of Pediatric Nephrology, Hôpital Arnaud de Villeneuve, Montpellier, France
| | - Sylvie Cloarec
- Department of Pediatric Nephrology, CHRU Clocheville, Tours, France
| | | | - Loïc de Parscaux
- Department of Pediatrics and Genetics, CHU Morvan, Brest, France
| | - Lise Allard
- Department of Pediatric Nephrology, CHU Angers, Angers, France
| | - Rémi Salomon
- Department of Pediatric Nephrology, Hôpital Necker-Enfants Malades, Paris, France
| | - Tim Ulinski
- Department of Pediatric Nephrology, Hôpital Trousseau, Paris, France
| | | | | | | | | | - Françoise Auriol
- Unit of Pediatric Clinical Research, CIC1436, Hôpital des Enfants, CHU Toulouse, Toulouse, France
| | | | - Isabelle Kieffer
- Unit of Pediatric Clinical Research, CIC1436, Hôpital des Enfants, CHU Toulouse, Toulouse, France
| | - Clara Brusq
- Clinical Epidemiology Unit, CHU Toulouse, Toulouse, France
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Le Gall L, Prezelin-Reydit M, Stengel B, Lange C, Combe C, Harambat J, Leffondré K. Trajectoires d’hémoglobine et risques associés de présenter un évènement cardio-vasculaire majeur chez des sujets présentant une maladie rénale chronique non suppléée. Nephrol Ther 2022. [DOI: 10.1016/j.nephro.2022.07.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Bacchetta J, Edouard T, Laverny G, Bernardor J, Bertholet-Thomas A, Castanet M, Garnier C, Gennero I, Harambat J, Lapillonne A, Molin A, Naud C, Salles JP, Laborie S, Tounian P, Linglart A. Vitamin D and calcium intakes in general pediatric populations: A French expert consensus paper. Arch Pediatr 2022; 29:312-325. [PMID: 35305879 DOI: 10.1016/j.arcped.2022.02.008] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Accepted: 02/20/2022] [Indexed: 12/18/2022]
Abstract
OBJECTIVES Nutritional vitamin D supplements are often used in general pediatrics. Here, the aim is to address vitamin D supplementation and calcium nutritional intakes in newborns, infants, children, and adolescents to prevent vitamin D deficiency and rickets in general populations. STUDY DESIGN We formulated clinical questions relating to the following categories: the Patient (or Population) to whom the recommendation will apply; the Intervention being considered; the Comparison (which may be "no action," placebo, or an alternative intervention); and the Outcomes affected by the intervention (PICO). These PICO elements were arranged into the questions to be addressed in the literature searches. Each PICO question then formed the basis for a statement. The population covered consisted of children aged between 0 and 18 years and premature babies hospitalized in neonatology. Two groups were assembled: a core working group and a voting panel from different scientific pediatric committees from the French Society of Pediatrics and national scientific societies. RESULTS We present here 35 clinical practice points (CPPs) for the use of native vitamin D therapy (ergocalciferol, vitamin D2 and cholecalciferol, vitamin D3) and calcium nutritional intakes in general pediatric populations. CONCLUSION This consensus document was developed to provide guidance to health care professionals on the use of nutritional vitamin D and dietary modalities to achieve the recommended calcium intakes in general pediatric populations. These CPPs will be revised periodically. Research recommendations to study key vitamin D outcome measures in children are also suggested.
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Affiliation(s)
- J Bacchetta
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service de Néphrologie Rhumatologie Dermatologie Pédiatriques, Filières Santé Maladies Rares OSCAR, ORKID et ERKNet, Hôpital Femme Mère Enfant, 59 Boulevard Pinel, Bron 69677 CEDEX, France; INSERM U1033, LYOS, Prévention des Maladies Osseuses, Lyon, France; Faculté de Médecine Lyon Est, Université de Lyon, Lyon, France.
| | - T Edouard
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Unité d'Endocrinologie, Génétique et Pathologies Osseuses, Filières Santé Maladies Rares OSCAR et BOND, Hôpital des Enfants, Toulouse, France
| | - G Laverny
- Institut de Génétique et de Biologie Moléculaire et Cellulaire, CNRS UMR7104, INSERM U1258, Université de Strasbourg, Illkirch, France
| | - J Bernardor
- INSERM U1033, LYOS, Prévention des Maladies Osseuses, Lyon, France; Département de Pédiatrie, CHU de Nice, Nice, France
| | - A Bertholet-Thomas
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service de Néphrologie Rhumatologie Dermatologie Pédiatriques, Filières Santé Maladies Rares OSCAR, ORKID et ERKNet, Hôpital Femme Mère Enfant, 59 Boulevard Pinel, Bron 69677 CEDEX, France; INSERM U1033, LYOS, Prévention des Maladies Osseuses, Lyon, France
| | - M Castanet
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Département de Pédiatrie, Filière Santé Maladies Rares OSCAR, CHU Rouen, Rouen, France
| | - C Garnier
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service de Néphrologie Rhumatologie Dermatologie Pédiatriques, Filières Santé Maladies Rares OSCAR, ORKID et ERKNet, Hôpital Femme Mère Enfant, 59 Boulevard Pinel, Bron 69677 CEDEX, France
| | - I Gennero
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Unité d'Endocrinologie, Génétique et Pathologies Osseuses, Filières Santé Maladies Rares OSCAR et BOND, Hôpital des Enfants, Toulouse, France
| | - J Harambat
- Centre de Référence Maladies Rénales Rares, Unité de Néphrologie Pédiatrique, Hôpital Pellegrin-Enfants, Bordeaux, France; INSERM U1219, Bordeaux, France
| | - A Lapillonne
- Service de Pédiatrie et Réanimation Néonatales, EHU 7328 Université de Paris, Hôpital Necker- Enfants Malades, Paris, France; CNRC, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
| | - A Molin
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Département de Génétique, Filière Santé Maladies Rares OSCAR, CHU Caen, Caen, France
| | - C Naud
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service de Néphrologie Rhumatologie Dermatologie Pédiatriques, Filières Santé Maladies Rares OSCAR, ORKID et ERKNet, Hôpital Femme Mère Enfant, 59 Boulevard Pinel, Bron 69677 CEDEX, France
| | - J P Salles
- Centre de Référence des Maladies Rares du Calcium et du Phosphore, Unité d'Endocrinologie, Génétique et Pathologies Osseuses, Filières Santé Maladies Rares OSCAR et BOND, Hôpital des Enfants, Toulouse, France
| | - S Laborie
- Service de Réanimation Néonatale, Hôpital Femme Mère Enfant, Bron, France
| | - P Tounian
- Service de Nutrition et Gastroentérologie Pédiatriques, Hôpital Trousseau, Faculté de Médecine Sorbonne Université, Paris, France
| | - A Linglart
- AP-HP, Centre de Référence des Maladies Rares du Calcium et du Phosphore, Service d'Endocrinologie et diabète de l'enfant, Filières Santé Maladies Rares OSCAR, ERN endoRARE et BOND, Plateforme d'expertise des maladies rares Paris Saclay, Hôpital Bicêtre Paris-Saclay, Université Paris Saclay, INSERM U1185, Le Kremlin Bicêtre, France
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de Pinho NA, Prezelin-Reydit M, Harambat J, Couchoud C, Rondeau V, Leffondre K. Abords artérioveneux en première intention, morbidité hospitalière et mortalité chez les patients incidents en hémodialyse. Rev Epidemiol Sante Publique 2022. [DOI: 10.1016/j.respe.2022.03.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Magen D, Groothoff J, Hulton S, Harambat J, Hogan J, Sellier-Leclerc A, Hayes W, Coenen M, Ngo T, Gansner J, Frishberg Y. POS-438 Long-term Treatment With Lumasiran: Results From the Phase 2 Open-Label Extension Study. Kidney Int Rep 2022. [DOI: 10.1016/j.ekir.2022.01.465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Driollet B, Bayer F, Kwon T, Krid S, Ranchin B, Launay L, Couchoud C, Harambat J, Leffondré K. Social deprivation at initiation of kidney replacement therapy in the pediatric population. Nephrol Ther 2021. [DOI: 10.1016/j.nephro.2021.07.283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Manca Barayre F, Couchoud C, Harambat J, Le Page A, Marks S, Mcdonald S, Prestidge C, Sypek M, Patzer R, Hogan J. Prédiction de la survie rénale des jeunes receveurs pédiatriques post-allogreffe. Nephrol Ther 2020. [DOI: 10.1016/j.nephro.2020.07.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Prezelin-Reydit M, Combe C, Harambat J, Massy Z, Metzger M, Lange C, Lambert O, Stengel B, Leffondré K. Hyperuricémie et progression de la maladie rénale chronique : données longitudinales de la cohorte CKD-REIN. Nephrol Ther 2019. [DOI: 10.1016/j.nephro.2019.07.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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van't Hoff W, Cochat P, Groothoff J, Harambat J, Frishberg Y, Hulton S, Magen D, Hoppe B, Lieske J, Milliner D, Deschenes G. SUN-325 SAFETY AND EFFICACY OF LUMASIRAN, AN INVESTIGATIONAL RNA INTERFERENCE (RNAi) THERAPEUTIC, IN ADULT AND PEDIATRIC PATIENTS WITH PRIMARY HYPEROXALURIA TYPE 1. Kidney Int Rep 2019. [DOI: 10.1016/j.ekir.2019.05.734] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Frishberg Y, Deschenes G, Cochat P, Magen D, Groothoff J, Hulton S, Harambat J, Van’t Hoff W, Hoppe B, Lieske J, McGregor T, Tamimi N, Haslett P, Talamudupula S, Erbe D, Milliner D. A safety and efficacy study of lumasiran, an investigational RNA interference (RNAi) therapeutic, in adult and pediatric patients with primary hyperoxaluria type 1. ACTA ACUST UNITED AC 2019. [DOI: 10.1016/s1569-9056(19)30291-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Kabore R, Ferrer L, Couchoud C, Harambat J, Léffondré K. Modèle de prédiction dynamique de l’échec de greffe en transplantation rénale pédiatrique. Nephrol Ther 2018. [DOI: 10.1016/j.nephro.2018.07.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Godron A, Decramer S, Fila M, Guigonis V, Tellier S, Scaon M, Morin D, Woillard JB, Saint-Marcoux F, Harambat J. Mycophenolic acid area under the curve is associated with therapeutic response in pediatric lupus nephritis. Arch Pediatr 2017. [DOI: 10.1016/j.arcped.2017.10.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Reydit M, Salomon R, Macher MA, Ranchin B, Roussey G, Garaix F, Lahoche A, Decramer S, Fila M, Dunand O, Cloarec S, Vrillon I, Zaloszyc A, Ulinski T, Bérard E, Couchoud C, Leffondré K, Harambat J. Pre-emptive kidney transplantation is associated with improved graft survival in children: Data from the French renal replacement therapy registry. Arch Pediatr 2017. [DOI: 10.1016/j.arcped.2017.10.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Godron-Dubrasquet A, Didailler C, Harambat J, Llanas B. [Solitary kidney: Management and outcome]. Arch Pediatr 2017; 24:1158-1163. [PMID: 28939448 DOI: 10.1016/j.arcped.2017.08.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Accepted: 08/21/2017] [Indexed: 11/27/2022]
Abstract
Solitary functioning kidneys form an important subgroup of congenital anomalies of the kidney and urinary tract (CAKUT). A solitary kidney can be congenital or acquired after unilateral nephrectomy and is often associated with ipsilateral urogenital anomalies. Both types of solitary functioning kidney are associated with an increased risk of chronic kidney disease (CKD). A low functional nephron number results in compensatory glomerular hypertension and enlargement of remnant nephrons, indicating glomerular hyperfiltration. Glomerular hyperfiltration may lead to glomerulosclerosis, which further results in hypertension, proteinuria, and decline of the glomerular filtration rate (GFR) in the long run. About 20-30% of patients with solitary functioning kidney have hypertension, proteinuria, or reduced GFR during childhood, especially those with associated CAKUT. Regular and lifetime monitoring (including growth, blood pressure, serum creatinine, proteinuria or microalbuminuria, and renal ultrasound) is required. The frequency and modality of follow-up should be adapted to individual risk for CKD. Early detection of renal injury and timely nephroprotective measures are critical.
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Affiliation(s)
- A Godron-Dubrasquet
- Unité de néphrologie pédiatrique, hôpital Pellegrin-Enfants, CHU de Bordeaux, place Amélie-Raba-Leon, 33076 Bordeaux cedex, France.
| | - C Didailler
- Unité de néphrologie pédiatrique, hôpital Pellegrin-Enfants, CHU de Bordeaux, place Amélie-Raba-Leon, 33076 Bordeaux cedex, France
| | - J Harambat
- Unité de néphrologie pédiatrique, hôpital Pellegrin-Enfants, CHU de Bordeaux, place Amélie-Raba-Leon, 33076 Bordeaux cedex, France
| | - B Llanas
- Unité de néphrologie pédiatrique, hôpital Pellegrin-Enfants, CHU de Bordeaux, place Amélie-Raba-Leon, 33076 Bordeaux cedex, France
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Pietrement C, Allain-Launay E, Bacchetta J, Bertholet-Thomas A, Dubourg L, Harambat J, Vieux R, Deschênes G. [Diagnosis and management of chronic kidney disease in children: Guidelines of the French Society of Pediatric Nephrology]. Arch Pediatr 2016; 23:1191-1200. [PMID: 27743765 DOI: 10.1016/j.arcped.2016.08.029] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Revised: 07/11/2016] [Accepted: 08/27/2016] [Indexed: 12/13/2022]
Abstract
These guidelines are intended to assist physicians in the care of children with chronic kidney disease (CKD), defined in children as in adults, regardless of its cause. Often silent for a long time, CKD can evolve to chronic renal failure or end-stage renal disease. Its management aims at slowing disease progression and treating CKD complications as soon as they appear. The different aspects of pediatric CKD care are addressed in these guidelines (screening, treatment, monitoring, diet, quality of life) as proposed by the French Society of Pediatric Nephrology. Highly specialized care provided in the hospital setting by pediatric nephrologists is not detailed.
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Affiliation(s)
- C Pietrement
- Unité de néphrologie pédiatrique, hôpital Américain, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
| | - E Allain-Launay
- Unité de néphrologie pédiatrique, CHU de Nantes, 44093 Nantes cedex 1, France
| | - J Bacchetta
- Centre de référence des maladies rénales rares néphrogones, unité de néphrologie et rhumatologie pédiatriques, hôpital Femme-Mère-Enfant, hospices civils de Lyon, 69677 Bron cedex, France
| | - A Bertholet-Thomas
- Centre de référence des maladies rénales rares néphrogones, unité de néphrologie et rhumatologie pédiatriques, hôpital Femme-Mère-Enfant, hospices civils de Lyon, 69677 Bron cedex, France
| | - L Dubourg
- Exploration fonctionnelle rénale et métabolique, hôpital Femme-Mère-Enfant, 69677 Bron cedex, France
| | - J Harambat
- Centre de référence des maladies rénales rares SORARE, unité de néphrologie pédiatrique, CHU de Bordeaux, 33076 Bordeaux cedex, France
| | - R Vieux
- Unité de néphrologie pédiatrique, CHRU de Besançon, 25030 Besançon cedex, France
| | - G Deschênes
- Centre de référence des maladies rénales rares MARHEA, unité de néphrologie pédiatrique, hôpital Robert-Debré, AP-HP, 75793 Paris cedex 19, France
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Reydit M, Combe C, Harambat J, Jacquelinet C, Merville P, Couzi L, Leffondré K. La transplantation rénale préemptive est associée à une meilleure survie des greffons et des patients : données du registre CRISTAL. Nephrol Ther 2015. [DOI: 10.1016/j.nephro.2015.07.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Llanas B, Lucats F, Harambat J, Godron A. [The "ressort" workshop: when a child plays a role in the management of his kidney transplant]. Arch Pediatr 2015; 22:13-4. [PMID: 26112499 DOI: 10.1016/s0929-693x(15)30008-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- B Llanas
- Service de néphrologie pédiatrique, Hôpital des Enfants Pellegrin, 33076 Bordeaux cedex, France.
| | - F Lucats
- Service de néphrologie pédiatrique, Hôpital des Enfants Pellegrin, 33076 Bordeaux cedex, France
| | - J Harambat
- Service de néphrologie pédiatrique, Hôpital des Enfants Pellegrin, 33076 Bordeaux cedex, France
| | - A Godron
- Service de néphrologie pédiatrique, Hôpital des Enfants Pellegrin, 33076 Bordeaux cedex, France
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Kabore R, Harambat J, Couchoud C, Leffondre K. Adolescence et perte du greffon chez les jeunes transplantés rénaux en France. Rev Epidemiol Sante Publique 2015. [DOI: 10.1016/j.respe.2015.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Berody S, Salomon R, Niaudet P, Heidet L, Baudouin V, Boudaillez B, de Parscau L, Dunand O, Flodrops H, Fila M, Garnier A, Harambat J, Louillet F, Merieau E, May A, Pietrement C, Rousset-Rouvière C, Rousset G, Tenenbaum J, Taque S, Ulinski T, Vieux R, Zaloszyc A, Antignac C, Baccheta J, Pierrepont S, Dehennault M, Boyer O. CO-58 – Syndrome néphrotique congénital: une étude multicentrique française. Arch Pediatr 2015. [DOI: 10.1016/s0929-693x(15)30158-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Giraudon A, Richard E, Godron A, Bouty A, Dobremez E, Barat P, Blouin JM, Llanas B, Harambat J. [Clinical and biochemical characterization of childhood urolithiasis]. Arch Pediatr 2014; 21:1322-9. [PMID: 25287140 DOI: 10.1016/j.arcped.2014.08.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2014] [Revised: 06/29/2014] [Accepted: 08/27/2014] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Urolithiasis is rare in children, but the incidence has increased over the past few decades. This study aims at describing the clinical and biochemical characteristics, etiology, and treatment of urolithiasis in children. METHODS This was a retrospective study of all children under 16 years of age seen at the Bordeaux University Children's Hospital with a diagnosis of urolithiasis. The diagnosis was confirmed either radiologically or clinically by the expulsion of the stone. RESULTS A total of 186 children with a diagnosis of urolithiasis between 1994 and 2012 were included. The median age at diagnosis was 7.4 years. The male-to-female ratio was 1.9. The estimated annual incidence was around 5.5/100,000 children under 15 years of age in the past 5 years. The main presenting feature was nonspecific abdominal pain (71%). Metabolic calculi accounted for 48% of the patients with idiopathic hypercalciuria as the main cause. Genetic diseases accounted for 15% of cases. The proportion of infectious calculi was estimated at 33% and decreased in the past two decades. Stone fragments were sent for analysis in 86 children, and calcium oxalate was the major component (37%), followed by calcium phosphate (33%), purine (9%), and struvite (8%). At least 26% of patients experienced recurrence of stone passage. CONCLUSION This retrospective study highlighted changes in characteristics of pediatric urolithiasis over time. Childhood-onset urolithiasis requires complete etiological work-up so that a metabolic cause with a high risk of recurrence does not go unrecognized.
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Affiliation(s)
- A Giraudon
- Unité de néphrologie-endocrinologie, service de pédiatrie, hôpital Pellegrin-Enfants, CHU de Bordeaux, 33076 Bordeaux, France; Service de pédiatrie, centre hospitalier de Pau, 64000 Pau, France
| | - E Richard
- Laboratoire de biochimie, hôpital Pellegrin, CHU de Bordeaux, 33076 Bordeaux, France; Biothérapies des maladies génétiques et cancers, U1035, université de Bordeaux, 33000 Bordeaux, France
| | - A Godron
- Unité de néphrologie-endocrinologie, service de pédiatrie, hôpital Pellegrin-Enfants, CHU de Bordeaux, 33076 Bordeaux, France
| | - A Bouty
- Service de chirurgie pédiatrique, hôpital Pellegrin-Enfants, CHU de Bordeaux, 33076 Bordeaux, France
| | - E Dobremez
- Service de chirurgie pédiatrique, hôpital Pellegrin-Enfants, CHU de Bordeaux, 33076 Bordeaux, France
| | - P Barat
- Unité de néphrologie-endocrinologie, service de pédiatrie, hôpital Pellegrin-Enfants, CHU de Bordeaux, 33076 Bordeaux, France
| | - J-M Blouin
- Laboratoire de biochimie, hôpital Pellegrin, CHU de Bordeaux, 33076 Bordeaux, France; Biothérapies des maladies génétiques et cancers, U1035, université de Bordeaux, 33000 Bordeaux, France
| | - B Llanas
- Unité de néphrologie-endocrinologie, service de pédiatrie, hôpital Pellegrin-Enfants, CHU de Bordeaux, 33076 Bordeaux, France
| | - J Harambat
- Unité de néphrologie-endocrinologie, service de pédiatrie, hôpital Pellegrin-Enfants, CHU de Bordeaux, 33076 Bordeaux, France.
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Hogan J, Savoye E, Macher MA, Bachetta J, Garaix F, Lahoche A, Ulinski T, Harambat J, Couchoud C. Rapid access to renal transplant waiting list in children: impact of patient and centre characteristics in France. Nephrol Dial Transplant 2014; 29:1973-9. [DOI: 10.1093/ndt/gfu220] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Feret V, Naud J, Harambat J, Malato L, Fleury H, Fayon M. [Viral epidemiology and clinical severity during the peak of the influenza A(H1N1) variant epidemic in febrile respiratory diseases of children]. Arch Pediatr 2014; 21:709-15. [PMID: 24947110 PMCID: PMC7127584 DOI: 10.1016/j.arcped.2014.04.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2013] [Revised: 04/01/2014] [Accepted: 04/17/2014] [Indexed: 12/05/2022]
Abstract
En mars 2009, un nouveau virus a fait émergence, le virus Influenzae A(H1N1) variant. Nous avons voulu en étudier la répercussion médicale. Objectifs Définir la prévalence virale dans les atteintes respiratoires fébriles hospitalisées de l’enfant en période d’épidémie grippale A(H1N1) variant et déterminer les caractéristiques cliniques, paracliniques et évolutives liées aux virus identifiés. Méthodes Il s’est agi d’une étude épidémiologique, prospective, monocentrique menée à l’hôpital des Enfants du centre hospitalier universitaire de Bordeaux (Aquitaine, France) pendant l’épidémie grippale du 23 novembre au 20 décembre 2009 inclus. Tous les enfants hospitalisés pour atteinte respiratoire fébrile ont été inclus. Résultats Soixante-treize enfants ont été inclus. Une identification virale a été possible dans 52 % des cas, incluant 23 % de A(H1N1) variant [A(H1N1)v] et 29 % d’autres identifications dont 22 % de virus respiratoires syncitiaux. Une seule co-infection a été observée entre le virus [A(H1N1)v] et un pool viral (adénovirus ou virus para-influenzae ou bocavirus). Il n’existait pas de différence significative concernant l’âge, le sexe ou les facteurs de risque de gravité en fonction des virus identifiés. Concernant le virus [A(H1N1)v], les symptômes les plus fréquents étaient l’altération de l’état général, la toux, les atteintes oto-rhino-laryngologiques et les anomalies de la fréquence respiratoire, avec significativement moins de signes de lutte et d’anomalie auscultatoire mais plus de convulsions. Sur le plan paraclinique, il n’y avait pas de différence significative entre les groupes. Évolution et prise en charge ont été comparables. Conclusion Une faible prédominance du virus [A(H1N1)v] a été notée pendant l’épidémie grippale en Aquitaine dans les atteintes respiratoires fébriles justifiant une hospitalisation. Les caractéristiques cliniques, paracliniques et évolutives étaient peu spécifiques. L’ensemble de ces éléments n’a pas révélé de gravité particulière liée au virus [A(H1N1)v].
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Affiliation(s)
- V Feret
- Département de pédiatrie médicale, hôpital des Enfants, CHU Pellegrin, place Amélie-Rabat-Léon, 33076 Bordeaux cedex, France.
| | - J Naud
- Département de pédiatrie médicale, hôpital des Enfants, CHU Pellegrin, place Amélie-Rabat-Léon, 33076 Bordeaux cedex, France
| | - J Harambat
- Département de pédiatrie médicale, hôpital des Enfants, CHU Pellegrin, place Amélie-Rabat-Léon, 33076 Bordeaux cedex, France
| | - L Malato
- Service de virologie, CHU Pellegrin, 33076 Bordeaux cedex, France
| | - H Fleury
- Service de virologie, CHU Pellegrin, 33076 Bordeaux cedex, France
| | - M Fayon
- Service de virologie, CHU Pellegrin, 33076 Bordeaux cedex, France; Centre d'investigation clinique Inserm (CIC 0005), CHU de Bordeaux, 33076 Bordeaux, France
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Gréteau S, Doyon A, Llanas B, Barat P, Godron A, Harambat J. P092 Produits de glycation avancée, atteinte cardio-vasculaire et fonction rénale chez l’enfant insuffisant rénal chronique. NUTR CLIN METAB 2013. [DOI: 10.1016/s0985-0562(13)70424-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Harambat J, van Stralen KJ, Schaefer F, Grenda R, Jankauskiene A, Kostic M, Macher MA, Maxwell H, Puretic Z, Raes A, Rubik J, Sørensen SS, Toots U, Topaloglu R, Tönshoff B, Verrina E, Jager KJ. Disparities in policies, practices and rates of pediatric kidney transplantation in Europe. Am J Transplant 2013; 13:2066-74. [PMID: 23718940 DOI: 10.1111/ajt.12288] [Citation(s) in RCA: 71] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2012] [Revised: 04/03/2013] [Accepted: 04/04/2013] [Indexed: 01/25/2023]
Abstract
We aimed to provide an overview of kidney allocation policies related to children and pediatric kidney transplantation (KTx) practices and rates in Europe, and to study factors associated with KTx rates. A survey was distributed among renal registry representatives in 38 European countries. Additional data were obtained from the ESPN/ERA-EDTA and ERA-EDTA registries. Thirty-two countries (84%) responded. The median incidence rate of pediatric KTx was 5.7 (range 0-13.5) per million children (pmc). A median proportion of 17% (interquartile range 2-29) of KTx was performed preemptively, while the median proportion of living donor KTx was 43% (interquartile range 10-52). The median percentage of children on renal replacement therapy (RRT) with a functioning graft was 62%. The level of pediatric prioritization was associated with a decreased waiting time for deceased donor KTx, an increased pediatric KTx rate, and a lower proportion of living donor KTx. The rates of pediatric KTx, distribution of donor source and time on waiting list vary considerably between European countries. The lack of harmonization in kidney allocation to children raises medical and ethical issues. Harmonization of pediatric allocation policies should be prioritized.
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Affiliation(s)
- J Harambat
- ESPN/ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Amsterdam, The Netherlands.
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Monet C, Richard E, Missonnier S, Rebouissoux L, Llanas B, Harambat J. [Secondary hyperoxaluria and nephrocalcinosis due to ethylene glycol poisoning]. Arch Pediatr 2013; 20:863-6. [PMID: 23827374 DOI: 10.1016/j.arcped.2013.05.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2012] [Revised: 05/10/2013] [Accepted: 05/28/2013] [Indexed: 11/30/2022]
Abstract
We report the case of a 3-year-old boy admitted to the pediatric emergency department for ethylene glycol poisoning. During hospitalization, he presented dysuria associated with crystalluria. Blood tests showed metabolic acidosis with an elevated anion gap. A renal ultrasound performed a few weeks later revealed bilateral medullary hyperechogenicity. Urine microscopic analysis showed the presence of weddellite crystals. Secondary nephrocalcinosis due to ethylene glycol intoxication was diagnosed. Hyperhydration and crystallization inhibition by magnesium citrate were initiated. Despite this treatment, persistent weddellite crystals and nephrocalcinosis were seen more than 2years after the intoxication. Ethylene glycol is metabolized in the liver by successive oxidations leading to its final metabolite, oxalic acid. Therefore, metabolic acidosis with an elevated anion gap is usually found following ethylene glycol intoxication. Calcium oxalate crystal deposition may occur in several organs, including the kidneys. The precipitation of calcium oxalate in renal tubules can lead to nephrocalcinosis and acute kidney injury. The long-term renal prognosis is related to chronic tubulointerstitial injury caused by nephrocalcinosis. Treatment of ethylene glycol intoxication is based on specific inhibitors of alcohol dehydrogenase and hemodialysis in the most severe forms, and should be started promptly.
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Affiliation(s)
- C Monet
- Service de pédiatrie, hôpital Pellegrin-Enfants, CHU de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux, France
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Chambaraud T, Sacri AS, Guigonis V, Nivet H, Le Pogamp P, Lesavre P, Aldigier JC, Guillevin L, Pourrat J, Deschenes G, Harambat J, Essig M. Évolution à l’âge adulte des vascularites à ANCA à début pédiatrique. Nephrol Ther 2012. [DOI: 10.1016/j.nephro.2012.07.318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Cochat P, Harambat J. Transplantation rénale chez l’enfant : résultats à très long terme. Arch Pediatr 2012. [DOI: 10.1016/s0929-693x(12)71161-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Klein J, Lacroix C, Caubet C, Siwy J, Muller F, Bascands JL, Decramer S, Schanstra J, Camilla R, Camilla R, Loiacono E, Peruzzi L, Gallo R, Donadio ME, Vergano L, Campolo F, Morando L, Amore A, Coppo R, Dossier C, Leclerc AL, Lapidus N, Rousseau A, Charbit M, Sarda H, Madhi F, Carrat F, Deschenes G, Harambat J, Dallocchio A, Guigonis V, Ichay L, Bessenay L, Broux F, Garnier A, Morin D, Llanas B, Saint-Marcoux F, Decramer S, Van Stralen K, Verrina E, Belingheri M, Dusek J, Dudley J, Grenda R, Rubik J, Rudaitis S, Rudin C, Schaefer F, Jager K, Loos S, Kemper MJ. Paediatric nephrology. Nephrol Dial Transplant 2012. [DOI: 10.1093/ndt/gfs249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Shi H, Wen J, LI Z, Elsayed M, Kamal K, LI Z, Wen J, Shi H, El Shal A, Youssef D, Caubet C, Lacroix C, Benjamin B, Bandin F, Bascands JL, Monsarrat B, Decramer S, Schanstra J, Laetitia DB, Ulinski T, Aoun B, Ozdemir K, Dincel N, Sozeri B, Mir S, Dincel N, Berdeli A, Mir S, Akyigit F, Mizerska-Wasiak M, Panczyk-Tomaszewska M, Szymanik-Grzelak H, Roszkowska-Blaim M, Jamin A, Dehoux L, Monteiro RC, Deschenes G, Bouts A, Davin JC, Dorresteijn E, Schreuder M, Lilien M, Oosterveld M, Kramer S, Gruppen M, Pintos-Morell G, Ramaswami U, Parini R, Rohrbach M, Kalkum G, Beck M, Carter M, Antwi S, Callegari J, Kotanko P, Levin NW, Rumjon A, Macdougall IC, Turner C, Booth CJ, Goldsmith D, Sinha MD, Camilla R, Camilla R, Loiacono E, Donadio ME, Conrieri M, Bianciotto M, Bosetti FM, Peruzzi L, Conti G, Bitto A, Amore A, Coppo R, Mizerska-Wasiak M, Roszkowska-Blaim M, Maldyk J, Chou HH, Chiou YY, Bochniewska V, Jobs K, Jung A, Fallahzadeh Abarghooei MH, Zare J, Sedighi Goorabi V, Derakhshan A, Basiratnia M, Fallahzadeh Abarghooei MA, Hosseini Al-Hashemi G, Fallahzadeh Abarghooei F, Kluska-Jozwiak A, Soltysiak J, Lipkowska K, Silska M, Fichna P, Skowronska B, Stankiewicz W, Ostalska-Nowicka D, Zachwieja J, Girisgen L, Sonmez F, Yenisey C, Kis E, Cseprekal O, Kerti A, Szabo A, Salvi P, Benetos A, Tulassay T, Reusz G, Makulska I, Szczepanska M, Drozdz D, Zwolnska D, Sozeri B, Berdeli A, Mir S, Tolstova E, Anis L, Ulinski T, Alber B, Edouard B, Gerard C, Seni K, Dunia Julienne Hadiza T, Christian S, Benoit T, Francois B, Adama L, Rosenberg A, Munro J, Murray K, Wainstein B, Ziegler J, Singh-Grewal D, Boros C, Adib N, Elliot E, Fahy R, Mackie F, Kainer G, Polak-Jonkisz D, Zwolinska D, Laszki-Szczachor K, Zwolinska D, Janocha A, Rusiecki L, Sobieszczanska M, Garzotto F, Ricci Z, Clementi A, Cena R, Kim JC, Zanella M, Ronco C, Polak-Jonkisz D, Zwolinska D, Purzyc L, Zwolinska D, Makulska I, Szczepanska M, Peco-Antic A, Kotur-Stevuljevic J, Paripovic D, Scekic G, Milosevski-Lomic G, Bogicevic D, Spasojevic-Dimitrijeva B, Hassan R, El-Husseini A, Sobh M, Ghoneim M, Harambat J, Bonthuis M, Van Stralen KJ, Ariceta G, Battelino N, Jahnukainen T, Sandes AR, Combe C, Jager KJ, Verrina E, Schaefer F, Espindola R, Bacchetta J, Cochat P, Stefanis C, Leroy S, Leroy S, Fernandez-Lopez A, Nikfar R, Romanello C, Bouissou F, Gervaix A, Gurgoze M, Bressan S, Smolkin V, Tuerlinkx D, Stefanidis C, Vaos G, Leblond P, Gungor F, Gendrel D, Chalumeau M, Rumjon A, Macdougall IC, Turner C, Rawlins D, Booth CJ, Simpson JM, Sinha MD, Arnaud G, Arnaud G, Anne M, Stephanie T, Flavio B, Veronique FB, Stephane D, Mumford L, Marks S, Ahmad N, Maxwell H, Tizard J, Vidal E, Amigoni A, Varagnolo M, Benetti E, Ghirardo G, Brugnolaro V, Murer L, Aoun B, Christine G, Alber B, Ulinski T, Aoun B, Decramer S, Bandin F, Ulinski T, Degi A, Degi A, Kerti A, Kis E, Cseprekal O, Szabo AJ, Reusz GS, Ghirardo G, Vidoni A, Vidal E, Benetti E, Ramondo G, Miotto D, Murer L. Paediatric nephrology. Nephrol Dial Transplant 2012. [DOI: 10.1093/ndt/gfs250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Godron A, Harambat J, Mensire A, May A, Merville P, Godin M, Chauveau D, Cochat P, Bouissou F, Guest G, Blanchard A, Vargas-Poussou R. Syndrome d’hypomagnésémie, hypercalciurie, néphrocalcinose familiale (FHHNC) : histoire naturelle et corrélation phénotype génotype chez 29 patients porteurs de mutations des gènes CLDN16 ou CLDN19. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Harambat J, Bollée G, Daudon M, Godron A, Boussemart T, Dheu C, Garnier A, Guest G, Subra J, Taque S, Ceballos-Picot I, Bensman A. Présentation clinique, diagnostic et devenir des formes pédiatriques de déficit en adénine phosphoribosyltransférase (APRT). Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Harambat J, Fargue S, Acquavia C, Cochat P. Hyperoxalurie primitive de type 1 : expérience française. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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van Stralen K, Krischock L, Schaefer F, Verrina E, Groothoff J, Jager K, Tizard J, Harambat J, van Stralen KJ, Espinosa L, Groothoff JW, Hulton SA, Jankauskiene A, Schaefer F, Verrina E, Jager KJ, Cochat P, Ruggiero B, Gianviti A, Benetti E, Peruzzi L, Barbano GC, Corona F, Ventura G, Pecoraro C, Murer L, Ghiggeri GM, Pennesi M, Edefonti A, Coppo R, Emma F, Bonthuis M, van Stralen KJ, Verrina E, Edefonti A, Jager KJ, Schaefer F, Musumeci A, Graziano U, Nuzzi F, Ferraiuolo S, Severino G, Malgieri G, Minale B, Pecoraro C. Pediatric nephrology. Clin Kidney J 2011. [DOI: 10.1093/ndtplus/4.s2.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Musial K, Ciszak L, Kosmaczewska A, Szteblich A, Frydecka I, Zwolinska D, Kilic O, Balat A, Pehlivan S, Kilic BD, Sever T, Buyukcelik M, Kul S, Makulska I, Szczepanska M, Drozdz D, Zwolinska D, Ulmeanu A, Viorela N, Ulmeanu C, Monteverde ML, Chaparro AB, Balbarrey Z, Marcos Y, Ibanez JP, Turconi AF, Diaz M, Harambat J, van Stralen KJ, Verrina E, Schaefer F, Jager KJ, Wikiera-Magott I, Hurkacz M, Kubicki D, Zwolinska D, Sozeri B, Mir S, Dincel N, Kara OD. Paediatric nephrology. Clin Kidney J 2011. [DOI: 10.1093/ndtplus/4.s2.61] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Robinson B, Zhang J, Thumma J, Gillespie B, Combe C, Fukuhara S, Harambat J, Morgenstern H, Port F, Pisoni R, Collier T, Steenkamp R, Tomson C, Caskey F, Ansell D, Roderick P, Nitsch D, Chanouzas D, Ng KP, Fallouh B, Baharani J, Righetti M, Ferrario G, Serbelloni P, Milani S, Lisi L, Tommasi A, Okuno S, Ishimura E, Yamakawa K, Tsuboniwa N, Norimine K, Kagitani S, Shoji S, Yamakawa T, Nishizawa Y, Inaba M, de Jager DJ, Halbesma N, Krediet RT, Boeschoten EW, le Cessie S, Dekker FW, Grootendorst DC, Miranda AC, Bento D, Madeira J, Cruz J, Saglimbene VM, De berardis G, Pellegrini F, Johnson DW, Craig JC, Hegbrant JBA, Strippoli GFM, Tzanno C, Nisihara F, Stein G, Clesco P, Uezima C, Martins JP, Esposito P, Di Benedetto A, Tinelli C, De Silvestri A, Marcelli D, Dal Canton A, Capurro F, De Mauri A, David P, Navino C, Chiarinotti D, De Leo M, De Leo M, Sato Y, Sato M, Johtoku Y, Appunu K, Baharani J, Kara B, Severova- Andreevska G, Trajceska L, Gelev S, Amitov V, Sikole A, Lomidze M, Rtskhiladze I, Metreveli D, Bartel J, Abramishvili N, Zangurashvili L, Barnova M, Buachidze K, Jashiashvili N, Kankia N, Khitarishvili T, Dzagania T, Tschokhonelidze I, Sarishvili N, Shamanadze A, Amet S, Launay-Vacher V, Stengel B, Castot A, Frances C, Gauvrit JY, Grenier N, Reinhardt G, Clement O, Kreft-Jais C, Janus N, Choukroun G, Laville M, Deray G, Szlanka B, Borbas B, Joseph J, Somers F, Vanga SR, Alscher MD, Rutherford P, De Mauri A, Conte M, Capurro F, David P, De Maria M, Navino C, De Leo M, De Mauri A, Conte M, Capurro F, David P, Chiarinotti D, Navino C, De Leo M, Kan WC, Chien CC, Wang HY, Hwang JC, Wang CJ, Castledine C, Gilg J, Rogers C, Ben-Shlomo Y, Yoav C, Dattolo P, Amidone M, Antognoli G, Michelassi S, Sisca S, Pizzarelli F, Kimber A, Tomson C, Maggs C, Steenkamp R, Smith H, Madziarska K, Weyde W, Kopec W, Penar J, Krajewska M, Klak R, Zukowska Szczechowska E, Gosek K, Golebiowski T, Strempska B, Kusztal M, Klinger M, Ito M, Masakane I, Ito S, Nagasawa J, Liao SC, Lee IN, Cheng CT, Halle MP, Hertig A, Kengue AP, Ashuntantang G, Rondeau E, Ridel C, Selim G, Stojceva-Taneva O, Tozija L, Gelev S, Stojcev N, Dzekova P, Trajcevska L, Severova G, Pavleska S, Sikole A, Paunovic K, Dimitrijevic Z, Paunovic G, Ljubenovic S, Djordjevic V, Stojanovic M, Mitsopoulos E, Tsiatsiou M, Ginikopoulou E, Minasidis I, Kousoula V, Tsikeloudi M, Manou E, Tsakiris D, Ortalda V, Yabarek T, Aslam N, Tomei P, Messa M, Lupo A, Ito S, Masakane I, Kudo K, Ito M, Nagasawa J, Osthus TBH, Amro A, Preljevic V, Leivestad T, Dammen T, Os I, Panocchia N, Di Stasio E, Liberatori M, Tazza L, Bossola M, Wilson R, Smyth M, Copley JB, Hanafusa N, Yamagata K, Nishi H, Nishi S, Iseki K, Tsubakihara Y, Fusaro M, Tripepi G, Crepaldi G, Maggi S, D'Angelo A, Naso A, Plebani M, Vajente N, Giannini S, Calo L, Miozzo D, Cristofaro R, Gallieni M, Hung PH, Shen CH, Hsiao CY, Chiang PC, Hung KY. Epidemiology & outcome in CKD 5D (2). Clin Kidney J 2011. [DOI: 10.1093/ndtplus/4.s2.58] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Ernould S, Godron A, Nelson JR, Rigothier C, Llanas B, Harambat J. [Idiopathic nephrotic syndrome in children: Incidence, clinical presentation, and outcome in the county of Gironde, France]. Arch Pediatr 2011; 18:522-8. [PMID: 21458969 DOI: 10.1016/j.arcped.2011.02.012] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2010] [Revised: 02/02/2011] [Accepted: 02/21/2011] [Indexed: 11/29/2022]
Abstract
AIMS To estimate the incidence and describe the clinical presentation and outcome (steroid responsiveness, clinical course, complications) of idiopathic nephrotic syndrome in children in a population-based retrospective study. METHODS Using local registries and the hospital discharge diagnosis system from two centers, all new cases of idiopathic nephrotic syndrome were identified in Gironde (France) between January 1992 and May 2008. To estimate incidence, population-based denominators were obtained from the National Institute for Statistics and Economic Studies (INSEE). Clinical data were collected from medical charts. RESULTS Ninety-nine cases of idiopathic nephrotic syndrome were reported (66 boys, 18 non-Caucasians) with an incidence of 2.3/100,000 (CI, 1.8-3.0) children less than 15 years. Ninety patients (91%) had steroid-sensitive nephrotic syndrome (SSNS) and nine (9%) were steroid-resistant (SRNS). The median time to remission in SSNS was 11 days. Relapses occurred in 75 (83%) children with SSNS with a median of four relapses (range, 1-32). The cumulative relapse-free incidence was 60% at 10 years after diagnosis in SSNS and 13% of patients aged 18 years old or over still had active disease. In SSNS, the only significant factor associated with steroid dependency or use of non steroid drugs was the time to initial response to steroids greater than 14 days. Nineteen children (19%) experienced severe complications of nephrotic syndrome including 11 bacterial infections and two thromboembolic complications. Two children with SRNS, of whom one was initially steroid-responsive, developed end-stage renal failure. CONCLUSION The incidence and outcome of idiopathic nephrotic syndrome in Gironde are comparable to the rates found in other studies. The disease may have a long course and the time for response to steroids at disease onset is the main predictor of steroid dependency and of use of non steroid agents.
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Affiliation(s)
- S Ernould
- Service de pédiatrie, centre de référence maladies rénales rares du Sud-Ouest, hôpital Pellegrin-Enfants, CHU, place Amélie-Raba-Léon, 33076 Bordeaux, France; Service de pédiatrie, hôpital Gabriel-Martin, 97460 Saint-Paul, Réunion
| | - A Godron
- Service de pédiatrie, centre de référence maladies rénales rares du Sud-Ouest, hôpital Pellegrin-Enfants, CHU, place Amélie-Raba-Léon, 33076 Bordeaux, France
| | - J-R Nelson
- Service de pédiatrie, hôpital Robert-Boulin, 33500 Libourne, France
| | - C Rigothier
- Service de néphrologie, centre de référence maladies rénales rares du Sud-Ouest, hôpital Pellegrin, CHU, 33076 Bordeaux, France
| | - B Llanas
- Service de pédiatrie, centre de référence maladies rénales rares du Sud-Ouest, hôpital Pellegrin-Enfants, CHU, place Amélie-Raba-Léon, 33076 Bordeaux, France
| | - J Harambat
- Service de pédiatrie, centre de référence maladies rénales rares du Sud-Ouest, hôpital Pellegrin-Enfants, CHU, place Amélie-Raba-Léon, 33076 Bordeaux, France
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Saint-Marcoux F, Guigonis V, Decramer S, Gandia P, Ranchin B, Parant F, Bessenay L, Libert F, Harambat J, Bouchet S, Broux F, Compagnon P, Marquet P. Development of a Bayesian estimator for the therapeutic drug monitoring of mycophenolate mofetil in children with idiopathic nephrotic syndrome. Pharmacol Res 2011; 63:423-31. [PMID: 21272643 DOI: 10.1016/j.phrs.2011.01.009] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2010] [Revised: 01/13/2011] [Accepted: 01/14/2011] [Indexed: 11/24/2022]
Abstract
The use of mycophenolate mofetil (MMF) in children with idiopathic nephrotic syndrome (INS) is increasing. However, the clinical benefit of its monitoring has been scarcely studied, and little is known about its pharmacokinetics in this context. The objectives of the present study were: (i) to study and model the pharmacokinetics of mycophenolic acid (MPA; the active moiety of MMF) in paediatric patients with INS given MMF, at all stages of the disease; (ii) to develop a Bayesian estimator (MAP-BE) for individual inter-dose area under the concentration-time curve (AUC) prediction in this population, using a limited blood sampling strategy (LSS). Full-pharmacokinetic (PK) profiles of MPA collected in paediatric inpatients with INS already treated with a maintenance immunosuppressive therapy based on MMF (with no calcineurin inhibitors; CNI) were studied. A classical iterative two-stage (ITS) method was applied to model the data and develop MAP-BEs using a one-compartment open model where the absorption is described by a double gamma law allowing the description of a potential enterohepatic recirculation. The performance of the MAP-BE developed for individual exposure assessment was evaluated by the bias and precision of predicted AUCs with respect to measured, trapezoidal AUCs (reference value), and by the proportion of predicted AUCs with absolute error >20%. These PK tools were tested in an independent group of patients. Sixty PK profiles of MPA from children receiving MMF in association to corticosteroids or given alone were included in the study. Forty-five of these PK profiles were used to develop a PK model and a MAP-BE, and 15 for their validation. In the building group, the PK model fitted accurately the PK profiles of MPA: mean residual error of modelled vs. reference AUC was m±SD=-0.015±0.092 (range: -0.153 to 0.204). The MAP-BE which allowed the estimation of MPA AUC on the basis of a 20 min-60 min-180 min LSS was then developed. In the independent group of patients, its mean residual error vs. reference AUCs was m±SD=-0.036±0.145 (range: -0.205 to 0.189). Thus, a PK model and its derived MAP-BE for MMF (without any associated CNI) when given to children with INS have been developed. Clinical trials using these PK tools could test the potential impact of the therapeutic drug monitoring of MMF based on the AUC on the clinical evolution of INS.
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Cammas B, Harambat J, Bertholet-Thomas A, Bouissou F, Morin D, Guigonis V, Bendeddouche S, Afroukh-Hacini N, Cochat P, Llanas B, Decramer S, Ranchin B. Long-term effects of cyclophosphamide therapy in steroid-dependent or frequently relapsing idiopathic nephrotic syndrome. Nephrol Dial Transplant 2010; 26:178-84. [DOI: 10.1093/ndt/gfq405] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Harambat J, Leroy S. CL109 - Valeur diagnostique du sac collecteur pour l’infection urinaire : méta-analyse. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70325-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Harambat J, Ernould S, Llanas B, Leroy S. P285 - Prédiction du recours aux immunosuppresseurs chez l’enfant néphrotique (SN) cortico-dépendant. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70683-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
Most of the published studies evaluating renal prognosis of children born very preterm found asymptomatic abnormalities (blood pressure, glomerular filtration rate GFR, hypercalciuria, decreased renal size, microalbuminuria...) during childhood or early adulthood. The objective of this study was to assess renal function (inulin clearance) in a prospective single-center cohort of children born preterm between 1998 and 2001 (< 30 GW,<1000 g) and to identify neonatal risk factors for renal abnormalities during childhood. Fifty children were included in the final part of the study. At a mean age of 7.6 years, no patient had arterial hypertension or chronic kidney disease, but mean centile for diastolic blood pressure was higher than expected and ultrasounds revealed small-sized kidneys compared to controls. The average GFR was 112 ml/min per 1.73 m(2) (91-158). Two children had microalbuminuria, two had hypercalciuria and one had nephrocalcinosis. Children with intra- or extra-uterine growth retardation had an impaired GFR compared to children with appropriate pre- and post-natal growth (107 vs. 110 vs. 125 ml/min per 1.73 m(2), p<0.05). Children with bronchopulmonary dysplasia had a significant higher microalbuminuria. In conclusion, findings of borderline blood pressure and reduced kidney size in children born preterm can be regarded as markers of reduced nephron number. Long term renal follow-up (blood pressure, serum creatinine, urine albumin / creatinine ratio) should be performed in all children born very preterm, with an early referring when abnormalities are highlighted.
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Affiliation(s)
- J Bacchetta
- Centre de Référence des Maladies Rénales Rares, Service de Néphrologie et Rhumatologie Pédiatriques, Hôpital Femme Mère Enfant, Bron, France.
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Koukourgianni F, Harambat J, Ranchin B, Euvrard S, Bouvier R, Liutkus A, Cochat P. Malignancy incidence after renal transplantation in children: a 20-year single-centre experience. Nephrol Dial Transplant 2009; 25:611-6. [DOI: 10.1093/ndt/gfp497] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Debray D, Baudouin V, Lacaille F, Charbit M, Rivet C, Harambat J, Iserin F, Di Filippo S, Guyot C. De novo malignancy after solid organ transplantation in children. Transplant Proc 2009; 41:674-5. [PMID: 19328954 DOI: 10.1016/j.transproceed.2008.12.020] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
The aim of this study was to assess the prevalence of de novo malignancy after solid organ transplantation in childhood. A retrospective questionnaire-based survey was sent to 9 referral centers for pediatric organ transplantation in France. Among 1326 children who underwent solid organ transplantation since 1996, 80 (6%) presented with de novo malignancy posttransplantation during childhood: posttransplant lymphoproliferative disease was the most common (5% of pediatric recipients) comprising 80% of all tumors, with a disproportionately high prevalence among combined liver and small bowel recipients (18%). Various solid tumors were observed mainly among kidney recipients. No skin cancer was reported.
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Affiliation(s)
- D Debray
- Department of Pediatric Hepatology, APHP-Hôpital Bicêtre, Le Kremlin-Bicêtre, France.
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Andrieux A, Llanas B, Harambat J, Bui S, Nacka F, Fayon M. Prevalence of renal impairment in children with cystic fibrosis (CF). J Cyst Fibros 2009. [DOI: 10.1016/s1569-1993(09)60429-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Bacchetta J, Harambat J, Cochat P. Corticothérapie prolongée chez l’enfant : quelle place pour un traitement adjuvant dans le syndrome néphrotique ? Arch Pediatr 2008; 15:1685-92. [DOI: 10.1016/j.arcped.2008.08.020] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2007] [Revised: 07/02/2008] [Accepted: 08/08/2008] [Indexed: 10/21/2022]
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Harambat J, Sanson S, Lamireau D, Jouvencel P, Maurice-Tison S, Pillet P. 23 Connaissance et prévention du syndrome du bébé secoué au sein d’une population de parents de la maternité du CHU de bordeaux. ACTA ACUST UNITED AC 2004. [DOI: 10.1016/s0368-2315(04)96491-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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