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Paediatric Renal Stone Management in Africa: A Scoping Review and Analysis of Current Practices.
Davis, Samuel O; Zubair, Abdulahi; Anyakora, Chiagoziem; Igbokwe, Martin C; Haladu, Zahraddeen; Ajibade, Adetola F; Noah, Olumide; Agyeman, Christian; Oisamokhai, Kenneth; Enemoh, Obinna; Ikuborije, Praise; Nwokeocha, Emeka S; Ajari, Oghenofuafo; Adejala, Isaac; Mastaki, Vévé M; Akinro, Oluwatosin.
Afiliación
  • Davis SO; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Zubair A; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Anyakora C; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Igbokwe MC; Surgery, Zenith Medical and Kidney Centre, Abuja, NGA.
  • Haladu Z; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Ajibade AF; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Noah O; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Agyeman C; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Oisamokhai K; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Enemoh O; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Ikuborije P; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Nwokeocha ES; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Ajari O; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Adejala I; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Mastaki VM; Urology, Surgery Interest Group of Africa, Lagos, NGA.
  • Akinro O; Urology, Surgery Interest Group of Africa, Lagos, NGA.
Cureus ; 16(3): e56819, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38654778
ABSTRACT
Renal stones are solid deposits formed from minerals and salts that develop within the kidneys and urinary tract. While the condition is more common among adults, children and even infants can also be affected. There is an increasing incidence of paediatric renal stones in Africa alongside multiple challenges faced in managing the condition. This scoping review aimed to provide an overview of the management modalities of paediatric renal stones in Africa. This study utilised Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. A systematic search was conducted in three electronic databases PubMed, African Journal Online (AJOL), and Google Scholar, with 1,180 articles curated. After extensive examination, 10 articles satisfied the inclusion criteria. The review found that calcium oxalate stones were the most prevalent type, accounting for 34.03% of cases, followed by whewellite stones and ammonium urate stones. The most frequent location for stones was the kidney, and the most common symptom was pain. Abdominopelvic ultrasound was the most frequently utilised investigation. Of the 886 patients managed for renal stones, 75.4% were managed surgically, 2.9% medically, and 21.7% spontaneously resolved without intervention. This review identifies opportunities for improving the management of paediatric renal stones in Africa, including the need for standardised diagnostic and treatment protocols and the development of evidence-based guidelines tailored to the African context. Overall, this scoping review provides valuable insights into the patterns and management of paediatric renal stones in Africa and highlights the need for further research to improve the management of this condition in the region.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos