A Longitudinal Study of Kidney Structure and Function in Adults
Yükleniyor...
Dosyalar
Tarih
2010
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Oxford Univ Press
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Dear Editor, I read the article by Kariyanna et al. [1] with great interest. The authors discussed a relatively neglected issue in clinical nephrology, namely interaction between kidney size and function. The authors drew some important conclusions which, in my opinion, are difficult to accept due to limitations of the study. I will briefly discuss these limitations. Firstly, the authors used ultrasound to determine kidney size in an obese population, in which the sensitivity reduces dramatically (BMI 30.2 ± 4.9). Ultrasound was also performed by various technicians with different machines. Intraand inter-observer difference was not controlled in the study which claims that kidneys shrink at a rate of 0.072 cm per year. Ultrasound is not the gold standard as it was suggested by the authors to determine kidney size. In a comparative study, Ninan et al.[2] only compared ultrasound with abdominal plain X-ray, intravenous pyelogram, and renal angiogram but not with renal MRI or CT. To detect such subtle changes, standard MRI or CT scans should have been used or at least more measurements should have been performed with ultrasound (median follow-up is 3.7 years in the study).
Açıklama
Anahtar Kelimeler
Kaynak
Nephrology Dialysis Transplantation
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
25
Sayı
10
Künye
Solak, Y., (2010). A Longitudinal Study of Kidney Structure and Function in Adults. Nephrology Dialysis Transplantation, 25(10), 3457-3457. Doi: 10.1093/ndt/gfq467
