THE FOLLOW-UP OF PATIENTS WITH SURGICAL SOLITARY KIDNEY - THE UNDER-ESTIMATED ROLE OF COMORBIDITIES
Abstract
In order to customize the follow-up plan and lower the risks of end-stage renal disease progression (ESRD), we set out to create a monitoring program for patients with surgical solitary kidneys. Additionally, by determining the underlying etiology and comorbidities (such as pre-existing CKD or Diabetes). 91 patients have been found who satisfy the inclusion requirements. Material and methods: There were 51 ladies and 40 guys among them. They ranged in age from 20 to 90. The average age was 60.69 years (SD +/- 15.87). There was no difference in the mean age between the genders (63.22 vs. 58.71, p=0.08). Kidney cancer (50.54%), upper urothelial tract carcinoma (25.27%), pyonephrosis (17.58%), and kidney trauma (6.59%) were the primary pathologies for which surgery was performed. The patients were also arbitrarily separated into three age groups: Group A, 20-40 years old; Group B, 41-60 years old; and Group C, over 60 years old. Results: One month after discharge, C-reactive protein increased (p=0.05), and eGFR decreased significantly (p=0.003). The most common comorbidity (74.72%; n=68) was arterial hypertension. Of these, 51.47% (n=35) have diabetes mellitus concurrently. Diabetes was the second-highest occurrence, with 49.45% (n=45) of patients receiving therapy for it. Also, at the time of surgery, 12.08 % (n=11) had CKD, according to KDIGO definition. Since acquired solitary kidney patients are more likely to experience rapidly declining renal function, they require continuous monitoring. Conclusions: Younger individuals are more prone to develop CKD slowly. Therefore, the clinician has to monitor issues like kidney stones or urinary tract infections.
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