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A higher risk of terminal renal failure in Roma children – data from Slovak Pediatric Registry


Authors: G. Koľvek;  Ľ. Podracká
Authors‘ workplace: 1. Klinika detí a dorastu LF UPJŠ a DFN, Košice prednostka prof. MUDr. Ľ. Podracká, CSc.
Published in: Čes-slov Pediat 2012; 67 (6): 363-367.
Category: Original Papers

Overview

Objectives:
Ethnic differences in the occurrence of end-stage renal disease (ESRD) are reported on various populations across of the world, but evidence on Roma fully lacks. The aim of this study was to explore the relative risk (RR) of ESRD for Roma.

Methods:
Ethnicity was assessed in children with ESRD who underwent renal replacement therapy during 2005–2009. RR of ESRD for Roma was calculated comparing occurrence of ESRD in Roma and non-Roma children. Calculation was repeated after standardization for differences in age of both populations.

Results:
Roma represented 25.0% of all patients with ESRD. The RR of ESRD for Roma was 1.56, compared to the majority population. After age-standardization the RR for Roma was 1.72.

Conclusion:
Results of this study on Slovak dialyzed children show that the risk for ESRD is significantly higher for Roma than for non-Roma. A genetic propensity of Roma to renal failure may partially explain the higher risk. Moreover, another significant factors possibly play a role, particularly consanguinity as well as different attitude towards own health.

Key words:
Roma, end-stage renal disease, incidence, prevalence, etiology


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Labels
Neonatology Paediatrics General practitioner for children and adolescents
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