Pediatric idiopathic steroid-sensitive nephrotic syndrome: diagnosis and therapy —short version of the updated German best practice guideline (S2e) — AWMF register no. 166-001, 6/2020
Idiopathic nephrotic syndrome is the most frequent glomerular disease in children in most parts of the world. Children with steroid-sensitive nephrotic syndrome (SSNS) generally have a good prognosis regarding the maintenance of normal kidney function even in the case of frequent relapses. The cours...
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Published in | Pediatric nephrology (Berlin, West) Vol. 36; no. 10; pp. 2971 - 2985 |
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Main Authors | , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.10.2021
Springer Springer Nature B.V |
Subjects | |
Online Access | Get full text |
ISSN | 0931-041X 1432-198X 1432-198X |
DOI | 10.1007/s00467-021-05135-3 |
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Abstract | Idiopathic nephrotic syndrome is the most frequent glomerular disease in children in most parts of the world. Children with steroid-sensitive nephrotic syndrome (SSNS) generally have a good prognosis regarding the maintenance of normal kidney function even in the case of frequent relapses. The course of SSNS is often complicated by a high rate of relapses and the associated side effects of repeated glucocorticoid (steroid) therapy. The following recommendations for the treatment of SSNS are based on the comprehensive consideration of published evidence by a working group of the German Society for Pediatric Nephrology (GPN) based on the systematic Cochrane reviews on SSNS and the guidelines of the KDIGO working group (Kidney Disease - Improving Global Outcomes). |
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AbstractList | Idiopathic nephrotic syndrome is the most frequent glomerular disease in children in most parts of the world. Children with steroid-sensitive nephrotic syndrome (SSNS) generally have a good prognosis regarding the maintenance of normal kidney function even in the case of frequent relapses. The course of SSNS is often complicated by a high rate of relapses and the associated side effects of repeated glucocorticoid (steroid) therapy. The following recommendations for the treatment of SSNS are based on the comprehensive consideration of published evidence by a working group of the German Society for Pediatric Nephrology (GPN) based on the systematic Cochrane reviews on SSNS and the guidelines of the KDIGO working group (Kidney Disease - Improving Global Outcomes).Idiopathic nephrotic syndrome is the most frequent glomerular disease in children in most parts of the world. Children with steroid-sensitive nephrotic syndrome (SSNS) generally have a good prognosis regarding the maintenance of normal kidney function even in the case of frequent relapses. The course of SSNS is often complicated by a high rate of relapses and the associated side effects of repeated glucocorticoid (steroid) therapy. The following recommendations for the treatment of SSNS are based on the comprehensive consideration of published evidence by a working group of the German Society for Pediatric Nephrology (GPN) based on the systematic Cochrane reviews on SSNS and the guidelines of the KDIGO working group (Kidney Disease - Improving Global Outcomes). Idiopathic nephrotic syndrome is the most frequent glomerular disease in children in most parts of the world. Children with steroid-sensitive nephrotic syndrome (SSNS) generally have a good prognosis regarding the maintenance of normal kidney function even in the case of frequent relapses. The course of SSNS is often complicated by a high rate of relapses and the associated side effects of repeated glucocorticoid (steroid) therapy. The following recommendations for the treatment of SSNS are based on the comprehensive consideration of published evidence by a working group of the German Society for Pediatric Nephrology (GPN) based on the systematic Cochrane reviews on SSNS and the guidelines of the KDIGO working group (Kidney Disease - Improving Global Outcomes). |
Audience | Academic |
Author | Tönshoff, Burkhard Kemper, Markus J. Kamrath, Clemens Weber, Stefanie Gellermann, Jutta Benz, Marcus R. Eberl, Wolfgang R. Weber, Lutz T. Oh, Jun Ehren, Rasmus Brinkkötter, Paul T. Dötsch, Jörg Latta, Kay Jordans, Isabelle Hoyer, Peter F. Müller, Dominik |
Author_xml | – sequence: 1 givenname: Rasmus orcidid: 0000-0002-3245-7481 surname: Ehren fullname: Ehren, Rasmus email: rasmus.ehren@uk-koeln.de organization: Faculty of Medicine and University Hospital Cologne, Pediatric Nephrology, Children’s and Adolescents’ Hospital, University of Cologne – sequence: 2 givenname: Marcus R. surname: Benz fullname: Benz, Marcus R. organization: Faculty of Medicine and University Hospital Cologne, Pediatric Nephrology, Children’s and Adolescents’ Hospital, University of Cologne – sequence: 3 givenname: Paul T. surname: Brinkkötter fullname: Brinkkötter, Paul T. organization: Department II of Internal Medicine and Center for Molecular Medicine Cologne (CMMC), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne Cluster of Excellence on Cellular Stress Responses in Ageing-Associated Diseases (CECAD) – sequence: 4 givenname: Jörg surname: Dötsch fullname: Dötsch, Jörg organization: Faculty of Medicine and University Hospital Cologne, Pediatric Nephrology, Children’s and Adolescents’ Hospital, University of Cologne – sequence: 5 givenname: Wolfgang R. surname: Eberl fullname: Eberl, Wolfgang R. organization: Department of Pediatrics, Städtisches Klinikum Braunschweig – sequence: 6 givenname: Jutta surname: Gellermann fullname: Gellermann, Jutta organization: Pediatric Nephrology, Charité Children’s Hospital – sequence: 7 givenname: Peter F. orcidid: 0000-0002-9132-0282 surname: Hoyer fullname: Hoyer, Peter F. organization: Center for Children and Adolescents, Pediatric Clinic II, University of Duisburg-Essen – sequence: 8 givenname: Isabelle surname: Jordans fullname: Jordans, Isabelle organization: Bundesverband Niere eV (German National Kidney-Patients Association) – sequence: 9 givenname: Clemens surname: Kamrath fullname: Kamrath, Clemens organization: Division of Pediatric Endocrinology & Diabetology, Center of Child and Adolescent Medicine, Justus Liebig University – sequence: 10 givenname: Markus J. surname: Kemper fullname: Kemper, Markus J. organization: Department of Pediatrics, Asklepios Medical School – sequence: 11 givenname: Kay surname: Latta fullname: Latta, Kay organization: Clementine Kinderhospital Frankfurt – sequence: 12 givenname: Dominik surname: Müller fullname: Müller, Dominik organization: Pediatric Nephrology, Charité Children’s Hospital – sequence: 13 givenname: Jun surname: Oh fullname: Oh, Jun organization: Division of Pediatric Nephrology, Hepatology and Transplantation, University Medical Center Hamburg-Eppendorf – sequence: 14 givenname: Burkhard orcidid: 0000-0002-6598-6910 surname: Tönshoff fullname: Tönshoff, Burkhard organization: Department of Pediatrics I, University Children’s Hospital – sequence: 15 givenname: Stefanie surname: Weber fullname: Weber, Stefanie organization: Department of Pediatrics II, University Children’s Hospital, Philipps-University Marburg – sequence: 16 givenname: Lutz T. surname: Weber fullname: Weber, Lutz T. organization: Faculty of Medicine and University Hospital Cologne, Pediatric Nephrology, Children’s and Adolescents’ Hospital, University of Cologne |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34091756$$D View this record in MEDLINE/PubMed |
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Keywords | Guideline Steroid-dependent nephrotic syndrome Steroid-sensitive nephrotic syndrome Treatment Frequently relapsing nephrotic syndrome |
Language | English |
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Snippet | Idiopathic nephrotic syndrome is the most frequent glomerular disease in children in most parts of the world. Children with steroid-sensitive nephrotic... |
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SubjectTerms | Care and treatment Child Children Clinical practice guidelines Diagnosis Glucocorticoids Glucocorticoids - therapeutic use Guidelines Humans Kidney diseases Medical diagnosis Medicine Medicine & Public Health Nephrology Nephrosis, Lipoid - drug therapy Nephrotic syndrome Nephrotic Syndrome - diagnosis Nephrotic Syndrome - drug therapy Nephrotic Syndrome - physiopathology Pediatric research Pediatrics Practice guidelines (Medicine) Recurrence Steroids Steroids - therapeutic use Urology Working groups |
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Title | Pediatric idiopathic steroid-sensitive nephrotic syndrome: diagnosis and therapy —short version of the updated German best practice guideline (S2e) — AWMF register no. 166-001, 6/2020 |
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