Publications by authors named "R Bhimma"

Article Synopsis
  • The lack of standardized definitions for clinical trial endpoints in pediatric kidney diseases makes it difficult to assess the effectiveness of treatments, particularly for steroid-resistant nephrotic syndrome (SRNS).
  • SRNS is challenging to manage, often leading to kidney failure despite current therapies having low cure rates.
  • An international group has developed standardized definitions for trial outcomes in SRNS, focusing on measurements like urine protein/creatinine ratios and estimated glomerular filtration rates to better evaluate treatment effectiveness.
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Background: Nephronophthisis (NPHP) is an autosomal recessive disorder with a subset of patients presenting with extrarenal manifestations such as retinal degeneration, cerebella ataxia, liver fibrosis, skeletal abnormalities, cardiac malformations, and lung bronchiectasis. However, the involvement of other organ systems has also been documented. Extrarenal manifestations occur in approximately 10-20% of patients.

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Background: Chronic kidney disease (CKD) is a globally significant non-communicable disorder. CKD prevalence varies between countries and within a country. We compared the prevalence rates of CKD in South Africa with sub-Saharan Africa, Africa, and globally.

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Background: Multisystem inflammatory syndrome in children (MIS-C) following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has been infrequently described in Africa.

Objective: To describe the clinical characteristics, outcomes and associations of severe disease in children hospitalized with MIS-C in KwaZulu-Natal.

Methods: Retrospective multicenter study of children (0-13 years) who met the Centers for Disease Control and Prevention criteria for MIS-C.

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Idiopathic nephrotic syndrome is the most frequent pediatric glomerular disease, affecting from 1.15 to 16.9 per 100,000 children per year globally.

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