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Retrospective analysis of PEW diagnosis prevalence and correlates in children with CKD stages 3-5D

Retrospective analysis of PEW diagnosis prevalence and correlates in children with CKD stages 3-5D
Photo by Alex Saks / Unsplash
Key Takeaway
Note that the burden of PEW remains poorly characterized in pediatric CKD populations based on this limited retrospective data.

This retrospective cohort study was conducted at Beijing Children's Hospital involving 170 children diagnosed with Chronic Kidney Disease (CKD) stages 3-5D. The primary objective was to evaluate the prevalence and clinical correlates of PEW within this specific pediatric population. The study design relied on a retrospective analysis of PEW diagnosis records rather than a prospective intervention or randomized comparison.

Main results regarding the prevalence and clinical correlates of PEW were not reported in the provided data. Consequently, specific numerical values for incidence rates or associated clinical factors cannot be detailed. The study did not report data on adverse events, serious adverse events, discontinuations, or general tolerability, as these outcomes were not included in the input evidence.

A key limitation identified is that the burden of PEW remains poorly characterized in pediatric populations. This lack of characterization suggests that the current evidence base is insufficient to draw broad conclusions about the condition's impact or management in children with advanced CKD. The observational nature of the study further restricts the ability to infer causality or establish definitive clinical guidelines based on these findings.

Given the incomplete reporting of primary outcomes and the specific limitations of the pediatric population, the practice relevance of these findings is currently restricted. Clinicians should interpret these results with caution, acknowledging that the data does not yet support definitive changes in management or screening protocols for PEW in children with CKD stages 3-5D.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
BackgroundProtein-energy wasting (PEW) is a critical complication in children with advanced chronic kidney disease (CKD), yet its burden remains poorly characterized in pediatric populations. This observational study aimed to determine the prevalence and clinical correlates of PEW in children with CKD stages 3-5D.MethodsA retrospective analysis was conducted on 170 children (aged 0–18 years) treated at Beijing Children's Hospital from January 2015 to December 2024. PEW was diagnosed using modified pediatric-specific criteria, which is fully aligned with the core nutritional assessment and management principles of the 2020 KDOQI Clinical Practice Guidelines for Nutrition in CKD, requiring growth retardation (height SDS 
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