PMID: 2374506Jul 1, 1990Paper

Acquired cystic kidney disease: occurrence, prevalence, and renal cancers

M A Matson, E P Cohen


Acquired cystic kidney disease (ACKD) is the result of cyst formation in the failing kidney. It has become more common because of increases in retention of the patients' own kidneys, growth in the dialysis population, and survival of long-term dialysis patients. We studied our chronic dialysis population for ACKD and renal cancers, and conducted a literature review of ACKD and renal cancer. We analyzed our chronic dialysis patients from 1979 through 1989 for native kidney retention, and studied patients undergoing their first kidney transplant at our center from 1967 through 1989. Our patients and those in literature reports were characterized by age, sex, race, underlying renal disease, dialysis time, and survival. We found that: 1) Native kidney retention in dialysis and transplant patients has increased linearly over the past 10 to 20 years and is now greater than 90% in both groups; 2) ACKD occurs in ESRD patients with all types of underlying kidney disease. 3) ACKD affects CAPD patients and HD patients equally; 4) ACKD affects both sexes equally and age is not a factor in the development of ACKD; 5) there appears to be a greater prevalence of ACKD in black patients with ESRD as compared to white patients with ESRD; 6) the ...Continue Reading


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