A Narrative Review of Contact Sports Participation in Children and Young Athletes With a Solitary (Functioning) Kidney.

Autor:	Coghlan K; School of Medicine, University College Dublin, Dublin, Ireland., McDermott J; Department of Paediatric & Adolescent Urology, Beacon Hospital, Dublin, Ireland., Molloy M; Department of Emergency Medicine, Wexford General Hospital, Wexford, Ireland.; Faculty of Sports and Exercise Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland., Nason G; School of Medicine, University College Dublin, Dublin, Ireland.; Department of Urology, Mater Misericordiae University Hospital, Dublin, Ireland., Carton P; Faculty of Sports and Exercise Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.; Department of Orthopaedic Surgery, UPMC Ireland, Waterford, Ireland., O'Kelly F; School of Medicine, University College Dublin, Dublin, Ireland.; Department of Paediatric & Adolescent Urology, Beacon Hospital, Dublin, Ireland.; Faculty of Sports and Exercise Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.
Jazyk:	angličtina
Zdroj:	The American journal of sports medicine [Am J Sports Med] 2024 Sep; Vol. 52 (11), pp. 2939-2947. Date of Electronic Publication: 2024 Feb 13.
DOI:	10.1177/03635465231216341
Abstrakt:	Background: Evidence is sparse regarding the incidence or prevalence of renal or genitourinary injuries arising from contact sports. There are currently no World Health Organization or European consensus guidelines relating to the participation in sport for children and young athletes with a solitary (functioning) kidney. Purpose: To review the international literature and to make sport-specific recommendations for children and young athletes with a solitary (functioning) kidney participating in sports, based on the overall likelihood of potential renal or genitourinary injury. Study Design: Narrative review; Level of evidence, 4. Methods: A descriptive epidemiological study was conducted of current literature according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Embase, Google Scholar, Cochrane, and PubMed databases were queried from 1975 to 2023, to assess available evidence regarding the prevalence and risk of renal injury through sports participation and guidelines surrounding the participation in sports for children and young athletes with a solitary (functioning) kidney. Methodological quality and certainty of evidence were assessed according to the International Classification of Urological Disease guidelines. Results: A total of 28 publications were identified after database searches and exclusions, comprising 40,889 patients. The majority of papers providing recommendations arose from the United States. Of the recommendations, 79% permitted an unrestricted return to noncontact sports. A return to contact sports is permitted in most instances after physician consultation. Conclusion: There is a dearth of good-quality published evidence in the literature relating to sports participation with a solitary (functioning) kidney. Overall, the risk of genitourinary injury in sports is low, and after physician assessment, there is currently no strong evidence to exclude children and young athletes with a solitary (functioning) kidney from full participation in contact and collision sports. Competing Interests: The authors declared that they have no conflicts of interest in the authorship and publication of this contribution. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto.
Databáze:	MEDLINE
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