Advertisement

Pediatric Nephrology

, Volume 5, Issue 1, pp 50–53 | Cite as

Urinary screening of elementary and junior high-school children over a 13-year period in Tokyo

  • Mutsumi Murakami
  • Hiroaki Yamamoto
  • Yutaka Ueda
  • Katsuyoshi Murakami
  • Kuniaki Yamauchi
Original Article

Abstract

The School Health Law of Japan was passed in 1974 mandating urine screening of elementary and junior high-school students for the detection of renal disease. A first morning urine was obtained on an annual basis for each individual student for the time period 1974–1986. The prevalence of proteinuria and haematuria among elementary school children was 0.08% and 0.54%, respectively, while junior high-school students demonstrated corresponding prevalences of 0.37% and 0.94%. The theoretical merits of this screening programme include the detection of glomerulonephritis with possible early therapeutic intervention. However, a limitation to this approach is its over-sensitivity where asymptomatic urine abnormalities is found to be 10 times greater in frequency than glomerulonephritis histologically.

Key words

Mass screening Urine screening at school Haematuria Proteinuria Frequency of urine abnormalities 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Dodge WF, West EF, Smith EH, Bunce H III (1976) Proteinuria and hematuria in school children: epidemiology and early natural history. J Pediatr 88:327–347Google Scholar
  2. 2.
    Vehaskari VM, Rapola J, Koshimies V, Savlahti E, Vilska J, Hollman N (1979) Microscopic hematuria in school children: epidemiology and clinicopathologic evaluation. J Pediatr 95:676–684Google Scholar
  3. 3.
    Hirata H (1983) Study on minimal hematuria found by mass urinary screening of school children (in Japanese). J J Pediatr Soc 87: 808–816Google Scholar
  4. 4.
    Murakami M, Ueda Y, Murakami K (1985) Management of children with chronic diseases at school — renal disease. Acta Paediatr Jpn Overseas Ed 27:406–414Google Scholar
  5. 5.
    Okada T (1976) Proteinuria and hematuria of school children in Niigata (in Japanese). Pediatr J 17:985–991Google Scholar
  6. 6.
    Murakami M, Ambo K, Tuchiya M, Kogoshi T, Ashida M, Yamamoto H, Ueda Y, Murakami K, Yamauchi K, Okada Y (1986) Study on the influence of the incidence rate of urinary abnormalities in an initial test of mass urinary screening for the discovery rate of renal disease (in Japanese). J J Pediatr Soc 90:1800–1805Google Scholar
  7. 7.
    Kitagawa T (1979) Chronic glomerulonephritis in children (in Japanese). J J Pediatr Soc 83:625–630Google Scholar
  8. 8.
    Kitagawa T (1985) Screening for asymptomatic hematuria and proteinuria in school children — relationship between clinical laboratory findings and glomerular pathology or prognosis. Acta Paediatr Jpn Overseas Ed 27:366–373Google Scholar

Copyright information

© IPNA 1991

Authors and Affiliations

  • Mutsumi Murakami
    • 1
  • Hiroaki Yamamoto
    • 1
  • Yutaka Ueda
    • 1
  • Katsuyoshi Murakami
    • 1
  • Kuniaki Yamauchi
    • 2
  1. 1.Department of PaediatricsNippon Medical School HospitalTokyoJapan
  2. 2.Tokyo Association of Health ServiceTokyoJapan

Personalised recommendations