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Nephrology

Chronic Kidney Disease/Transplant Clinic

In our Chronic Kidney Disease clinic, we see children from birth until 18 years of age with decreased kidney function (eGFR < 60 mL/min/1.73 m2) secondary to a variety of conditions (congenital and acquired) who are pre-dialysis, on peritoneal dialysis or hemodialysis, or post-renal transplant. This clinic is based on a shared-care, collaborative model, with all physicians rotating through the clinic. At each visit, families will see the multidisciplinary team including our physicians and nurses, as well as our specialized dietitian and social worker. In this clinic, we also see patients for their post-transplant care. We see about 80-100 patients over the course of a year, for a total of about 350 visits per year.

For more information, visit the Nephrology page for patients and families.

Patients/Conditions To Refer

  • Children with kidney disease and eGFR < 60 mL/min/1.73 m2
  • Children on peritoneal dialysis
  • Children with prior kidney transplant, or requiring transplant evaluation

Resources

Canadian Kidney Knowledge Translation and Generation Network (Resources on chronic kidney disease and learning modules for children)

 

Referral & Appointment Information

Our patients are seen on a consultative basis. Thus a referral is required from a physician.

Referral Method: Fax 905-521-5056

Assessment Options: In-person visit, virtual consultations

Referral Forms: No specific clinic referral form

Urinary Malformations/Fetal Renal Clinic

In this clinic, we see neonates and young infants who are born with anatomic abnormalities in the urinary tract (kidneys, ureters and bladder), including antenatal hydronephrosis.

For more information, visit the Nephrology page for patients and families.

Patients/Conditions To Refer

Newborns/Infants with antenatally diagnosed hydronephrosis, ectopic kidney, cystic kidney disease.

Referral & Appointment Information

Our patients are seen on a consultative basis. Thus a referral is required from a physician.

Referral Method: Fax 905-521-5056

Assessment Options: In-person visit, virtual consultations

Referral Forms: No specific clinic referral form

Stones Clinic

This clinic is led by Dr. Belostotsky, and is specialized in the diagnosis and treatment of kidney stones in children. As opposed to adults, children have a higher percentage of underlying metabolic abnormalities leading to stone formation and damage to the kidneys over time. This clinic specializes in detection and correction of these metabolic abnormalities, to prevent further stone formation in the future.

For more information, visit the Nephrology page for patients and families.

Patients/Conditions To Refer

  • Children with kidney stones on ultrasound
  • Children with nephrocalcinosis on ultrasound
  • Children with a family history of kidney stones and chronic kidney disease

Referral & Appointment Information

Our patients are seen on a consultative basis. Thus a referral is required from a physician.

Referral Method: Fax 905-521-5056

Assessment Options: In-person visit, virtual consultations

Referral Forms: No specific clinic referral form

Hypertension Clinic

The monthly Pediatric Hypertension Clinic provides evidence-based comprehensive care to children with hypertension from infancy until 18 years. It aims at early detection (including performing ambulatory blood pressure monitoring) and treatment of hypertension to reduce the risk of future complications associated with high blood pressure. Referrals from family physicians, general pediatricians and pediatric subspecialists are encouraged.

For more information, visit the Nephrology page for patients and families.

Patients/Conditions To Refer

  • Children <13 years with persistently elevated blood pressure (90th to 95th percentile), stage 1 hypertension >95th to 95th percentile + 12 mmHg, stage 2 hypertension >95th percentile+ 12 mmHg due to any reason
  • Children >13 years with persistently elevated blood pressure (>120/80 mmHg – 129/80 mmHg), stage 1 hypertension (130/80 – 139/89), stage 2 hypertension (>140/90) due to any reason
  • Children with complex, difficult to manage hypertension

Referral & Appointment Information

Our patients are seen on a consultative basis. Thus a referral is required from a physician.

Referral Method: Fax 905-521-5056

Assessment Options: In-person visit, virtual consultations

Referral Forms: No specific clinic referral form

Nephrology Clinic

In our general nephrology clinic, we provide consultations and follow up of children with a variety of kidney conditions, both congenital and acquired.

For more information, visit the Nephrology page for patients and families.

Patients/Conditions To Refer

  • Kidney and urinary tract malformations (renal dysplasia, cystic diseases, hydronephrosis, ectopic kidney, solitary kidney) including antenatal consults
  • Urinary tract infections and vesicoureteral reflux
  • Nephrotic syndrome
  • Glomerulonephritis
  • Hematuria
  • Proteinuria
  • Acute kidney injury
  • Diabetic nephropathy
  • Hypertension
  • Genetic syndromes with renal implications
  • Autoimmune conditions (i.e. Lupus, Vasculitis) involving the kidney

Referral & Appointment Information

Our patients are seen on a consultative basis. Thus a referral is required from a physician.

Referral Method: Fax 905-521-5056

Assessment Options: In-person visit, virtual consultations

Referral Forms: No specific clinic referral form