Renal agenesis: A meta-analysis of its prevalence and clinical characteristics based on 15 641 184 patients

Nephrology (Carlton). 2023 Oct;28(10):525-533. doi: 10.1111/nep.14190. Epub 2023 May 30.


Our objective was to analyse the newest relevant data on worldwide prevalence and associated symptoms of renal agenesis (RA). This meta-analysis builds on previous systematic reviews to include bilateral RA, its symptoms and data on gender, unilateral RA and anomaly location prevalence. Review of available data included records in English and other languages from PubMed, Embase, ScienceDirect, Web of Science, SciELO, BIOSIS, Current Content Connect Korean Journal Database and Russian Citation Index and Google. A total of 15 641 184 patients were analysed in relation to the prevalence of RA. The pooled prevalence of RA was 0.03% (95% CI: 0.03%-0.04%). Based on 500 subjects, a pooled prevalence of 47.96% (95% CI: 31.55%-64.58%) for unilateral and 52.04% (95% CI: 35.42%-68.45%) for bilateral RA has been set. Our study presents the newest generalized findings on bilateral RA. There appears to be universal disease and symptom prevalence with minor differences between world regions, although quality of future observational research should include genomic data. This will provide even further insight into the prognosis of various renal anomalies and their etiologies.

Keywords: bilateral renal agenesis; hematuria; hyperuricemia; nephrology; unilateral renal agenesis.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Humans
  • Kidney / abnormalities
  • Kidney Diseases* / diagnosis
  • Kidney Diseases* / epidemiology
  • Kidney Diseases* / therapy
  • Prevalence
  • Solitary Kidney*

Supplementary concepts

  • Hereditary renal agenesis
  • Renal Adysplasia