Growth Acceleration Following Renal Transplantation in Children Less Than 7 Years of Age

Renal Transplantation in Children

“…Pediatric recipients with a bone age of > 12 years at the time of transplantation grow minimally, despite the pres ence of an optimally functioning allograft [41], Con versely, children with a chronologic age of <7 years at the time of transplantation appear to exhibit accelerated post-transplant growth [42]. Therefore, the age of the recipient at the time of transplantation is a significant factor in the achievement of optimal post-transplant growth velocity.…”

Choosing a Treatment Modality for the Infant, Child and Adolescent with Endstage Renal Disease

“…The outcome of live-related donor transplantation in the preschool-aged child is similar to that of older recipients [23]. The timing of transplantation is a significant con sideration in this age group since it appears that catch-up growth is only achieved when successful transplantation is accomplished at an early age (< 7 years) [26],…”

“…However, since data arc available which appear to indicate optimal posttrans plant growth following transplantation at a younger age [26], it would appear that there are infrequent justifications to delay trans plantation in the school-aged child.…”

Obstructive Uropathy and Renal Osteodystrophy in an Infant

“…Because he will likely still be less than 7 years of age at the time transplant needs to be carried out. he should have a chance of additional catch up growth [28] as occurs in those transplanted before age 7 years.…”