Renal transplantation in children

En bloc paediatric kidney transplant: is this the best use of a scarce resource?

“…The recipient age is also one of the prognostic factors for cadaveric kidney transplants. This was validated by the North American Pediatric Renal Transplant Cooperative Study, which showed that the 1‐year graft survival rates for cadaveric paediatric kidney recipients was (i) 49% for those between 0 and 1 year old; (ii) 65% for 2‐ to 5‐year‐olds; and (iii) 70% for recipients more than 6 years old 19 . The high incidence of technical failures, vascular thrombosis and the use of young cadaver donors are reflected in the poorer graft survival rates in young recipients.…”

Characteristics of long‐term live‐donor pediatric renal transplant survivors: A single‐center experience

“…Predictors of long‐term graft survival in children who receive live‐donor grafts are of special interest because they offer the unique opportunity to evaluate allograft survival independent of donor factors (7). The differences in the predictors have been possibly attributed to differences in race, donor source, and enrollment of patients from different centers with different management policies.…”

Determinants of graft survival in pediatric and adolescent live donor kidney transplant recipients: A single center experience

“…Predictors of graft survival in children who receive LRD grafts are of special interest because they offer the unique opportunity to evaluate allograft survival independent of donor factors, as the use of LRD kidneys largely eliminates the influence of graft preservation and ischemia that occurs during transport and recovery and also reduces the role of allelic differences between donors and recipients (6). Patients transplanted with a living donor kidney demonstrated a 5% point advantage at 5 yr post‐transplant over cadaver donor kidneys (1).…”