Children Are Not Small Adults: Similarities and Differences in Renal Transplantation Between Adults and Pediatrics.

Immunosuppression graft survival induction immunosuppression kidney donor maintenance immunosuppression psychosocial surgical complications urological complications

Journal

Seminars in nephrology
ISSN: 1558-4488
Titre abrégé: Semin Nephrol
Pays: United States
ID NLM: 8110298

Informations de publication

Date de publication:
08 Nov 2023
Historique:
medline: 11 11 2023
pubmed: 11 11 2023
entrez: 10 11 2023
Statut: aheadofprint

Résumé

Kidney transplantation is the treatment of choice for all patients with end-stage kidney disease, including pediatric patients. Graft survival in pediatrics was lagging behind adults, but now is comparable with the adult cohort. Although many of the protocols have been adopted from adults, there are issues unique to pediatrics that one should be aware of to take care of this population. These issues include recipient size consideration, increased incidence of viral infections, problems related to growth, common occurrence of underlying urological issues, and psychosocial issues. This article addresses the similarities and differences in renal transplantation, from preparing a patient for transplant, the transplant process, to post-transplant complications.

Identifiants

pubmed: 37949683
pii: S0270-9295(23)00152-3
doi: 10.1016/j.semnephrol.2023.151442
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

151442

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Auteurs

Dechu Puliyanda (D)

Pediatric Nephrology and Comprehensive Transplant Program, Cedars Sinai Medical Center, Los Angeles, CA. Electronic address: dechu.puliyanda@cshs.org.

Zibya Barday (Z)

Department of Nephrology and Hypertension, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.

Zunaid Barday (Z)

Department of Nephrology and Hypertension, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.

Andrew Freedman (A)

Pediatric Nephrology and Comprehensive Transplant Program, Cedars Sinai Medical Center, Los Angeles, CA.

Tsuyoshi Todo (T)

Pediatric Nephrology and Comprehensive Transplant Program, Cedars Sinai Medical Center, Los Angeles, CA.

Allen Kuang Chung Chen (AKC)

Pediatric Nephrology and Comprehensive Transplant Program, Cedars Sinai Medical Center, Los Angeles, CA.

Bianca Davidson (B)

Department of Nephrology and Hypertension, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.

Classifications MeSH