PURPOSE OF REVIEW: Transplantation is the preferred method of treatment for end-stage renal disease in children. The rate of pediatric kidney transplantation has been steadily rising over the past decade. The use of increasingly potent immunosuppressive drugs has lessened the risk for acute rejection substantially and improved short-term outcomes; however, the long-term outcomes have remained inadequate. RECENT FINDINGS: The follow-up of pediatric cohorts and the encouraging results from data registries prompt us to revisit our practices in transplantation so as to devise additional strategies to improve long-term outcomes. SUMMARY: This review presents a comprehensive discussion of the major issues in pediatric renal transplantation, the newer immunosuppression approaches to limit toxicities of therapies in children and some critical issues that remain to be addressed, specific to the care of the transplanted child. The ultimate goal of designing optimum conditions for equating graft survival to patient survival still remains a major goal for pediatric organ transplantation.
PURPOSE OF REVIEW: Transplantation is the preferred method of treatment for end-stage renal disease in children. The rate of pediatric kidney transplantation has been steadily rising over the past decade. The use of increasingly potent immunosuppressive drugs has lessened the risk for acute rejection substantially and improved short-term outcomes; however, the long-term outcomes have remained inadequate. RECENT FINDINGS: The follow-up of pediatric cohorts and the encouraging results from data registries prompt us to revisit our practices in transplantation so as to devise additional strategies to improve long-term outcomes. SUMMARY: This review presents a comprehensive discussion of the major issues in pediatric renal transplantation, the newer immunosuppression approaches to limit toxicities of therapies in children and some critical issues that remain to be addressed, specific to the care of the transplanted child. The ultimate goal of designing optimum conditions for equating graft survival to patient survival still remains a major goal for pediatric organ transplantation.
Authors: Kyle J Van Arendonk; Brian J Boyarsky; Babak J Orandi; Nathan T James; Jodi M Smith; Paul M Colombani; Dorry L Segev Journal: Pediatrics Date: 2014-03-10 Impact factor: 7.124
Authors: Abbas Rana; Eileen D Brewer; Brandi B Scully; Michael L Kueht; Matt Goss; Karim J Halazun; Hao Liu; N Thao N Galvan; Ronald T Cotton; Christine A O'Mahony Journal: Pediatr Nephrol Date: 2016-10-18 Impact factor: 3.714
Authors: Anne-Kristina Frobel; Mats O Karlsson; Janne T Backman; Kalle Hoppu; Erik Qvist; Paula Seikku; Hannu Jalanko; Christer Holmberg; Ron J Keizer; Samuel Fanta; Siv Jönsson Journal: Br J Clin Pharmacol Date: 2013-10 Impact factor: 4.335
Authors: Johannes Schwartzkopff; Simona L Schlereth; Moritz Berger; Laura Bredow; Florian Birnbaum; Daniel Böhringer; Thomas Reinhard Journal: Mol Vis Date: 2010-10-02 Impact factor: 2.367