Recent developments in kidney transplantation in children

K. Rusai, Attila J. Szabo

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose of Review: Renal transplantation in childhood is a well established procedure with excellent short-term outcomes. However, waiting times for transplantation are still relatively long if living donation cannot be performed, and long-term outcomes after transplantation have not significantly improved during the last decade. RECENT FINDINGS: This review describes alternative modalities to improve donation rates such as en bloc kidney transplantation from young donors, ABO-incompatible transplantation and kidney paired donation. This review also deals with long-term post-transplant morbidities, such as follows: first, medication side-effects (metabolic syndrome, cardiovascular disease) and with the benefits of steroid and calcineurin inhibitor drug minimization; second, the deleterious impact of viral infections and their management and third, chronic antibody-mediated rejection, its therapeutic and prevention possibilities. SUMMARY: Donor shortage and long-term morbidities, after transplantation, are still relevant issues in paediatric renal transplantation medicine. Significant research and efforts have been made to advance the field and create novel approaches for improvement of transplantation rates and post-transplant graft or patient survival. These modalities are to be established in the routine setting.

Original languageEnglish
Pages (from-to)381-386
Number of pages6
JournalCurrent Opinion in Organ Transplantation
Volume19
Issue number4
DOIs
Publication statusPublished - 2014

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Kidney Transplantation
Transplantation
Transplants
Tissue Donors
Morbidity
Virus Diseases
Cardiovascular Diseases
Steroids
Medicine
Pediatrics
Survival
Antibodies
Research
Pharmaceutical Preparations
Therapeutics

Keywords

  • Children
  • En bloc transplantation
  • Kidney transplantation
  • Nonadherence
  • Viral infections

ASJC Scopus subject areas

  • Immunology and Allergy
  • Transplantation
  • Medicine(all)

Cite this

Recent developments in kidney transplantation in children. / Rusai, K.; Szabo, Attila J.

In: Current Opinion in Organ Transplantation, Vol. 19, No. 4, 2014, p. 381-386.

Research output: Contribution to journalArticle

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