Pediatric kidney transplantation in China: an analysis from the IPNA Global Kidney Replacement Therapy Registry
- PDF / 568,817 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 27 Downloads / 202 Views
ORIGINAL ARTICLE
Pediatric kidney transplantation in China: an analysis from the IPNA Global Kidney Replacement Therapy Registry Qian Shen 1 & Xiaoyan Fang 1 & Xinyue Man 1 & Yihui Zhai 1 & Longshan Liu 2 & Changxi Wang 2 & Wenjun Shang 3 & Guiwen Feng 3 & Lei Zhang 4 & Li Zeng 4 & Youhua Zhu 4 & Jing Chen 1 & Jia Rao 1 & Bradley A Warady 5 & Franz Schaefer 6 & Hong Xu 1 Received: 3 June 2020 / Revised: 12 July 2020 / Accepted: 25 August 2020 # IPNA 2020
Abstract Background The International Pediatric Nephrology Association (IPNA) Global Kidney Replacement Therapy (KRT) Registry was established to evaluate the incidence and outcomes of kidney replacement therapy (dialysis and transplantation) provided to children worldwide. Analysis of registry data for separate regions is feasible. Methods Three centers located in Shanghai, Guangzhou, and Zhengzhou, which have the greatest number of pediatric kidney transplantation cases in China, participated in this analysis of transplant data. Data were registered by each center for patients under the age of 19 years who received a single-organ kidney transplant for the first time between 2011 and 2018. Results In total, 415 patients (59.8% male) aged 1.4–18.7 (median 12.1) years were followed for 0.3–97.1 (median 27.7) months. The number of kidney transplants increased from a total of 129 during 2011–2014 to 286 cases during 2015–2018. 85.8% of patients received the transplanted kidney from a pediatric (age < 19 years) donor, and deceased donors accounted for 94% of all donors. 8.0% of grafts were lost. One and 5-year patient survival rates were 97.6% and 95.5%, respectively. The major cause of death was infection (7/14). Similar graft and patient survival rates were observed for organs from pediatric and adult donors in 6– 11 and 12–18 year recipient age groups, whereas recipients < 6 years showed inferior patient and graft survival. Conclusions Pediatric kidney transplantation shows favorable short-term and medium-term outcomes in China. Our experience supports use of pediatric donors in pediatric kidney transplantation, but attention directed to the outcome of recipients aged under 6 is necessary.
Keywords Kidney transplant . Children . Prognosis . China
Qian Shen and Xiaoyan Fang contributed equally to this work. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00467-020-04745-7) contains supplementary material, which is available to authorized users. * Hong Xu [email protected] 1
Department of Nephrology, Children’s Hospital of Fudan University, Shanghai, China
2
Organ Transplant Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
3
Department of Kidney Transplantation, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
4
Department of Organ Transplantation, Changhai Hospital, Second Military Medical University, Shanghai, China
5
Division of Pediatric Nephrology, Children’s Mercy Kansas City, Kansas City, MO, USA
6
Pediatric Nephrology Division, Heidelberg Univers
Data Loading...
