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Erschienen in: Pediatric Nephrology 3/2021

15.09.2020 | Original Article

Pediatric kidney transplantation in China: an analysis from the IPNA Global Kidney Replacement Therapy Registry

verfasst von: Qian Shen, Xiaoyan Fang, Xinyue Man, Yihui Zhai, Longshan Liu, Changxi Wang, Wenjun Shang, Guiwen Feng, Lei Zhang, Li Zeng, Youhua Zhu, Jing Chen, Jia Rao, Bradley A Warady, Franz Schaefer, Hong Xu

Erschienen in: Pediatric Nephrology | Ausgabe 3/2021

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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.
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Metadaten
Titel
Pediatric kidney transplantation in China: an analysis from the IPNA Global Kidney Replacement Therapy Registry
verfasst von
Qian Shen
Xiaoyan Fang
Xinyue Man
Yihui Zhai
Longshan Liu
Changxi Wang
Wenjun Shang
Guiwen Feng
Lei Zhang
Li Zeng
Youhua Zhu
Jing Chen
Jia Rao
Bradley A Warady
Franz Schaefer
Hong Xu
Publikationsdatum
15.09.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
Pediatric Nephrology / Ausgabe 3/2021
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-020-04745-7

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