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Procedure: Kidney Transplant

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Total 48268 results found since Jan 2013.

Outcomes of arteriovenous fistula for hemodialysis in pediatric age group
CONCLUSION: Native AVF in pediatric is the first choice dialysis access even in pediatric population. Radiocephalic in the non-dominant hand is the most preferred site.PMID:34917348 | PMC:PMC8646130 | DOI:10.1016/j.amsu.2021.103100
Source: Annals of Medicine - December 17, 2021 Category: Internal Medicine Authors: Okba F Ahmed Omar M Hamodat Fahmi H Kakamad Rabea S Abduljabbar Abdulwahid M Salih Diyar A Omar Mohammed Q Mustafa Marwan N Hassan Shvan H Mohammed Tomas M Mikael Kayhan A Najar Dahat A Hussen Source Type: research

Impact of nephrology care trajectories pre-CKD stage 5 on initiation of kidney replacement therapy in children
ConclusionWe identified a group of patients with irregular follow-up who may benefit the most from interventions aiming at improving adherence to treatment and earlier diagnosis of their CKD to improve access to PKT.Graphical abstractA higher resolution version of the Graphical abstract is available as Supplementary information.
Source: Pediatric Nephrology - February 10, 2022 Category: Urology & Nephrology Source Type: research

Acute kidney injury in pediatric hematopoietic cell transplantation: critical appraisal and consensus
AbstractHematopoietic cell transplantation (HCT) is a common therapy for the treatment of neoplastic and metabolic disorders, hematological diseases, and fatal immunological deficiencies. HCT can be subcategorized as autologous or allogeneic, with each modality being associated with their own benefits, risks, and post-transplant complications. One of the most common complications includes acute kidney injury (AKI). However, diagnosing HCT patients with AKI early on remains quite difficult. Therefore, this evidence-based guideline, compiled by the Pediatric Continuous Renal Replacement Therapy (PCRRT) working group, present...
Source: Pediatric Nephrology - February 28, 2022 Category: Urology & Nephrology Source Type: research

Pediatric kidney transplantation and mortality: Distance to transplant center matters
Abstract Distance from pediatric kidney transplant centers may be a significant barrier in accessing care for patients and families, particularly due to the lower number of pediatric kidney transplant centers compared with the number of adult centers. We performed a retrospective cohort study using data from the Scientific Registry of Transplant Recipients to determine the effect of distance on pediatric kidney transplant waitlist outcomes. We found that distance did not play a role in the likelihood of transplantations for patients who were placed on the waitlist. However, living a greater distance from the transplant cen...
Source: Pediatric Transplantation - December 1, 2017 Category: Transplant Surgery Authors: Bonnie Cao, Joel T. Adler, Yanik J. Bababekov, James F. Markmann, David C. Chang, Heidi Yeh Tags: ORIGINAL ARTICLE Source Type: research

Pediatric acute kidney injury in North India: A prospective hospital-based study.
Abstract The conducted study aimed to determine the incidence and clinical profile of acute kidney injury (AKI) in hospitalized patients using the AKI Network (AKIN) criteria. This prospective observational study was conducted at the Pediatric ward and pediatric Intensive Care Unit of a tertiary level teaching hospital in North India. The participants were 763 consecutive patients aged three months to 12 years from January 2014 to October 2015 and were assessed for eligibility. Of these, 163 patients were excluded from the study. Main outcome measure was incidence of AKI based on the AKIN criteria. Factors associa...
Source: Saudi Journal of Kidney Diseases and Transplantation - May 1, 2018 Category: Urology & Nephrology Authors: Nawaz S, Afzal K Tags: Saudi J Kidney Dis Transpl Source Type: research

“It Can’t Be the Dialysis that Kills the Child…” Partnering Pediatric Palliative Care with Care for Children with End-Stage Renal Disease (TH366)
As chronic kidney disease progresses to end-stage renal disease (ESRD), important discussions regarding when and if to initiate dialysis occur. ESRD affects more than 660,000 Americans, less than 10,000 (1.5%) of those are pediatric patients whose time on dialysis is typically meant as a bridge to transplant. In rare circumstances, comorbidities, such as multiorgan failure, progression of other life-threating medical conditions, congenital anomalies, and size restrictions limit pediatric candidates ’ access to transplant.
Source: Journal of Pain and Symptom Management - January 23, 2019 Category: Palliative Care Authors: Melissa Meyers, Christine Breen, Joan Chrastek, Lawrence Copelovitch, Gwenn Laragione, Shefali Parikh, Rachael Stover-Haney, Naomi Goloff Source Type: research

Ambulatory Blood Pressure at Sea Level and High Altitude in a Climber with a Kidney Transplant and Hypertension
High Altitude Medicine&Biology, Ahead of Print.
Source: High Altitude Medicine and Biology - July 11, 2019 Category: Sports Medicine Authors: Benoit Phelan Luke Mather Nirajan Regmi Jennifer Starling David Twillmann Matthew McElwee Purshotam Paudel Buddha Basnyat Linda E. Keyes Source Type: research

Diagnostics, treatment, and immune response in BK polyomavirus infection after pediatric kidney transplantation
AbstractAfter pediatric kidney transplantation BK polyomavirus (BKPyV) infections are associated with an increased risk of graft loss by BKPyV-associated nephropathy (BkPyVAN). However, suitable prognostic markers for the individual outcome of BKPyV infections are missing and the management of therapeutic interventions remains a challenge to the success of pediatric kidney transplantation. This review gives an overview on current diagnostic and therapeutic strategies in the field of BKPyV infections after pediatric kidney transplantation. Methods determining the individual immune response to BKPyV are described and their u...
Source: Pediatric Nephrology - January 17, 2020 Category: Urology & Nephrology Source Type: research

Long-term Outcomes and Health Perceptions in Pediatric-onset Portal Hypertension Complicated by Varices
Conclusions: Pediatric-onset portal hypertension is a heterogeneous disease with significant long-term morbidity, requiring multimodal approach with considerable resources and continuation of follow-up in adulthood. Although mortality to variceal bleeding was avoided, bleeding episodes recurred also in adulthood, while patient-reported health of long-term survivors was encouraging.
Source: Journal of Pediatric Gastroenterology and Nutrition - April 27, 2020 Category: Gastroenterology Tags: Original Articles: Hepatology Source Type: research

Antibody response to 2- and 3-dose SARS-CoV-2 mRNA vaccination in pediatric and adolescent kidney transplant recipients
ConclusionsOur results demonstrate that additional SARS-CoV-2 vaccine doses are not only safe and efficacious in pediatric and adolescent KTR, but may be necessary to optimize antibody response.Graphical AbstractA higher resolution version of the Graphical abstract is available asSupplementary information
Source: Pediatric Nephrology - December 19, 2022 Category: Urology & Nephrology Source Type: research

Using an interactive water bottle to target fluid adherence in pediatric kidney transplant recipients: A pilot study
Abstract Hydration is important post‐renal transplant to maintain adequate renal perfusion and graft function. Adherence to fluid recommendations is challenging given barriers to staying hydrated. There are no studies of adherence to fluid intake recommendations following pediatric renal transplant. Through this pilot study, we sought to determine whether the use of a commercially available interactive water bottle would lead to better adherence to recommended fluid intake and improved kidney functioning post‐transplant relative to standard of care. Participants included 32 youth ages 7–19 ≥1 month post‐kidney t...
Source: Pediatric Transplantation - November 12, 2014 Category: Transplant Surgery Authors: Kristin A. Kullgren, Penny Scholl, Kelley M. Kidwell, S. Paul Hmiel Tags: Original Article Source Type: research

Sustaining life or prolonging dying? Appropriate choice of conservative care for children in end-stage renal disease: an ethical framework
Abstract Due to technological advances, an increasing number of infants and children are surviving with multi-organ system dysfunction, and some are reaching end-stage renal disease (ESRD). Many have quite limited life expectancies and may not be eligible for kidney transplantation but families request dialysis as alternative. In developed countries where resources are available there is often uncertainty by the medical team as to what should be done. After encountering several of these scenarios, we developed an ethical decision-making framework for the appropriate choice of conservative care or renal replacemen...
Source: Pediatric Nephrology - August 26, 2015 Category: Urology & Nephrology Source Type: research