1. Good outcome of the single‐center pediatric kidney transplant program in Abu Dhabi
- Author
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Omar AlMasri, Gurinder Kumar, Bakar Mustafa Ayyash, Zubaida Alismaili, Eslam Tawfik, Eihab AlKhasawneh, Zain Al Yafei, Hanan Al Hadhrami, Sadia Hafez Ilyas, and Gehad El Ghazali
- Subjects
Graft Rejection ,Male ,Pediatrics ,medicine.medical_specialty ,Adolescent ,medicine.medical_treatment ,030232 urology & nephrology ,United Arab Emirates ,030230 surgery ,Single Center ,Peritoneal dialysis ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Living Donors ,medicine ,Humans ,Program Development ,Child ,Kidney transplantation ,Retrospective Studies ,Transplantation ,business.industry ,Graft Survival ,medicine.disease ,Kidney Transplantation ,Treatment Outcome ,surgical procedures, operative ,Abu dhabi ,Child, Preschool ,Donation ,Pediatrics, Perinatology and Child Health ,Quality of Life ,Kidney Failure, Chronic ,Female ,Graft survival ,business ,Glomerular Filtration Rate - Abstract
Renal transplantation is the treatment of choice for ESRD in children. It is associated with better quality of life, growth of children, and improved long-term survival. The aim of the study was to evaluate the outcomes of pediatric renal transplantation at a tertiary care center in UAE. A retrospective chart review was undertaken for all the pediatric renal transplants performed at Sheikh Khalifa Medical City, Abu Dhabi, UAE, over the past 9 years. The study evaluated the demographic data, outcomes, and complications of pediatric renal transplantation. The post-transplantation outcomes including surgical complications, documented infections, graft rejection, graft and patient survival, effect on growth, and eGFR were reviewed. Between 2010 and 2018, 30 pediatric patients underwent renal transplantation. The follow-up period ranged from 1 to 9 years with a mean of 3.3 years. The mean age of the patients at the time of transplant was 9.8 years, and 56.7% were males. Prior to the transplantation, the majority of the recipients were on peritoneal dialysis (70.0%). Main source of renal donation at our center was from LRD, chiefly from parents. Patient survival at 1 and 5 years was 100% and 96.7%, respectively. Graft survival at 1 and 5 years was 96.7% and 83.3%, respectively. During the 9-year follow-up period, 5 (16.7%) recipients experienced rejection episode. This study demonstrates that during 5-year period, pediatric kidney transplantation program has achieved optimal patient (96.7%) and graft (83.3%) survival rates and is comparable to well-established centers.
- Published
- 2019
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