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Chronic dialysis in children and adolescents. The 2001 NAPRTCS Annual Report

Alicia M Neu1, P L Martin Ho, Ruth A McDonald

  • 1The Jhons Hopkins University School of Medicine, Baltimere, Maryland, USA. aneu@jhmi.edu

Pediatric Nephrology (Berlin, Germany)
|August 20, 2002
PubMed

Insights

Pediatric dialysis care has evolved, with increased use of advanced peritoneal dialysis catheters and improved hemodialysis access. Erythropoietin use is now standard, leading to better patient hematocrit levels.

Area of Science:

  • Pediatric Nephrology
  • Renal Replacement Therapy
  • Dialysis Technology

Background:

  • The North American Pediatric Renal Transplant Cooperative Study (NAPRTCS) registry tracks pediatric dialysis patients.
  • Understanding trends in dialysis care is crucial for improving patient outcomes.

Purpose of the Study:

  • To analyze trends in dialysis modalities and access in pediatric patients from the NAPRTCS registry.
  • To evaluate changes in medication use and hematocrit levels over time.

Main Methods:

  • Analysis of data from the NAPRTCS registry, covering 4,546 pediatric dialysis patients.
  • Comparison of dialysis initiation data between two periods: 1992-1996 and 1997-2000.

Main Results:

  • Increased use of dual-cuff peritoneal dialysis catheters, Swan neck tunnels, and downward-pointing exit sites.
  • Higher utilization of jugular veins for hemodialysis access and near-universal erythropoietin prescription by 1996.
  • Significant improvement in median hematocrit levels at 6 months post-dialysis initiation.

Conclusions:

  • Pediatric dialysis care has seen significant advancements in catheter technology and vascular access.
  • Erythropoietin therapy has become standard, effectively improving anemia management in pediatric dialysis patients.

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