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Updated: May 24, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
[Management of children after renal transplantation: highlights for general pediatricians]
Keith K Lau1, Lucy Giglia, Howard Chan
1Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada. kelau@mcmaster.ca
Insights
Pediatricians increasingly manage children with kidney transplants. General pediatricians need to understand the specific needs and care for these patients undergoing long-term immunosuppression.
Area of Science:
- Pediatric Nephrology
- Transplant Medicine
- Primary Care Pediatrics
Context:
- Increasing number of successful pediatric renal transplantations.
- Growing need for community-based outpatient care for these children.
- General pediatricians are more likely to encounter kidney allograft recipients.
Purpose:
- To inform general pediatricians about their role in caring for pediatric renal allograft recipients.
- To highlight common practice issues and specific needs of these patients.
- To emphasize the importance of pediatrician knowledge in managing long-term post-transplant care.
Summary:
- Pediatric renal transplantation success rates are rising, increasing the likelihood of general pediatricians managing these patients.
- Outpatient care is shifting towards local communities, making primary care provider knowledge crucial.
- Children with kidney allografts require long-term immunosuppression and face unique clinical challenges, necessitating informed pediatric care.
Impact:
- Empowers general pediatricians to provide effective care for pediatric renal transplant recipients.
- Improves long-term outcomes for children with kidney allografts by ensuring knowledgeable primary care.
- Facilitates seamless integration of post-transplant care within the community setting.
Abstract:
The number of children undergoing successful renal transplantations has been increasing steadily and as a result, general pediatricians are now more likely to encounter children with a kidney allograft in their practice. Although the medical care immediately after transplantation is mostly provided by transplant teams, more and more outpatient care will eventually be performed at the patient's local community. Medical care from general pediatricians is particularly important, especially for children who are residing far from transplant centers. As these children require prolong immunosuppressive therapies and are susceptible to various specific clinical problems, it is imperative for their primary care providers and pediatricians to be knowledgeable about their specific needs and be competent in providing care. This article highlights the roles and common practice related issues that pertain to general pediatricians in the care of pediatric renal allograft recipients.
Related Concept Videos
Kidney Transplant III: Nursing Management
Kidney Transplant I: Introduction
Kidney Transplant II: Surgical Procedure
Pharmacokinetics in Pediatric Patients: Drug Excretion
Acute Kidney Injury VI: Nursing Management
Chronic Kidney Disease III: Interprofessional Care

