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Updated: Mar 26, 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 Giglia1, Howard Chan1
11 Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada ; 2 Department of Internal Medicine, McMaster University, Hamilton, Ontario, Canada.
Insights
General pediatricians are increasingly caring for children with kidney allografts. This article guides them on managing these patients
Area of Science:
- Pediatric Nephrology
- Transplantation Medicine
- Primary Care Pediatrics
Background:
- Increasing numbers of successful pediatric renal transplantations.
- Growing need for community-based outpatient care for these children.
- Importance of primary care providers in long-term management.
Purpose of the Study:
- To inform general pediatricians about their role in caring for pediatric renal allograft recipients.
- To outline common practice issues and specific needs of these patients.
- To enhance pediatrician competency in managing post-transplant care.
Main Methods:
- Review of current literature and clinical guidelines.
- Discussion of common post-transplant complications and immunosuppressive therapy.
- Highlighting the collaborative role between transplant centers and primary care.
Main Results:
- Pediatricians are crucial for long-term care, especially for distant patients.
- Knowledge of immunosuppression and specific clinical problems is essential.
- Effective communication and coordination with transplant teams are vital.
Conclusions:
- General pediatricians play a key role in the ongoing care of children with kidney transplants.
- Education and preparedness are necessary for pediatricians to provide optimal care.
- This guidance aims to support pediatricians in managing these complex patients.
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.
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