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.

Translational Pediatrics
|February 3, 2016
PubMed

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.

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