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Dialysis in Children and Adolescents: The Pediatric Nephrology Perspective

Deepa H Chand1, Sarah Swartz2, Shamir Tuchman3

  • 1Abbvie, Chicago, IL; University of Illinois College of Medicine-Peoria, Peoria, IL.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|December 13, 2016
PubMed

Insights

This position paper provides essential guidance for the specialized care of children with end-stage renal disease (ESRD) undergoing dialysis. It details unique pediatric needs, interdisciplinary team roles, and facility requirements for optimal pediatric dialysis management.

Area of Science:

  • Pediatric Nephrology
  • Renal Replacement Therapy
  • Healthcare Management

Background:

  • Care for children with end-stage renal disease (ESRD) is highly specialized.
  • Existing knowledge gaps exist among non-pediatric providers and administrators regarding pediatric dialysis.
  • A need for specific guidance tailored to pediatric dialysis care is evident.

Purpose of the Study:

  • To provide comprehensive guidance for providers, facilities, and institutions on essential components of pediatric dialysis care.
  • To highlight key differences between adult and pediatric dialysis units.
  • To outline the roles and expectations of the interdisciplinary dialysis team for pediatric patients.

Main Methods:

  • This position paper synthesizes expert knowledge and best practices.
  • It reviews physical and staffing requirements unique to pediatric dialysis facilities.
  • It emphasizes vascular access, care planning, and quality-of-life assessment tools for pediatric ESRD.

Main Results:

  • Identifies critical differences in adult versus pediatric dialysis units.
  • Defines responsibilities of the interdisciplinary team in pediatric dialysis.
  • Stresses the importance of specialized vascular access and quality-of-life metrics for children.

Conclusions:

  • This paper serves as a vital reference for the provision of specialized care to pediatric patients with ESRD.
  • It underscores the necessity of tailored approaches, interdisciplinary collaboration, and appropriate resources.
  • Endorsement by the American Society of Pediatric Nephrology (ASPN) validates its recommendations.

Keywords:
ASPN position paperAmerican Society of Pediatric Nephrology (ASPN)Pediatric nephrologyadolescentschildrendialysis unit staffingend-stage renal disease (ESRD)hemodialysis (HD)infantsinterdisciplinary dialysis team (IDT)peritoneal dialysis (PD)practice recommendationsyoung person

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