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[Terminal kidney insufficiency in children in the years 1979 through 1986 in The Netherlands]
Insights
Pediatric patients with end-stage renal disease saw increased use of continuous ambulatory peritoneal dialysis (CAPD), a method suitable for young children. The study highlights the need for more kidney transplantations due to insufficient dialysis facilities.
Area of Science:
- Pediatric Nephrology
- Renal Replacement Therapy
- Dialysis Modalities
Context:
- Analysis of 167 children with end-stage renal disease treated between 1979-1986 across four pediatric dialysis centers.
- Comparative review of treatments including hemodialysis and continuous ambulatory peritoneal dialysis (CAPD).
Purpose:
- To evaluate the trends and suitability of different dialysis modalities in pediatric end-stage renal disease.
- To assess the capacity of existing facilities and the need for increased transplantation.
Summary:
- 124 children received hemodialysis, while 43 were treated with CAPD, with a noted increase in CAPD utilization in later years.
- CAPD demonstrated suitability for younger pediatric patients.
- The study identified a growing patient population that exceeds the current capacity of available treatment facilities.
Impact:
- Suggests a shift towards CAPD for specific pediatric populations.
- Emphasizes the critical need to expand kidney transplantation services to meet the rising demand.
- Highlights potential limitations in current healthcare infrastructure for pediatric renal failure management.
Abstract:
During the period 1979-1986, 167 children with terminal renal failure were treated in 4 dialysis centres for children: 124 of them were treated by haemodialysis, 43 by continuous ambulatory peritoneal dialysis (CAPD). The frequency of CAPD increased during the last few years. This method is suitable for small children. The number of transplantations should be increased. Present facilities cannot deal with the numbers of new patients with terminal renal failure.