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Murine Renal Transplantation Procedure
Published on: July 10, 2009
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Pediatric renal transplant practices in India
Sidharth Kumar Sethi1, Rajiv Sinha2,3, Smriti Rohatgi1
1Kidney and Renal Transplant Institute, Medanta, The Medicity Hospital, Gurgaon, Haryana, India.
Pediatric Transplantation
|February 2, 2017
Summary
Pediatric kidney transplants in India face challenges like limited access to care and trained specialists. Despite this, immunosuppressant drug use mirrors Western practices, but availability remains a concern.
Area of Science:
- Nephrology
- Transplantation Medicine
- Public Health
Background:
- Pediatric renal transplantation is crucial for end-stage renal disease in children.
- Developing countries face significant hurdles in providing this service.
- India's landscape of pediatric transplantation is not well-documented.
Purpose of the Study:
- To assess the current status of pediatric renal transplantation in India.
- To identify challenges and practices in pediatric kidney transplantation across India.
Main Methods:
- A nationwide survey using a questionnaire designed by pediatric nephrologists.
- Circulation of the questionnaire to adult and pediatric nephrologists across India.
- Analysis of responses regarding transplant practices, facilities, and challenges.
Main Results:
- A majority of responding adult and pediatric nephrologists are involved in pediatric transplantation.
- Most transplant centers are private/trust-based, with limited government involvement.
- Few centers perform over five transplants annually; preemptive transplants and protocol biopsies are rare.
- Lower transplant rates in children under six, scarcity of cadaveric programs, and a lack of trained personnel were noted.
- Immunosuppressant regimens align with Western registry data, but service accessibility across regions and economic strata is a major concern.
Conclusions:
- Significant challenges impede universal pediatric renal transplantation in India, including resource limitations and workforce shortages.
- While immunosuppression protocols are comparable to international standards, equitable access remains a critical issue.
- Further development of infrastructure, donor programs, and specialized training is essential to improve pediatric kidney transplant services in India.
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