Related Experiment Video
Updated: Dec 25, 2025

Murine Renal Transplantation Procedure
Published on: July 10, 2009
UK national study of barriers to renal transplantation in children
Ji Soo Kim1,2, Matko Marlais3,2, Ramnath Balasubramanian4
1Paediatric Nephrology, Great Ormond Street Hospital For Children NHS Foundation Trust, London, UK jisoo.kim@nhs.net.
Insights
Barriers to pediatric kidney transplants include disease, donor availability, and child size. Addressing these, particularly donor access and psychosocial support, can improve pediatric renal transplantation outcomes.
Area of Science:
- Pediatric Nephrology
- Transplantation Medicine
- Public Health
Background:
- Access to pediatric renal transplantation is crucial for children with end-stage kidney disease (ESKD).
- Identifying barriers is essential for improving transplant rates and patient outcomes.
Purpose of the Study:
- To investigate access to pediatric renal transplantation.
- To examine potential barriers within the pediatric renal transplantation process.
Main Methods:
- A cross-sectional, multicentre, observational study was conducted.
- Data were collected from 12 out of 13 UK pediatric nephrology centers.
- Information on transplantation plans for children (<18 years) with ESKD was gathered.
Main Results:
- 308 children with ESKD were included.
- 45% were prepared for living donor transplantation; 27% were listed for deceased donor transplantation.
- Key barriers included disease factors (36%), donor availability (27%), child size (20%), and psychosocial factors (19%).
Conclusions:
- This study documented significant barriers to renal transplantation in children.
- Modifiable factors, such as improving donor availability and addressing psychosocial support, can enhance pediatric transplantation rates.
Aims:
To investigate access to paediatric renal transplantation and examine potential barriers within the process.
Methods:
Cross-sectional, multicentre, observational study where paediatric nephrology centres in the UK were requested to provide data on transplantation plans for all children (<18 years) with end-stage kidney disease (ESKD).
Results:
308 children with ESKD were included in this study from 12 out of 13 UK paediatric nephrology centres. 139 (45%) were being prepared for living donor transplantation and 82 (27%) were listed for deceased donor transplantation. The most common cited factors delaying transplantation from occurring in children were disease factors (36%), donor availability (27%) and size of the child (20%). Psychosocial factors were listed as a barrier in 19% of children.
Conclusions:
In this study we have documented the main barriers to renal transplantation in children. Some identified factors may be modifiable through local or national intervention, including donor availability and patient psychosocial factors.
Related Concept Videos
Kidney Transplant I: Introduction
Kidney Transplant II: Surgical Procedure
Kidney Transplant III: Nursing Management
Pharmacokinetics in Pediatric Patients: Drug Excretion
Acute Kidney Injury IV: Diagnostic Studies and Prevention
Pharmacokinetics in Pediatric Patients: Drug Metabolism

