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.
Abstract

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