Pediatric transplantation: An international perspective.

Area of Science:

• Pediatric solid organ transplantation
• Global health
• Transplant surgery

Background:

• International pediatric transplant practices are diverse and evolving.
• Global transplant activity is increasing, extending into developing economies.
• The COVID-19 pandemic initially decreased transplant numbers.

Purpose of the Study:

• To review global trends in pediatric solid organ transplantation.
• To highlight disparities and needs in pediatric transplant programs worldwide.
• To identify key areas for future improvement in pediatric transplantation.

Main Methods:

• Review of international transplant practices and trends.
• Analysis of organ donor program differences (deceased vs. live donor).
• Examination of global organ allocation strategies for children.

Main Results:

• Pediatric transplant activity is growing globally, with emerging economies adopting the practice.
• Developed nations primarily use deceased donor programs, while developing nations rely on live donor programs.
• Organ prioritization for children varies significantly across different regions.

Conclusions:

• Pediatric transplantation is a growing sub-specialty requiring specialized training.
• International partnerships are vital for establishing transplant programs in resource-limited settings.
• Enhanced international collaboration, data collection, research, and education are essential for improving outcomes in pediatric solid organ transplantation.