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International pediatric transplant association (IPTA) guidance on developing and/or expanding pediatric solid organ

Hanh D Vo1, Fiona Mackie2, Mignon McCulloch3

  • 1Pediatric Gastroenterology, Hepatology, and Nutrition, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Pediatric Transplantation
|December 5, 2022
PubMed

Insights

Establishing pediatric solid organ transplantation (SOT) in low- and middle-income countries (LMIC) improves access to care for children with organ failure. This paper guides LMIC in developing SOT programs and highlights International Pediatric Transplant Association resources.

Area of Science:

  • Pediatric Solid Organ Transplantation
  • Global Health Equity
  • Healthcare Program Development

Background:

  • Pediatric solid organ transplantation (SOT) is crucial for children with end-stage organ failure.
  • Access to SOT is limited in low- and middle-income countries (LMIC) due to socioeconomic and infrastructural barriers.
  • Establishing local SOT programs can reduce transplant tourism and improve ethical, legal transplant outcomes.

Purpose of the Study:

  • To outline major obstacles hindering pediatric SOT in LMIC.
  • To provide guidance for developing and expanding pediatric SOT programs in LMIC.
  • To highlight available resources from the International Pediatric Transplant Association (IPTA) Outreach Program.

Main Methods:

  • This paper is a society paper, synthesizing expert knowledge and organizational initiatives.
  • It reviews challenges faced by LMIC in establishing pediatric SOT.
  • It summarizes resources offered by IPTA to support program development.

Main Results:

  • Key obstacles to pediatric SOT in LMIC include financial constraints, lack of infrastructure, and limited trained personnel.
  • Developing pediatric SOT programs in LMIC is feasible with strategic planning and resource utilization.
  • The IPTA Outreach Program offers valuable support for establishing and sustaining these programs.

Conclusions:

  • Overcoming barriers to pediatric SOT in LMIC is essential for equitable healthcare access.
  • Collaborative efforts and utilization of resources like those from IPTA can facilitate program establishment.
  • Successful pediatric SOT programs in LMIC enhance patient outcomes and reduce healthcare disparities.

Keywords:
childrensolid organ transplanttransplant program

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