Paediatric dialysis and transplantation experience in Queensland

Between 1967 and 1981 27 children 6-15 years of age with end stage renal failure were treated in Queensland. The major cause of renal failure was reflux nephropathy (10). Actuarial graft survival was 55%, 50% and 35% at one, two and five years. Patient survival was 88%, 83% and 63% at one, two and five years. Seven deaths occurred, the major cause being hypertension in five children. Since 1978, patient survival has improved with a 93% survival at 3 years. Rehabilitation has been satisfactory with eleven of twelve school-aged children now attending school full time.