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The management of dialysis and transplantation in children

J E Lewy

    Journal of Dialysis
    |January 1, 1976
    PubMed

    Insights

    Children with severe kidney failure experience unique challenges. Medical care for pediatric renal failure must address growth, development, and psychosocial needs, with transplantation offering better rehabilitation outcomes.

    Area of Science:

    • Pediatric Nephrology
    • Renal Replacement Therapy

    Background:

    • Children with severe renal failure present unique physiological and psychosocial challenges.
    • Congenital abnormalities are more prevalent causes of end-stage renal disease in children compared to glomerulonephritis.
    • Chronic hemodialysis in children can impede growth, sexual maturation, and emotional development.

    Purpose of the Study:

    • To highlight the specific medical care considerations for children with severe renal failure.
    • To discuss the challenges and outcomes associated with dialysis and renal transplantation in pediatric patients.
    • To examine factors influencing growth and rehabilitation post-renal transplantation.

    Main Methods:

    • Review of existing literature on pediatric renal failure, dialysis, and transplantation.
    • Analysis of age-specific physiological and psychosocial developmental needs.
    • Evaluation of factors affecting growth and rehabilitation outcomes.

    Main Results:

    • Pediatric renal failure necessitates tailored medical interventions, including modified medications and equipment for infants.
    • Hemodialysis in children is associated with potential developmental delays.
    • Renal transplantation shows promise for improved growth and rehabilitation, influenced by factors like renal function and steroid therapy.

    Conclusions:

    • Integrated medical care addressing growth and psychosocial aspects is crucial for children with severe renal failure.
    • Renal transplantation appears to offer superior rehabilitation outcomes compared to chronic hemodialysis.
    • Further research into optimizing growth and development in pediatric renal failure patients is warranted.

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