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DIALYSIS AND RENAL TRANSPLANTATION OF CHILDREN IN EUROPE, 1973 1
Author(s) -
SCHÄRER K.,
PARSONS F. M.,
BRUNNER F. P.,
BURCK H. C.,
GURLAND H. J.
Publication year - 1976
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1976.tb16535.x
Subject(s) - medicine , dialysis , transplantation , kidney transplantation , peritoneal dialysis , end stage renal disease , kidney disease , surgery , hemodialysis , pediatrics
SUMMARY The number of children accepted for intermittent dialysis and renal transplantation in Europe and the number of centres specialising in this treatment are increasing. However, during 1973 only about a third of all children with end‐stage chronic kidney disease were being accepted for treatment in Europe. Although transplantation was favoured in some countries for the whole of Europe only 30% of children surviving at the end of 1973 had been transplanted. The number of patients transferred to home dialysis continued to increase. With all forms of treatment patient survival rates in children were higher than in older patients. Home haemodialysis gave the best survival with 95% four years after start of treatment, compared to 72% on hospital dialysis. Patient and graft survival reached 75 and 48% four years after a living donor transplant and 61 and 39% after a cadaver transplant, respectively. Retransplants had a poorer outcome. Full activity in ordinary school was achieved in about 80% of all patients with transplants or on home dialysis, but in only 43 % of those treated by hospital dialysis. The trend to dialyse more frequently continues. Growth velocity on long‐term dialysis and after transplantation was subnormal in the majority, but growth continued for a longer period of time indicating that puberty was delayed.