Developing a framework for evaluating kidney transplantation candidacy in children with multiple comorbidities.

TitleDeveloping a framework for evaluating kidney transplantation candidacy in children with multiple comorbidities.
Publication TypeJournal Article
Year of Publication2015
AuthorsGoldberg AM, Amaral S, Moudgil A
JournalPediatr Nephrol
Volume30
Issue1
Pagination5-13
Date Published2015 Jan
ISSN1432-198X
KeywordsChild, Comorbidity, Humans, Kidney Transplantation, Patient Selection, Transplant Recipients
Abstract

Children with multiple comorbidities, including neurodevelopmental delay, can develop end-stage kidney disease (ESKD). When and if these children should be eligible for kidney transplantation is an area of debate within the pediatric nephrology community and the public. Discussions focus on expected survival and quality of life posttransplant, as well as resource allocation decisions, as donor kidneys remain a limited resource. This paper focuses on the evidence available regarding outcomes in this population and the ethical issues that should be considered. The authors offer a framework for transplant teams evaluating children with comorbidities for kidney transplant, focusing on the benefits and burdens that transplantation can be expected to achieve.

DOI10.1007/s00467-013-2704-4
Alternate JournalPediatr. Nephrol.
PubMed ID24452328