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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 69 - 74 (6page)
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Purpose: Kidney transplantation (KT) is an ideal treatment for pediatric patients with end-stage renal disease (ESRD). We report the clinical outcomes of pediatric ESRD patients who underwent KT in a single regional center.
Methods: We retrospectively investigated the medical records of 60 pediatric patients who were diagnosed with ESRD and underwent KT in our hospital between January 1985 and June 2016.
Results: A total of 60 children and adolescents (40 male, 20 female; mean age, 13.86±4.26 years) were included in this study. Six patients (10.0%) underwent KT immediately after receiving the diagnosis of ESRD, while the others underwent KT after dialysis treatment (mean period of dialysis, 368.7±4,41.8 days). The mean donor age (50 living-related [83.3%], 10 deceased [16.7%]) was 40.0±12.85 years and the male:female ratio was 1.07:1. The most common cause of ESRD was chronic glomerulonephritis. The overall survival rates at 1, 3, and 5 years after KT were 98%, 98%, and 96%, respectively, while the graft survival rates at 1, 3, and 5 years were 93%, 86%, and 68%, respectively. Children who underwent KT before 10 years of age had better monthly growth rates than those who underwent KT later than 10 years of age.
Conclusions: KT is performed less frequently in children than in adults, but causes of ESRD vary and clinical outcomes after KT greatly affect the growth and development of pediatric patients. Therefore, further analysis and monitoring of clinical progression after KT in pediatric ESRD patients are necessary.
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참고문헌 (27)
참고문헌 신청
Abe T / 2011 / Long-term outcome of pediatric renal transplantation: a single center experience / Clin Transplant 25 (3) : 388 ~ 394
Agarwal S / 2009 / Changes in pediatric renal transplantation after implementation of the revised deceased donor kidney allocation policy / Am J Transplant 9 (5) : 1237 ~ 12
Aikawa A / 2014 / ABOincompatible living-donor pediatric kidney transplantation in Japan / Clinics (Sao Paulo) 69 (Suppl 1) : 22 ~ 27
Alexander SR / 1993 / Maintenance dialysis in North American children and adolescents:a preliminary report. North American Pediatric Renal Transplant Cooperative Study (NAPR
Amaral S / 2012 / Racial disparities in access to pediatric kidney transplantation since share 35 / J Am Soc Nephrol 23 (6) : 1069 ~ 1077
Agarwal S / 2009 / Changes in pediatric renal transplantation after implementation of the revised deceased donor kidney allocation policy / Am J Transplant 9 (5) : 1237 ~ 12
Aikawa A / 2014 / ABOincompatible living-donor pediatric kidney transplantation in Japan / Clinics (Sao Paulo) 69 (Suppl 1) : 22 ~ 27
Alexander SR / 1993 / Maintenance dialysis in North American children and adolescents:a preliminary report. North American Pediatric Renal Transplant Cooperative Study (NAPR
Amaral S / 2012 / Racial disparities in access to pediatric kidney transplantation since share 35 / J Am Soc Nephrol 23 (6) : 1069 ~ 1077
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