Developing a Framework for Evaluating Kidney Transplantation Candidacy in Children with Multiple Comorbidities

Overview

Journal Pediatr Nephrol

Specialties Nephrology
Pediatrics

Date 2014 Jan 24

PMID 24452328

Citations 8

Authors

Aviva M Goldberg

Sandra Amaral

Asha Moudgil

Affiliations

Soon will be listed here.

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.

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