A regional network review of health care delivery to children and adolescents with end-stage renal disease.
A detailed survey of dialysis facilities in Texas (ESRD Network No. 11) evaluated the health care delivery to all ESRD patients under 21 year of age. 38 units reported data on 115 patients (50 males, 65 females) ranging in age from 7 months to 20 years. Home peritoneal dialysis was used in 20% of the patients with the rest treated by in-center hemodialysis. 50% of the patients were active transplant candidates at the time of survey; of the remaining 58 patients, there were medical reasons for the nontransplant status of 33 but 25 patients elected to stay on dialysis in the absence of medical contraindications to transplant. The units provided excellent support for the psychosocial, educational, nutritional and growth needs of the children and adolescents surveyed.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003695:Delivery of Health Care; D004522:Educational Status; D005260:Female; D006130:Growth Disorders / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007223:Infant; D007676:Kidney Failure, Chronic / Q000523:psychology / Q000628:therapy; D016030:Kidney Transplantation; D008297:Male; D009748:Nutrition Disorders / Q000175:diagnosis / Q000209:etiology; D006435:Renal Dialysis / Q000009:adverse effects; D012917:Social Adjustment; D013781:Texas