The long-term outcomes of pediatric kidney transplantation: a single-centre experience in China.
To explore the long-term outcomes of paediatric kidney transplantation and the effects of renal allograft on growth, education, employment, marriage and procreation. Twenty-seven children with ESRD received the renal allograft from 1985 to 2001. The patient and kidney survival rate, renal function, growth and employment, etc., were reviewed retrospectively. The average follow-up period was 10.3 +/- 4.4 yr. The one-, three-, five- and 10-yr graft survival rates were 96.3%, 88.9%, 81.5% and 66.7%, respectively, and the corresponding patient survival rates were 100%, 92.6%, 85.2% and 68.8%. The body weight gain was 4-10 kg in one-yr post-operative and the height increased 0-2 cm for girls and 2-5 cm for boys. A total of 44.4% of the recipients accomplished their education above junior high school. The employment rate was 46.2% in males, and 57.2% in females. Twelve patients were married. Non-adherence occurred in 30% of the recipients. Forty percent of the surviving recipients developed complications. Seven patients died. More attention should be paid to non-adherence of medications and more supports from the society are required to improve the life quality of paediatric recipients, especially in employment and education.
Wu
Zhi-Xian
ZX
Transplant Center, General Hospital, Fuzhou, Fujian Province, China.
Yang
Shun-Liang
SL
Wu
Wei-Zhen
WZ
Cai
Jin-Quan
JQ
Wang
Qing-Hua
QH
Wang
Dong
D
Gao
Xia
X
Liao
Lian-Ming
LM
Tan
Jian-Ming
JM
D000293:Adolescent; D000328:Adult; D002648:Child; D002657:Child Development; D002681:China; D004522:Educational Status; D004651:Employment; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D008297:Male; D017533:Marital Status; D011788:Quality of Life; D013997:Time Factors; D016896:Treatment Outcome