title: [Outcomes of pediatric renal transplantation in France].
abstract: Significant progress has been observed in pediatric renal transplantation over the last 20 years, leading to an increase in graft and patient survival. Mortality is low and is mainly due to infections, neoplasias and complications related to the initial disease. Graft survival is 67% at 10 years. Factors which influence graft survival are: donor type (results are better with a live donor), donor age, recipient age (with 2 periods at risk:<2 years old and teenagers), HLA incompatibilities, and recurrence of the initial disease. Chronic allograft nephropathy (CAN) is the major cause of late graft loss. Poor compliance, especially in teenagers, may lead to late rejections and graft loss. Calcineurin inhibitors nephrotoxicity is in part responsible for the development of CAN, thus treatments and the role of mTOR inhibitors will probably evolve. These different factors are discussed in this article.
authors: Clinique Médicale Pédiatrique, Hôpital Mère Enfant, 7 Quai Moncousu, 44093 Nantes, France. gwenaelle.roussey@chu-nantes.fr
authors: Gwenaelle
authors: G
authors: Roussey-Kesler
authors: Stéphane
authors: S
authors: Decramer
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D005602:France / Q000453:epidemiology; D006085:Graft Survival; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016030:Kidney Transplantation / Q000009:adverse effects / Q000401:mortality; D012307:Risk Factors; D013927:Thrombosis / Q000209:etiology / Q000517:prevention & control; D016896:Treatment Outcome