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- Title
Paediatric kidney transplantation: Towards a framework for pretransplant urological evaluation.
- Authors
Evans‐Barns, Hannah; Mushtaq, Imran; Michell, Ian; Kausman, Joshua; Webb, Nathalie; Taghavi, Kiarash
- Abstract
The role of the urologist in paediatric kidney transplantation has evolved alongside advances in management for the various causes of end‐stage kidney disease. Improvements in antenatal intervention and postnatal care have seen children with increasingly complex urological anomalies survive until transplant. Once solely responsible for the oversight of a child's surgical care, the paediatric urologist now works within a multidisciplinary transplant team, alongside transplant surgeons, paediatric nephrologists, transplant coordinators, psychologists, social workers, and transitional care specialists. We sought to identify available pretransplant evaluation frameworks to guide urological preparation and decision‐making. Drawing from available evidence and reflecting on multi‐institutional experience, we propose a streamlined approach to urologic assessment, which recognises that optimal transplant outcomes in this heterogenous cohort require lower urinary tract dysfunction to be carefully defined preoperatively.
- Subjects
KIDNEY transplantation; CHRONIC kidney failure; PEDIATRICS; PEDIATRIC nephrology; TRANSITIONAL care
- Publication
Pediatric Transplantation, 2022, Vol 26, Issue 7, p1
- ISSN
1397-3142
- Publication type
Article
- DOI
10.1111/petr.14299