Experience of the first 6 years of pediatric kidney transplantation in Indonesia: A multicenter retrospective study

• DOI: 10.1111/petr.13812
• Publication Date: 2020-08-14T19:51:50Z
• Authors: Cahyani Gita Amba...; Eka Laksmi Hidayati; Partini Pudjiastu...; Meilania Saraswati; Arry Rodjani; Irfan Wahyudi; Gerhard Reinaldi ...; Jon Jin Kim; Omega Mellyana; Agustina Kadarist...
• Keywords: Graft Rejection; Male; Adolescent; Graft Survival; Kaplan-Meier Estimate; Kidney Transplantation; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Indonesia; Humans; Female; Child; Retrospective Studies

Pediatric kidney transplantation was only introduced in Indonesia 2013. We therefore aimed to assess the characteristics and outcomes of transplants performed from its inception January 2019.The study had a dual-center retrospective design. examined records transplant recipients then calculated patient graft survival rates by Kaplan-Meier analysis with 95% confidence intervals (95% CI).In total, 12 transplantations were eleven children during period; among these, ten boys, nine renal failure caused congenital anomaly or urinary tract. All donors living, all on dialysis at time transplantation, when their median age 14.5 years (range, 8-19 years). Three patients died infection first year follow-up two lost allograft last (median, 13 months; range, 4-69 months). The 1-year rate 68.18% CI, 29.72%-88.61%), which remained unchanged 3 5 years. However, non-death-censored 1, 3, 51.14% 14.5%-79.46%), 25.57% 1.38%-64.78%), respectively.Patient after pediatric are lower than those reported other countries. Closer stricter adherence guidelines could improve outcomes, but we must seek balance between rejection.