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Clinical Pediatrics, Vol. 32, No. 4, 194-202 (1993)
DOI: 10.1177/000992289303200401

Cadaver Renal Transplantation in Children

Incidence, Immunosuppression, Outcome, and Risk Factors

Amir Tejani, M.D.

SUNY- Health Science Center at Brooklyn, Box 49, 450 Clarkson Avenue, Brooklyn, NY 11203SUNY-Health Science Center at Brooklyn Brooklyn, New York

Richard N. Fine, M.D.

SUNY at Stony Brook Stony Brook, New York

In North America, about 50% of all renal transplants done in children are from a living-related donor source — a figure two and a half times greater than the comparative figure for Europe. Graft survival in children is lower for cadaveric donor (CD) than for living-related donor (LRD) kidneys. Four of 10 children with a CD kidney lose their graft within four years. Since it is unlikely that the availability of LRD kidneys will increase, attention must be focused on improving outcome of cadaver renal transplants in children. This review analyzes factors that affect graft outcome. Young recipient age, utilization of kidneys from very young donors, and cold ischemia time are detrimental to prolonged graft survival. Additional factors that impact adversely on cadaver graft survival are a history of previous transplantation, absence of a DR match, and black ethnic origin of the recipient. An understanding of risk factors to graft survival should enable physicians to optimize cadaver renal transplantation in children.


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