Non-immunologic allograft loss in pediatric kidney transplant recipients

Pediatric Nephrology : Journal of the International Pediatric Nephrology Association
Isa F Ashoor, Vikas R Dharnidharka

Abstract

Non-immunologic risk factors are a major obstacle to realizing long-term improvements in kidney allograft survival. A standardized approach to assess donor quality has recently been introduced with the new kidney allocation system in the USA. Delayed graft function and surgical complications are important risk factors for both short- and long-term graft loss. Disease recurrence in the allograft remains a major cause of graft loss in those who fail to respond to therapy. Complications of over immunosuppression including opportunistic infections and malignancy continue to limit graft survival. Alternative immunosuppression strategies are under investigation to limit calcineurin inhibitor toxicity. Finally, recent studies have confirmed long-standing observations of the significant negative impact of a high-risk age window in late adolescence and young adulthood on long-term allograft survival.

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Citations

Feb 2, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Abdulla EhlayelIsa F Ashoor
Oct 17, 2021·Pediatric Transplantation·Reyna Ester Callisaya CalaniHoracio Márquez González

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