ArticlePediatric nephrology (Berlin, Germany)2013
Factors influencing choice of renal replacement therapy in European paediatric nephrology units.
Article in Pediatric nephrology (Berlin, Germany), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- The psychosocial factors influencing paediatric kidney transplantation access, their outcomes and the patient and family's perceived quality of life: a systematic review and meta-analysis.Pediatric nephrology (Berlin, Germany) · 2026Pooled it
- Epidemiology and Outcomes of Children with Kidney Failure Receiving Kidney Replacement Therapy in Australia and New Zealand.Kidney international reports · 2023Article
- Care of the pediatric patient on chronic peritoneal dialysis.Pediatric nephrology (Berlin, Germany) · 2022Article
- Safeguarding children and young people requiring kidney replacement therapy: challenges and potential opportunities.Pediatric nephrology (Berlin, Germany) · 2022Article
- Commentary on the NICE guideline on renal replacement therapy and conservative management.BMC nephrology · 2021Article
- Resident foreign patients receive adequate dialysis but fewer preemptive transplantations: data from the Italian pediatric dialysis registry.Pediatric nephrology (Berlin, Germany) · 2021Article
- Clinical characteristics at the renal replacement therapy initiation of Japanese pediatric patients: a nationwide cross-sectional study.Clinical and experimental nephrology · 2020Article
- Factors influencing the timing of initiation of renal replacement therapy and choice of modality in children with end-stage kidney disease.Pediatric nephrology (Berlin, Germany) · 2020Article
- Colostomy in children on chronic peritoneal dialysis.Pediatric nephrology (Berlin, Germany) · 2020Article
- Hemodialysis vascular access and subsequent transplantation: a report from the ESPN/ERA-EDTA Registry.Pediatric nephrology (Berlin, Germany) · 2019Article
- Renal allograft survival rates in kidneys initially declined for paediatric transplantation.Pediatric nephrology (Berlin, Germany) · 2018Observational
- Effect of center practices on the choice of the first dialysis modality for children and young adults.Pediatric nephrology (Berlin, Germany) · 2017Article
- Health-related quality of life in patients with pediatric onset of end-stage renal disease: state of the art and recommendations for clinical practice.Pediatric nephrology (Berlin, Germany) · 2016Review
- Renal transplantation in infants.Pediatric nephrology (Berlin, Germany) · 2016Review
- Dynamic O-linked N-acetylglucosamine modification of proteins affects stress responses and survival of mesothelial cells exposed to peritoneal dialysis fluids.Journal of the American Society of Nephrology : JASN · 2014Article
- Psychosocial support for children and families requiring renal replacement therapy.Pediatric nephrology (Berlin, Germany) · 2014Review
- Structural links between the renal stem/progenitor cell niche and the organ capsule.Histochemistry and cell biology · 2014Article
Corrections and comments
- Erratum issuedStefanidos, Constantinos [corrected to Stefanidis, Constantinos J]
Authors and funding
17 authors at 11 institutions in 11 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany factors may impact upon choice of renal replacement therapy (RRT) for children and adolescents, including patient and family choice, patient size and distance from the renal centre as well as logistic issues such as facilities and staffing at the unit. We report a survey of factors influencing treatment choice in 14 European paediatric nephrology units.
methodsA questionnaire was developed by consensus and completed by 14 members of the European Paediatric Dialysis Working Group on facilities, staffing and family assessments impacting on choice of therapy as well as choice of therapy for 97 patients commencing initial RRT in 2011.
resultsAll units offered all modalities of RRT, but there were limitations for pre-emptive transplantation (PET) and largely adult surgical dependence for creation of arteriovenous fistulae and transplantation. The average waiting time for a deceased donor kidney was 18.5 (range 3-36) months. Full time dietetic support was available in six of the 14 units. There was no social worker, psychology, play therapy or teaching support in three, two, seven and four units, respectively. Assessment by other members of the multidisciplinary team and home visits before choice of therapy was carried out in 50 % of units, and although all patients were discussed at team meetings, the medical opinion predominated. In terms of types of RRT, 50 % of patients were commenced on chronic peritoneal dialysis (PD), 34 % on haemodialysis (HD) and 16 % underwent pre-emptive transplantation (PET). Chronic PD predominated in patients aged <5 years and HD predominated in those aged >10 years. Patient and family choice and age or size of patient were predominant factors in choice of therapy with a predictable decline in renal function favouring PET and social factors HD.
conclusionsChronic peritoneal dialysis predominated as primary choice of RRT, especially in younger children. The PET rates remain low. The influence of surgeons predominanted, and national transplant rules may be significant. Most units had insufficient multiprofessional support, which may impact upon initial choice of therapy as well as sustaining families through RRT.
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