ArticlePediatric nephrology (Berlin, Germany)2026
Pediatric kidney transplantation using donors after circulatory death: a national experience from Spain.
Article in Pediatric nephrology (Berlin, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Outcomes and learning curve of single-kidney transplantation from small pediatric donors in children: a retrospective cohort study with meta-analysis.Pediatric surgery international · 2026Pooled it
- Feasibility and comparability in pediatric donation after circulatory death kidney transplantation.Pediatric nephrology (Berlin, Germany) · 2026Article
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10 authors.
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Abstract
backgroundThe shortage of pediatric kidney donors has increased interest in donation after circulatory death (DCD) as an alternative for transplantation.
methodsThis multicenter, retrospective study analyzed all pediatric kidney transplants (KT) from DCD donors performed in Spain between 2013 and 2024 in recipients under 18 years and compared them with 490 KTs from donation after brain death (DBD) donors during the same period.
resultsSixty-four DCD KTs were included. Delayed graft function (DGF) occurred in 12% of cases. DGF risk was higher with donor age > 40 years (p > 0.05) and in grafts retrieved using the rapid recovery (RR) extraction technique (p < 0.05). The median functional warm ischemia time was 13 min (IQR:9-18) and was not associated with an increased risk of DGF. The median cold ischemia time (CIT) was 12.8 h (IQR:9.4-17), and longer CIT was associated with a nonsignificant increase in DGF risk. No DGF occurred when CIT was < 14 h and no additional risk factors were present. Recipients with DGF had a lower estimated glomerular filtration rate one month post-transplant (p < 0.05), but no significant difference at one year. Five-year graft survival rates were not significantly lower in DCD compared to DBD KTs (89.7% vs. 88.5%).
conclusionsAlthough DGF risk was associated with older donor age, RR technique, and longer ischemia times, it did not affect one-year graft function. Graft survival with DCD donors did not appear inferior to that with DBD. DCD KT appears feasible in pediatric recipients and may help expand donor availability under carefully selected conditions.
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