ArticleWorld journal of clinical pediatrics2026
Pediatric kidney transplant disparities.
Article in World journal of clinical pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundKidney transplantation (KT) is essential for end-stage renal disease, significantly improving survival and quality of life. Yet, in pediatric renal disease management, minority children face poorer dialysis outcomes and reduced access to transplantation.
aimTo identify and understand these differences in the pediatric population.
methodsUsing ICD-10 codes, we queried the 2022 Health Care Cost and Use Project Kid's Inpatient Database for admissions with a primary or secondary diagnosis of severe chronic kidney disease (sCKD), namely stages 4 and 5, or a KT procedure. Patient demographics, insurance types, and hospital stay metrics were assessed through statistical analyses including Wilcoxon Rank Sum,
resultsA total of 636 hospital admissions related to KT surgery and 3733 hospital admissions with sCKD as the primary diagnosis were identified. In both the KT and sCKD cohorts, most patients were White (42.6%
conclusionPediatric KT recipients were more likely to be male, White, and aged 12-18 years. Racial disparities persist, with ethnic minority groups-particularly Black patients-facing reduced access to KT. These findings underscore the necessity of implementing targeted interventions to promote equitable access to pediatric KT.
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