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Articles tagged "Pediatric"

  • 2018 American Transplant Congress

    Outcomes of Renal Transplantation in Pediatric Patients with VACTERL Association

    J. Diaz,1 B. Chavers,2 S. Chinnakotla,3 P. Verghese.2

    1Medical School, University of Minnesota, Minneapolis, MN; 2Pediatric Nephrology, University of Minnesota, Minneapolis, MN; 3Transplant Surgery, University of Minnesota, Minneapolis, MN.

    In this single-center retrospective review, we studied transplant outcomes in nine pediatric patients with VACTERL association, making this the largest study of its kind. Of…
  • 2018 American Transplant Congress

    Efficacy and Safety of Immediate- and Prolonged-Release Tacrolimus in De Novo Pediatric Transplantation: Randomized Study

    K. Vondrak,1 F. Parisi,2 A. Dhawan,3 R. Grenda,4 N. Webb,5 S. Marks,6 D. Debray,7 R. Holt,8 A. Lachaux,9 D. Kelly,10 G. Kazeem,11 N. Undre.11

    1University Hospital Motol, Prague, Czech Republic; 2Osp Pediatrico Bambino Ges[ugrave], Rome, Italy; 3King's College Hospital, London, United Kingdom; 4The Children's Memorial Health Institute, Warsaw, Poland; 5Manchester University Foundation Trust, Manchester, United Kingdom; 6Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom; 7APHP-Hôpital Universitaire Necker, Paris, France; 8Alder Hey Children's Hospital, Liverpool, United Kingdom; 9Université Lyon 1 et Hospices Civils de Lyon, Lyon, France; 10Birmingham Children's Hospital, Birmingham, United Kingdom; 11Astellas Pharma Europe Ltd, Chertsey, United Kingdom.

    This study assessed long-term efficacy/safety of prolonged-release tacrolimus (PR-T) vs immediate-release tacrolimus (IR-T) in de novo pediatric transplant pts. Phase II, parallel-group, multicenter, open-label study…
  • 2018 American Transplant Congress

    Barriers and Disparities in Listing for Pediatric Solid Organ Transplant

    E. A. Steinberg,1 C. Buchanan,1 M. Wachs,1 S. Schmiege.2

    1Univ. of Colorado School of Medicine/Children's Hospital Colorado, Aurora, CO; 2Colorado School of Public Health, Aurora.

    Purpose The WHO recommends equitable access to transplant, yet disparities in listing based on gender, race, and education exist in adults. There is little research…
  • 2018 American Transplant Congress

    Assessment and Outcomes of Medication Nonadherence in Pediatric Kidney Transplant Recipients: Results from the IMPACT Study

    A. Dokras,1 M. Pearl,1 J. Peipert,1 P. Grimm,4 B. Warshaw,2 E. Chambers,3 A. Kirk,3 R. Ettenger.1

    1University of California, Los Angeles, Los Angeles, CA; 2Children's Healthcare of Atlanta and Emory University, Atlanta, GA; 3Duke University, Durham, NC; 4Stanford University, Palo Alto, CA.

    OBJECTIVE: Medication nonadherence (MNA) plays a key role in transplant (Tx) survival in pediatric kidney patients (pts). However, identification of MNA is challenging and tools…
  • 2018 American Transplant Congress

    Information Needs of Adolescent Transplant Recipients Transitioning to Adult Care

    B. Kosmach-Park,1 D. Shellmer,2 C. Nguyen,3 G. Mazariegos.2

    1Department of Transplant Surgery, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA; 2Hillman Center for Pediatric Transplantation, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA; 3Department of Pediatric Nephrology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.

    Background: As adolescent and young adult (AYA) tx recipients transition to adulthood, a parallel transition in care is essential. The AYA should achieve skills for…
  • 2018 American Transplant Congress

    Single-Dose Pharmacokinetics and Pharmacodynamics of Belatacept in Adolescent Kidney Transplant Recipients

    A. Moudgil,1 V. Dharnidharka,2 D. Feig,3 B. Warshaw,4 V. Perera,5 B. Murthy,5 M. Roberts,5 M. Polinsky,5 R. Ettenger.6

    1Children's National Medical Center, Washington, DC; 2Washington University, St. Louis, MO; 3University of Alabama, Birmingham, AL; 4Emory University & Children's Healthcare of Atlanta, Atlanta, GA; 5Bristol-Myers Squibb, Lawrenceville, NJ; 6University of California, Los Angeles, CA.

    Purpose: To assess the pharmacokinetics (PK) and pharmacodynamic (PD) effect of a single dose of belatacept (bela) administered to adolescent kidney transplant recipients (KTR).Methods: In…
  • 2018 American Transplant Congress

    Assessment of Anti-CMV Immunity by Monitoring Anti-CMV Antibody (CMV-Ab) and CMV-Specific Cytotoxic T Cells (CMV-Tc) in Pediatric Kidney Transplant Recipients (Ped KTx Pts)

    B. Shin,1 H. Pizzo,2 S. Jordan,2 D. Lovato,1 A. Petrosyan,1 D. Puliyanda,2 M. Toyoda.1

    1Transplant Immunology Laboratory, Cedars-Sinai Medical Center, Los Angeles, CA; 2Comprehensive Transplant Center, Cedars-Sinai Medical Center, Los Angeles, CA.

    Introduction: CMV infection results in significant morbidity in KTx pts, especially CMV sero- ped pts with CMV sero+ donors (D+/R-). CMV infection is controlled primarily…
  • 2018 American Transplant Congress

    Oral Health Related Quality of Life for Children with Kidney Disease

    P. Verghese,1 J. Sotillo,2 J. Diaz,1 E. Sarwas.2

    1Department of Pediatrics, University of Minnesota, Minneapolis; 2University of Minnesota Dental School, Minneapolis.

    Children with kidney disease experience general health deficiencies that may affect their oral health and consequently their quality of life (QOL). Recent studies show a…
  • 2018 American Transplant Congress

    De Novo Donor Specific Antibodies in Pediatric Kidney Transplant Recipients Are Highly Responsive to Therapy

    V. Sigurjonsdottir, P. Grimm.

    Pediatric Nephrology, Lucile Packard Children´s Hospital, Palo Alto, CA.

    Background: Pediatric Kidney transplant recipients who develop dnDSAs are at increased risk of allograft loss and rapid decline in GFR. C1q+ DSA, in particular, is…
  • 2018 American Transplant Congress

    Low Kidney Supply to Demand Ratio and Multi-Organ Transplant Centers Are Negatively Associated with Pediatric Renal Transplant Rates Post Kidney Allocation System Implementation: An Analysis of OPTN Data

    P. Almond,1 S. Al-Akash,1 D. Stewart,2 A. Robinson.2

    1CPSST Departments of Surgery and Renal Transplantation, Driscoll Children's Hospital, Corpus Christi, TX; 2UNOS, Richmond, VA.

    Under the new kidney allocation system (KAS), pediatric (PED) renal (REN) transplant (Tx) candidates have priority to kidneys from donors with KDPI < 35%. We…
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