Hospitalization following pediatric kidney transplantation: An international comparison among a Canadian pediatric transplant center, North American Pediatric Renal Trials and Collaborative Studies, and Cooperative European Pediatric Renal Transplant Initiative registry data.

التفاصيل البيبلوغرافية
العنوان:	Hospitalization following pediatric kidney transplantation: An international comparison among a Canadian pediatric transplant center, North American Pediatric Renal Trials and Collaborative Studies, and Cooperative European Pediatric Renal Transplant Initiative registry data.
المؤلفون:	Kim JK; Division of Urology, Department of Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.; Department of Surgery, University of Toronto, Toronto, Ontario, Canada., Lorenzo AJ; Division of Urology, Department of Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.; Department of Surgery, University of Toronto, Toronto, Ontario, Canada., Tönshoff B; Department of Pediatrics I, University Children's Hospital, Heidelberg, Germany., Chua ME; Division of Urology, Department of Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.; Department of Surgery, University of Toronto, Toronto, Ontario, Canada., Raveendran L; Division of Urology, Department of Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada., Krupka K; Department of Pediatrics I, University Children's Hospital, Heidelberg, Germany., Teoh CW; Division of Nephrology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.; Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada., Ming JM; Department of Surgery, University of New Mexico, Albuquerque, New Mexico, USA., Topaloglu R; Division of Pediatric Nephrology, Hecettepe University Faculty of Medicine, Ankara, Turkey., Dello Strologo L; Renal Transplantation Clinic, Bambino Gesu Children's Hospital IRCCS, Rome, Italy., Farhat WA; Department of Urology, University of Wisconsin, Madison, Wisconsin, USA., Koyle MA; Division of Urology, Department of Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.; Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
المصدر:	Pediatric transplantation [Pediatr Transplant] 2022 Aug; Vol. 26 (5), pp. e14273. Date of Electronic Publication: 2022 Mar 27.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Munksgaard Country of Publication: Denmark NLM ID: 9802574 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1399-3046 (Electronic) Linking ISSN: 13973142 NLM ISO Abbreviation: Pediatr Transplant Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Copenhagen ; Malden, MA : Munksgaard, c1997-
مواضيع طبية MeSH:	Kidney Transplantation*, Canada ; Child ; Graft Rejection/etiology ; Graft Survival ; Hospitalization ; Humans ; Registries ; United States
مستخلص:	Background: There are several databases across the world that collect pediatric KT data. We compare the hospitalization outcomes for pediatric KT recipients from a large Canadian transplant center (SickKids database; The Hospital for Sick Children Kidney Transplantation Institutional Database), United States (NAPRTCS), and Europe (CERTAIN registry). Methods: An institutional retrospective review of KT was performed between 2000 and 2015. Baseline characteristics, duration of initial hospitalization/readmission at 1-5 and 6- to 11-month posttransplant, and 1-year graft survival data were collected. Corresponding data from the NAPRTCS 2014 Annual Transplant Report and CERTAIN registry were compared. Results: Posttransplant, patients from NAPRTCS had the shortest duration of hospitalization within the first month (10.4 days, SE 0.2), followed by SickKids (20.3 days, SE 0.7) and CERTAIN (25.5 days, SE 0.7). For both living and deceased donor populations, patients from SickKids were most likely to be hospitalized at 1- to 5-month posttransplant (82.4% [89/108]; 72.1% [98/136]), followed by Europe (52.1% [198/380]; 61.6% [501/813]) and United States (45.4% [2379/5241]; 51.4% [2517/4896]). Patients from Europe were most likely to be hospitalized at 6- to 12-month posttransplant (42.1% [160/380]; 51.7% [420/813]), followed by SickKids (35.2% [38/108]; 37.5% [51/136]) and United States (28.3% [1387/4901]; 31.6% [1411/4465]). Across all databases, the most commonly addressed issues during readmissions were infectious complications. Conclusion: The differences observed in this investigation may reflect the local reimbursement models, resources for outpatient management, and practice variations across a large Canadian transplant center, United States, and European countries. (© 2022 Wiley Periodicals LLC.)
References:	North American Pediatric Renal Trials and Collaborative Studies NAPRTCS (2014) Annual Transplant Report. 2014. Available from: www.naprtcs.org. Kim JK, Koyle MA, Raveendran L, et al. Pediatric kidney transplant experience in Ontario: a review of division of the surgical and medical management across local tertiary care institutions. Can J Kidney Health Dis. 2020;7:205435812092571. Kim JK, Lorenzo AJ, Farhat WA, et al. A comparison of post-transplant renal function in pre-emptive and post-dialysis pediatric kidney transplant recipients. Pediatr Transplant. 2019;23(3):e13377. Corallo AN, Croxford R, Goodman DC, et al. A systematic review of medical practice variation in OECD countries. Health Policy. 2014;114:5-14. Srinivas TR, Shoskes DA. Kidney and pancreas transplantation: a practical guide. Curr Clin Urol; 2011. Hart A, Bergeron SG, Epure L, et al. Comparison of US and Canadian perioperative outcomes and hospital efficiency after total hip and knee arthroplasty. JAMA Surg. 2015;150(10):990-998.
فهرسة مساهمة:	Keywords: NAPRTCS; comparison; hospitalization; kidney transplant; pediatric
تواريخ الأحداث:	Date Created: 20220327 Date Completed: 20220712 Latest Revision: 20220721
رمز التحديث:	20231215
DOI:	10.1111/petr.14273
PMID:	35340109
قاعدة البيانات:	MEDLINE

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تدمد:	1399-3046
DOI:	10.1111/petr.14273