End XXXX : 14 years' experience of dialysis and renal transplantation.

@entity1 @entity177 @entity101
One hundred and thirteen @entity1 (59 @entity1 and 54 @entity1 aged from 2 to 16 years) with end @entity177 entered the renal dialysis and transplantation programme between 1972 and 1983. They were followed up until December 1985. Ninety eight @entity1 were initially treated by haemodialysis in hospital and 15 by renal transplantation. The average wait on dialysis was seven months (range 0.1-43 months). One hundred and six @entity1 were given 129 renal transplants, 32 of which were from living related donors. At the end of 1985 94 of the 113 @entity1 (83%) were alive, 81 (72%) with functioning grafts, 11 (10%) were receiving haemodialysis in hospital, two (1%) were being treated by continuous ambulatory peritoneal dialysis, and three had been lost to follow up. The 14 years actuarial survival was 81%. Four @entity1 receiving dialysis and 12 who had received transplants died, a mortality of 14%. The main complications of treatment were retardation of growth in 49 (43%), @entity101 in 75 (66%), and osteopathy in 36 (32%). Retardation of growth could not be reversed by successful renal transplantation. Seventy two @entity1 (88%) assessed their health as good to excellent, and 9 (12%) as poor. @entity1 with a functioning graft did much better than those receiving dialysis. Treatment of end @entity177 led to full rehabilitation in most @entity1 , and renal transplantation was more effective than dialysis.
