Early XXXX after pediatric renal transplant: a single-center experience.

@entity1 @entity1494 @entity63 @entity5450 @entity3025
BACKGROUND: Urologic complications cause substantial morbidity in the pediatric population after renal transplantation, but their impact on graft survival and transplant costs is poorly understood. In this retrospective review, we evaluated the records of all pediatric renal transplant recipients at our center from 1995 to 2004. METHODS: @entity1 demographics, presence of urinary leak, stricture, compression, or @entity3025 , and hospital costs were analyzed. Univariable analysis identified predictors of complications and of need for reoperation, and Kaplan-Meier analysis was used to assess graft survival in relation to @entity1494 . RESULTS: One hundred forty-seven @entity1 received renal transplants; mean follow-up was 1478+/-965 days. Nine (6.1%) @entity1 had @entity5450 and seven (4.8%) @entity1 developed @entity3025 requiring reoperation. Sex, @entity63 time, race, previous transplant, donor type, nephrectomy technique, and stent use did not affect the incidence of @entity5450 . Previous urologic reconstruction and pretransplant ureteral pathologic conditions increased the risk of urologic complication and @entity3025 . @entity1 with @entity5450 had equivalent graft survival, but triple the hospital costs of unaffected recipients. CONCLUSIONS: Prior urologic surgery is associated with increased risk of @entity5450 posttransplant. Posttransplant @entity5450 are associated with substantially increased costs in the first year after transplant, but not with decreased graft survival.
