Evidence map›Paper›PMID 33837847›Full record

ReviewPediatric nephrology (Berlin, Germany)2022

Paediatric kidney transplantation in under-resourced regions-a panoramic view.

Arpana Iyengar, M I McCulloch

Abstract readReview
In one paragraph

Review in Pediatric nephrology (Berlin, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Review
  2. Article
  3. Little kidneys amid large global inequities.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. International equity in access to home dialysis.Current opinion in nephrology and hypertension · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Gender and kidney transplantation.Frontiers in nephrology · 2024
    Review
  12. Article
  13. Article
  14. Providing "Free" Access to Dialysis and Transplant to the Disfranchised. A Sustainable Model for Low and Low Middle Income Countries (LMICs).Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  15. Review
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Arpana IyengarPediatric Nephrology, St John's Medical College Hospital, Bangalore, India. arpanaiyengar@gmail.com.ORCID http://orcid.org/0000-0001-7008-0788
M I McCullochPediatric Nephrology, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kidney transplantation is the ideal choice of kidney replacement therapy in children as it offers a low risk of mortality and a better quality of life. A wide variance in the access to kidney replacement therapies exists across the world with only 21% of low- and low-middle income countries (LLMIC) undertaking kidney transplantation. Pediatric kidney transplantation rates in these under-resourced regions are reported to be as low as < 4 pmcp [per million child population]. A robust kidney failure care program forms the cornerstone of a transplant program. Even the smallest transplant program entails a multidisciplinary workforce and expertise besides ensuring family commitment towards long-term care and economic burden. In general, the short-term graft survival rates from under-resourced regions are comparable to most high-income countries (HIC) and the challenge lies in the long-term outcomes. This review focuses on specific issues relevant to kidney transplants in children in under-resourced regions by highlighting limitations in the capacity and health workforce, regulatory norms, medical issues, economic burden, factors beyond financial hardship and ethical considerations relevant to these regions. Finally, the perspective of strengthening transplant programs in these regions should factor in the bigger challenges that exist in achieving the health-related sustainable development goals by 2030.

Indexed as

Kidney Failure, ChronicKidney TransplantationChildFemaleHumansMaleQuality of LifeRenal Replacement TherapySurvival RateWorkforceBarriersChallengesDeveloping nationsLow middle-income countriesOutcomesPaediatric kidney transplantationUnder-resourced regions

Identifiers

PMID33837847
PMCPMC8035609

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.