Evidence map›Paper›PMID 41710046›Full record

ArticleClinical kidney journal2026

Trends in the epidemiology of paediatric kidney transplantation in Europe between 2010 and 2021: an ESPN/ERA Registry study.

Iris R Montez de Sousa, Ann Christin Gjerstad, Augustina Jankauskiene, Brankica Spasojević, Burkhard Tönshoff, Cyrielle Parmentier, Diamant Shtiza, Varvara Askiti, György Reusz, Gregor Novljan and 22 more

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In one paragraph

Article in Clinical kidney journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors.

Iris R Montez de SousaESPN/ERA Registry, Department of Medical Informatics, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-0703-9165
Ann Christin GjerstadDivision of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway.
Augustina JankauskieneVilnius University, Medical Faculty, Institute of Clinical Medicine, Pediatric Center, Vilnius, Lithuania.
Brankica SpasojevićNephrology, University Children's Hospital, Belgrade, Serbia.
Burkhard TönshoffHeidelberg University, Medical Faculty, Department of Pediatrics I, University Children's Hospital Heidelberg, Heidelberg, Germany.
Cyrielle ParmentierDepartment of Paediatric Nephrology, Armand-Trousseau Children's Hospital, APHP, Paris, France.
Diamant ShtizaUniversity Hospital Centre "Mother Tereza", Tirana, Albania.
Varvara AskitiPediatric Nephrology Department, Children's Hospital "P. & A. Kyriakou", Athens, Greece.
György ReuszBókay Street Department, Pediatric Centre, Semmelweis University, Budapest, Hungary.
Gregor NovljanPediatric Nephrology Department, University Children's Hospital Ljubljana, Ljubljana, Slovenia.
Greta Mihneva-KirilovaSpecialized Hospital for Active Treatment of Children's Diseases "Prof. Ivan Mitev" Sofia, Medical University of Sofia, Sofia, Bulgaria.
Ilona ZagożdżonDepartment of Pediatrics, Nephrology and Hypertension, Medical University of Gdansk, Gdansk, Poland.
Jelena StojanovicGreat Ormond Street Hospital for Children, Institute for Child Health, University College London, London, UK.
Julien HoganUniversité Paris Cité, INSERM Unité 970, Paris Institute for Transplantation and Organ Regeneration, Paris, France.
Karel VondrakDepartment of Pediatrics, 2nd Faculty of Medicine, Charles University Prague and University Hospital Prague - Motol. Prague, Czech Republic.
Liliana RochaCentro Materno-Infantil do Norte, Unidade Local de Saúde de Santo António (ULSSA), Porto, Portugal.
Ludmila PodrackaDepartment of Pediatrics, Comenius University Medical School, Bratislava, Slovak Republic.
Maria S MolchanovaPirogov Russian National Research Medical University, Moscow, Russia.
Marc A G J Ten DamNefrodata Dutch Renal Registry, Utrecht, The Netherlands.
Nora Abazi-EminiUniversity Children's Hospital, Medical Faculty of Skopje, North Macedonia.
Osman DönmezUludağ University, Faculty of Medicine, Division of Pediatric Nephrology and Rheumatology, Bursa, Türkiye.
Sergey Baiko1st Department of Pediatrics, Belarusian State Medical University, Minsk, Belarus.
Sevcan A BakkalogluDivision of Pediatric Nephrology, Department of Pediatrics, Gazi University Faculty of Medicine, Ankara, Türkiye.ORCID https://orcid.org/0000-0001-6530-9672
Søren Schwartz SørensenDepartment of Nephrology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Svitlana P FominaDepartment of Paediatric Nephrology, State Institution "National Scientific Center of Surgery and Transplantation named after O.O. Shalimov to National Academy of Medical Sciences of Ukraine", Kyiv, Ukraine.
Timo JahnukainenFinnish Registry for Kidney Diseases, Helsinki, Finland.ORCID https://orcid.org/0000-0002-1815-7327
Torbjörn LundgrenMedical Unit of Transplantation, Karolinska University Hospital, Stockholm, Sweden.
Vidar EdvardssonFaculty of Medicine, University of Iceland, Reykjavík, Iceland.
Winnie MagadiUK Renal Registry, UK Kidney Association, Bristol, UK.
Kitty J JagerQuality of Care Program, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0003-0444-8569
Vianda S StelQuality of Care Program, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-0007-1947
Marjolein BonthuisESPN/ERA Registry, Department of Medical Informatics, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0003-1719-940X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Kidney transplantation (KT) is the preferred treatment for paediatric patients with kidney failure, but information on trends in paediatric KT in Europe is lacking. We aimed to report on time trends in paediatric (0-17 years) KT rates and recipient characteristics in Europe between 2010 and 2021. Methods: Thirty-one countries contributing data from 2010 to 2021 on paediatric KT to the European Society for Paediatric Nephrology/European Renal Association Registry were included. We reported trends in KT rates [per million age-related population (pmarp)], overall and by patient subgroup for Europe, and at macro-economic and country-specific levels. We also reported clinical variables in the first year post-KT. The 2020-21 period was analysed separately to account for the COVID-19 pandemic. Results: The paediatric KT rate was stable at ≈5 pmarp between 2010 and 2019, and about one-fourth were pre-emptive KTs. In 2020-21 the KT rate was 5.6 pmarp. In low-, middle- and high-gross domestic product (GDP) countries, KT rates (pmarp) were 2.1, 6.1 and 7.6, respectively, and increased in low-GDP countries by 4.1% per year from 2010 to 2019, mainly in the youngest recipients. The proportion of pre-emptive KT increased only in middle-GDP countries. Low-GDP countries showed a higher prevalence of short stature while high-GDP countries showed more overweight/obese, hypertensive and anaemic patients. Conclusions: The rate of paediatric KT in Europe has remained stable, with differences between GDP groups. Low-GDP countries had the lowest KT rates, but with an increasing trend over time. Opportunities to further increase access to paediatric KT should be explored.

Indexed as

epidemiologyEuropekidney transplantationpaediatricstrends

Identifiers

PMID41710046
PMCPMC12910316

What Socratic holds

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Registered trials

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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.