Skip to main content

Transplantation—a new dimension for paediatrics

Abstract

Amazing advances have been achieved over the last 20 years in transplantation. As well as the problems of rejection and its control there are other difficulties which have to be confronted. There are shortages of donors, problems of selection for treatment and the problems of funding this expensive form of therapy. The need to make choices has to be considered and the criteria in determining choice have to be determined. Of particular concern in paediatrics are the problems that arise in relation to rehabilitation and the need to provide a multi-disciplinary approach to care. Finally, we have to remember that our enthusiasm for the possibilities of saving life and new treatments must not interfere with the basic responsibility to prevent suffering; at times the preservation of life at all costs is not justified, but in such circumstances doctors and other health care professionals have a responsibility for providing support both to the patient and to the family.

This is a preview of subscription content, access via your institution.

References

  1. Chantler C (1987) End stage renal disease in children: what is the future? In: Gurland H (ed) Uraemia therapy; perspectives for the next quarter century. Springer, Berlin Heidelberg New York, pp 244–251

    Google Scholar 

  2. Chantler C (1991) Paediatric nephrology on the threshold of European integration. Pediatr Nephrol 5:428–432

    Article  PubMed  Google Scholar 

  3. Chantler C (1991) Paediatric nephrology in diseases of the kidney, 5th edn. In: Schrier R, Gottschalk CW (eds) Littlebrown & Co, Boston (to be published 1992)

    Google Scholar 

  4. Chantler C, Houston IB, White RHR (1974) Future care for children with chronic renal failure in the United Kingdom: a report for the British Association of Paediatric Nephrology (BAPN), Cardiff, UK

  5. Chantler C, Donckerwolcke RA, Brynger FP, Hathway RA, Jacobs C, Selwood NH, Wing AJ (1979) Combined report on regular dialysis and transplantation in children in Europe 1978. Proc Eur Dial Transplant Assoc 16:1–37

    Google Scholar 

  6. Chantler C, Broyer M, Donckerwolcke RA, Brynger H, Brunner FP, Jacobs C, Kramer P, Selwood NH, Wing AJ (1981) Growth and rehabilitation of long term survivors of treatment for end stage renal failure in childhood. Proc Eur Dial Transplant Assoc 18:329–399

    PubMed  Google Scholar 

  7. Eiser C (1990) Psychological effects of chronic disease. J Child Psychol 31:85–98

    Google Scholar 

  8. Glover J (1977) Causing death and saving life. Chapter 17, Choices between people. Penguin Books Ltd, England, pp. 217–227

    Google Scholar 

  9. Glover J-Ibid(, p 52

    Google Scholar 

  10. Glover J-Ibid(, p 53)

    Google Scholar 

  11. Henning P, Tomlinson L, Rigden SPA, Haycock GB, Chantler C (1988) Long term outcome of treatment for end stage renal failure. Arch Dis Child 63:35–40

    PubMed  Google Scholar 

  12. Kittur DS, Hogan MM, Thukral VK, McGraw LJ, Alexander JW (1991) Incentives for organ donation? Lancet 338:1441–1443

    Article  PubMed  Google Scholar 

  13. Trachtman H, Gauthier B (1991) Renal transplantation in children: an American view from the bridge. Pediatr Nephrol 5: 666–668

    Article  PubMed  Google Scholar 

  14. UK Transplant Service 1980. Centre Variation, Annual Report South West Regional Centre, Southmead Road, Bristol BS10 5ND, pp 37–73

  15. Wass VJ, Barratt TM, Howarth RV, Marshall WA, Chantler C, Ogg CS, Cameron JS, Baillod RA, Moorhead JF (1979) Home dialysis in children. Lancet I:1242–1245

    Google Scholar 

Download references

Author information

Affiliations

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Chantler, C. Transplantation—a new dimension for paediatrics. Eur J Pediatr 151, S81–S84 (1992). https://doi.org/10.1007/BF02125809

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02125809

Key words

  • Transplantation
  • Rejection problems
  • Donor supply
  • Treatment selection
  • Rehabilitation