Experience with End-Stage Renal Disease Treatment of Young Children

A Brief Note
  • Richard N. Fine


The optimal treatment of young children with irreversible renal insufficiency remains controversial, and there is a paucity of data about end-stage renal disease (ESRD) therapy in this age group. Once ESRD develops, the technical capability exists to initiate either hemodialysis or peritoneal dialysis. Although there are minimal data validating the efficacy of long-term intermittent peritoneal dialysis (IPD) or continuous ambulatory peritoneal dialysis (CAPD) in young children, it would seem advantageous to consider IPD preferentially in young children. This preference should be considered because of the minimal amount of technical expertise required to implement IPD and the paucity of technical problems, especially problems related to access devices. It must be emphasized that limited data are available about the course of dialysis in young children.


Young Child Renal Transplantation Peritoneal Dialysis Renal Allograft Continuous Ambulatory Peritoneal Dialysis 
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  1. Hodson, E. M., Najarian, J. S., Kjellstrand, C. M., Simmons, R. L., and Mauer, S. M., 1978, Renal transplantation in children ages 1 to 5 years, Pediatrics 61:458.PubMedGoogle Scholar
  2. Rizzoni, G., Malekzadeh, M. H., Pennisi, A.J., Ettenger, R. B., Uittenbogaart, C. H., and Fine, R. N., 1980, Renal transplantation in children less than 5 years of age, Arch. Dis. Child. 55:532.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1985

Authors and Affiliations

  • Richard N. Fine
    • 1
  1. 1.Division of Pediatric NephrologyUCLA Center for Health SciencesLos AngelesUSA

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