Restoring Function and Hope for Children with Kidney Diseases
A kidney (renal) transplant can transform the lives of children with serious (end-stage) renal disease and kidney failure, freeing them from dialysis and enabling them to enjoy full, active lives. NewYork-Presbyterian Hospital has dedicated kidney transplantation programs for children and adolescents, featuring teams of experts offering comprehensive care. Thanks to medical and surgical advances we've developed, more people than ever have access to a kidney transplant, the most common and successful of all transplant procedures in the United States. When you bring your child to us for a kidney transplant evaluation and care, you'll benefit from:
- A Team of Specialists: Using a team approach, we provide seamless care to your child and family before, during, and after surgery. Your child's healthcare team includes professionals from a wide variety of disciplines. In addition to pediatric nephrologists, urologists, and transplant surgeons, the team includes specialists from nutrition, psychiatry, critical care, and other fields who collaborate to ensure that your child is as ready as possible for transplantation and receives comprehensive, compassionate care during and after the procedure. We also have transplant coordinators to help you manage appointments and testing.
- A History of Firsts: NewYork-Presbyterian/Weill Cornell Medical Center established the first kidney transplant program and performed the first pediatric kidney transplant in the New York metropolitan area more than 50 years ago. The first paired donor kidney exchange was performed at NewYork-Presbyterian/Columbia University Medical Center, increasing the number of kidneys available for transplantation. Today NewYork-Presbyterian has one of the highest volumes of kidney transplants in the country. Our rates of kidney rejection are lower and our rates of graft survival (a healthy transplanted kidney) are higher than the national average.
- Improving Outcomes for All: Our transplant physicians and surgeons are responsible for many significant advances made over the past several decades in transplant surgery and the maintenance of healthy organs. We have been at the forefront of developing and improving minimally invasive surgery for living donors, genetic methods to detect transplant rejection early; strategies to increase opportunities for donor matching; islet cell transplantation; and anti-rejection medications.
- Living Donor Program: Living donor transplantation is the gold standard of kidney transplant procedures. Typically, the organ is donated by a relative. For many children, a parent is eligible to be a donor.
- Enhanced Access to Donor Kidneys: Our transplant surgeons have found new ways of expanding the donor pool, increasing the number of kidneys available for transplants, addressing the shortage of healthy organs, and reducing waiting times for organs. For example, "paired donor kidney exchanges" anonymously match compatible donors with recipients when a suitable donor cannot be found among family members or friends.
- Renowned Reconstructive Surgeons: The kidney transplantation team includes pediatric urologists who are renowned for reconstructive surgical procedures to enhance the chance of a successful outcome after transplantation by correcting kidney and/or bladder abnormalities in a child before the transplant. Their goal is to help children achieve continence while ensuring the survival of the transplanted kidney.
- Steroid-Free Regimens after Transplant: Our transplant surgeons and pediatric nephrologists have extensive expertise in immunosuppressant therapies and other medications that patients need to take after transplantation, caring for them throughout their lives. The team is often able to avoid using steroids in children. Without steroids, patients recover quickly and avoid many serious long-term side effects, including growth delays.
- Education and Guidance: You and your child receive comprehensive education to help you understand your options before transplantation and what you need to do to help your child thrive after transplantation. We help your child and your family to navigate the emotional, financial, and logistical concerns associated with kidney transplantation. When your child reaches adulthood, he or she can continue to receive seamless care at NewYork-Presbyterian Hospital. Our pediatric nephrologists work hand-in-hand with adult nephrologists to prepare adolescents and young adults for a safe transition from pediatric to the adult nephrology care.