Pre-emptive living donor transplant — RACP Paediatrics MCQ

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EasyNephrologyPre-emptive living donor transplantRACP Paediatrics

A 10-year-old with ESKD has a healthy parent who has been assessed and is a suitable kidney donor. When should transplantation ideally occur?

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Correct answer: B — Pre-emptive transplantation

Pre-emptive transplantation (before dialysis is commenced) from a living donor is the optimal RRT strategy for children with ESKD when a suitable living donor is available. It avoids dialysis-related complications, provides superior graft survival compared to deceased donor transplantation, and minimises time on dialysis which improves growth and neurodevelopmental outcomes.

Reference: RCH Melbourne – 2023 – Transplant CPG; RACP Paediatric Curriculum – Nephrology