{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:20:00Z","timestamp":1787509200920,"version":"build-2736575974"},"reference-count":51,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,8,14]],"date-time":"2020-08-14T00:00:00Z","timestamp":1597363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pediatric kidney transplantation was only introduced in Indonesia in 2013. We therefore aimed to assess the characteristics and outcomes of transplants performed from its inception to January 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The study had a dual\u2010center retrospective design. We examined the records of kidney transplant recipients and then calculated patient and graft survival rates by Kaplan\u2010Meier survival analysis with 95% confidence intervals (95% CI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 12 kidney transplantations were performed in eleven children during the study period; among these, ten were boys, and nine had renal failure caused by congenital anomaly of the kidney or urinary tract. All donors were living, and all recipients were on dialysis at the time of transplantation, when their median age was 14.5\u00a0years (range, 8\u201019\u00a0years). Three patients died of infection in the first year of follow\u2010up and two lost their allograft by the time of their last follow\u2010up (median, 13\u00a0months; range, 4\u201069\u00a0months). The 1\u2010year patient survival rate was therefore 68.18% (95% CI, 29.72%\u201088.61%), which remained unchanged at 3 and 5\u00a0years. However, the non\u2010death\u2010censored graft survival rates at 1, 3, and 5\u00a0years were 68.18% (95% CI, 29.72%\u201088.61%), 51.14% (95% CI, 14.5%\u201079.46%), and 25.57% (95% CI, 1.38%\u201064.78%), respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patient and graft survival rates after pediatric kidney transplantation in Indonesia are lower than those reported in other countries. Closer patient follow\u2010up and stricter adherence to guidelines could improve transplant outcomes, but we must seek to improve the balance between infection and rejection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/petr.13812","type":"journal-article","created":{"date-parts":[[2020,8,14]],"date-time":"2020-08-14T15:51:50Z","timestamp":1597420310000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Experience of the first 6\u00a0years of pediatric kidney transplantation in Indonesia: A multicenter retrospective study"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0387-1031","authenticated-orcid":false,"given":"Cahyani Gita","family":"Ambarsari","sequence":"first","affiliation":[{"name":"Department of Child Health Faculty of Medicine Universitas Indonesia\u2010Cipto Mangunkusumo Hospital Central Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2896-3645","authenticated-orcid":false,"given":"Eka Laksmi","family":"Hidayati","sequence":"additional","affiliation":[{"name":"Department of Child Health Faculty of Medicine Universitas Indonesia\u2010Cipto Mangunkusumo Hospital Central Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2893-6049","authenticated-orcid":false,"given":"Partini Pudjiastuti","family":"Trihono","sequence":"additional","affiliation":[{"name":"Department of Child Health Faculty of Medicine Universitas Indonesia\u2010Cipto Mangunkusumo Hospital Central Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8227-0108","authenticated-orcid":false,"given":"Meilania","family":"Saraswati","sequence":"additional","affiliation":[{"name":"Department of Pathology Anatomy Faculty of Medicine Universitas Indonesia\u2010Cipto Mangunkusumo Hospital Central Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5118-2444","authenticated-orcid":false,"given":"Arry","family":"Rodjani","sequence":"additional","affiliation":[{"name":"Department of Urology Faculty of Medicine Universitas Indonesia\u2010Cipto Mangunkusumo Hospital Central Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0657-5190","authenticated-orcid":false,"given":"Irfan","family":"Wahyudi","sequence":"additional","affiliation":[{"name":"Department of Urology Faculty of Medicine Universitas Indonesia\u2010Cipto Mangunkusumo Hospital Central Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3614-6779","authenticated-orcid":false,"given":"Gerhard Reinaldi","family":"Situmorang","sequence":"additional","affiliation":[{"name":"Department of Urology Faculty of Medicine Universitas Indonesia\u2010Cipto Mangunkusumo Hospital Central Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4307-8513","authenticated-orcid":false,"given":"Jon Jin","family":"Kim","sequence":"additional","affiliation":[{"name":"Nottingham Children's Hospital University of Nottingham Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omega","family":"Mellyana","sequence":"additional","affiliation":[{"name":"Department of Child Health Faculty of Medicine Universitas Diponegoro\u2013Dr. Kariadi Hospital Semarang Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0999-9741","authenticated-orcid":false,"given":"Agustina","family":"Kadaristiana","sequence":"additional","affiliation":[{"name":"Department of Child Health 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