{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:11:41Z","timestamp":1791821501865,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T00:00:00Z","timestamp":1615420800000},"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":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pediatric kidney transplant recipients generally have good outcomes post\u2010transplantation. However, the younger age and longer life span after transplantation in the pediatric population make understanding the multifactorial nature of long\u2010term graft survival critical. This investigation analyzes factors associated with 10\u2010year survival to identify areas for improvement in patient care. Kaplan\u2010Meier with log\u2010rank test and univariable and multivariable logistic regression methods were used to retrospectively analyze 7785 kidney transplant recipients under the age of 18\u00a0years from January 1, 1998, until March 9, 2008, using United Network for Organ Sharing (UNOS) data. Our end\u2010point was death\u2010censored 10\u2010year graft survival after excluding recipients whose grafts failed within one year of transplant. Recipients aged 5\u201318\u00a0years had lower 10\u2010year graft survival, which worsened as age increased: 5\u20139\u00a0years (OR: 0.66; CI: 0.52\u20130.83), 10\u201314\u00a0years (OR: 0.43; CI: 0.33\u20130.55), and 15\u201318\u00a0years (OR: 0.34; CI: 0.26\u20130.44). Recipient African American ethnicity (OR: 0.67; CI: 0.58\u20130.78) and Hispanic donor ethnicity (OR: 0.82; CI: 0.72\u20130.94) had worse outcomes than other donor and recipient ethnicities, as did patients on dialysis at the time of transplant (OR: 0.82; CI: 0.73\u20130.91). Recipient private insurance status (OR: 1.35; CI: 1.22\u20131.50) was protective for 10\u2010year graft survival. By establishing the role of age, race, and insurance status on long\u2010term graft survival, we hope to guide clinicians in identifying patients at high risk for graft failure. This study highlights the need for increased allocation of resources and medical care to reduce the disparity in outcomes for certain patient populations.<\/jats:p>","DOI":"10.1111\/petr.13999","type":"journal-article","created":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T06:55:31Z","timestamp":1615445731000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Factors associated with long\u2010term graft survival in pediatric kidney transplant recipients"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6673-6251","authenticated-orcid":false,"given":"Adrish","family":"Anand","sequence":"first","affiliation":[{"name":"Department of Student Affairs Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2795-0527","authenticated-orcid":false,"given":"Tahir H.","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Student Affairs Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Dunson","sequence":"additional","affiliation":[{"name":"Department of Student Affairs Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malcolm F.","family":"McDonald","sequence":"additional","affiliation":[{"name":"Department of Student Affairs Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline R.","family":"Christmann","sequence":"additional","affiliation":[{"name":"Department of Student Affairs Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nhu Thao Nguyen","family":"Galvan","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplant Michael E DeBakey Department of Surgery Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"O\u2019Mahony","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplant Michael E DeBakey Department of Surgery Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Goss","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplant Michael E DeBakey Department of Surgery Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poyyapakkam R.","family":"Srivaths","sequence":"additional","affiliation":[{"name":"Renal Section Department of Pediatrics Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen D.","family":"Brewer","sequence":"additional","affiliation":[{"name":"Renal Section Department of Pediatrics Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2979-0598","authenticated-orcid":false,"given":"Abbas","family":"Rana","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplant Michael E DeBakey Department of Surgery Baylor College of Medicine Houston Texas 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