{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:25:50Z","timestamp":1791822350690,"version":"4.3.4"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T00:00:00Z","timestamp":1674000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["HHSH250\u20102019\u201000001C"],"award-info":[{"award-number":["HHSH250\u20102019\u201000001C"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We used the BSAi (Donor BSA\/Recipient BSA) to assess whether transplanting a small or large kidney into a pediatric recipient relative to his\/her size influences renal transplant outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We included 14\u2009322 single\u2010kidney transplants in pediatric recipients (0\u201317\u2009years old) (01\/2000\u201302\/2020) from the United Network for Organ Sharing database. We divided cases into four BSAi groups (BSAi\u2009\u2264\u20091, 1\u2009&lt;\u2009BSAi\u2009\u2264\u20092, 2\u2009&lt;\u2009BSAi\u2009\u2264\u20093, BSAi\u2009&gt;\u20093).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no differences concerning delayed graft function (DGF) or primary non\u2010function (PNF) rates, whether the grafts were from living or brain\u2010dead donors. In both transplants coming from living donors and brain\u2010dead donors, cases with BSAi\u2009&gt;\u20093 and cases with 2\u2009&lt;\u2009BSAi\u2009\u2264\u20093 had similar graft survival (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.13 for transplants from living donors, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.413 for transplants from brain\u2010dead donors), and both groups had longer graft survival than cases with 1\u2009&lt;\u2009BSAi\u2009\u2264\u20092 and cases with BSAi\u2009\u2264\u20091 (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). The difference in 10\u2010year graft survival rates between cases with BSAi\u2009&gt;\u20093 and cases with BSAi\u2009\u2264\u20091 reached around 25% in both donor types. The better graft survival in transplants with BSAi\u2009&gt;\u20092 was confirmed in multivariable analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is no significant impact of donor\u2010recipient size mismatch on DGF and PNF rates in pediatric renal transplants. However, graft survival is significantly improved when the donor's size is more than twice the pediatric recipient's size.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14470","type":"journal-article","created":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T09:25:57Z","timestamp":1674033957000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Pediatric renal transplantation\u2014A UNOS database analysis of donor\u2013recipient size mismatch"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6610-4978","authenticated-orcid":false,"given":"Ioannis D.","family":"Kostakis","sequence":"first","affiliation":[{"name":"Department of Nephrology and Transplantation Guy's Hospital  London UK"},{"name":"Department of Hepato\u2010Pancreato\u2010Biliary Surgery and Liver transplantation Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pankaj","family":"Chandak","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Transplantation Guy's Hospital  London UK"},{"name":"Nephrology Department Great Ormond Street Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Assia\u2010Zamora","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Transplantation Guy's Hospital  London UK"},{"name":"Nephrology Department Great Ormond Street Hospital  London UK"},{"name":"Institute of Liver Studies King's College Hospital  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petrut","family":"Gogalniceanu","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Transplantation Guy's Hospital  London UK"},{"name":"Nephrology Department Great Ormond Street Hospital  London UK"},{"name":"Institute of Liver Studies King's College Hospital  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Loukopoulos","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Transplantation Guy's Hospital  London UK"},{"name":"Nephrology Department Great Ormond Street Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Calder","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Transplantation Guy's Hospital  London UK"},{"name":"Nephrology Department Great Ormond Street Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelena","family":"Stojanovic","sequence":"additional","affiliation":[{"name":"Nephrology Department Great Ormond Street Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4067-7003","authenticated-orcid":false,"given":"Nicos","family":"Kessaris","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Transplantation Guy's Hospital  London UK"},{"name":"Nephrology Department Great Ormond Street Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(04)01087-X"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2011.01502.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.14.13454"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2019.02.039"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-018-2595-x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.09.098"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2013.08.031"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2016.02.015"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.12463"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.12915"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00030110"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/0886022X.2013.794683"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.22159\/ajpcr.2020.v13i7.37906"},{"key":"e_1_2_10_15_1","article-title":"Normal variance in renal size in relation to body habitus","volume":"15","author":"Harmse WS","year":"2011","journal-title":"SA J Radiol"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0041-1345(96)00026-7"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3181f24e75"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.02310220"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-021-01050-w"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.13295"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-001-0805-y"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2010.01375.x"},{"issue":"481","key":"e_1_2_10_23_1","first-page":"e1","article-title":"Long\u2010term outcomes of adult\u2010size and size\u2010matched kidney transplants in small pediatric recipients","volume":"16","author":"Amesty MV","year":"2020","journal-title":"J Pediatr Urol"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.13860"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e31829d672c"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3181c9029d"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1916.00080130010002"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2005.11.004"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000000728"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/tri.13602"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASN.0000024564.22119.3D"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.14470","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/petr.14470","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.14470","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T08:58:16Z","timestamp":1724835496000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.14470"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,18]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1111\/petr.14470"],"URL":"https:\/\/doi.org\/10.1111\/petr.14470","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"value":"1397-3142","type":"print"},{"value":"1399-3046","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,18]]},"assertion":[{"value":"2022-10-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14470"}}