The State of Pediatric Kidney Transplantation in India: A Survey-based Analysis of Practices, Challenges, and Educational Needs

Background: Technical and immunological advancements have improved patient and graft survival rates in pediatric kidney transplantation (PKT). However, the landscape of PKT in India remains underexplored. We conducted a questionnaire-based survey among Indian pediatric surgeons to delineate contempo...

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Main Authors: Arka Banerjee, Adwait S. Bendre, Gayatri Munghate, Minnie Bodhanwala
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-11-01
Series:Journal of Indian Association of Pediatric Surgeons
Subjects:
Online Access:https://journals.lww.com/10.4103/jiaps.jiaps_102_24
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author Arka Banerjee
Adwait S. Bendre
Gayatri Munghate
Minnie Bodhanwala
author_facet Arka Banerjee
Adwait S. Bendre
Gayatri Munghate
Minnie Bodhanwala
author_sort Arka Banerjee
collection DOAJ
description Background: Technical and immunological advancements have improved patient and graft survival rates in pediatric kidney transplantation (PKT). However, the landscape of PKT in India remains underexplored. We conducted a questionnaire-based survey among Indian pediatric surgeons to delineate contemporary trends in PKT. Methods: The online survey comprised 10 questions assessing pediatric surgeons’ involvement in PKT, existing challenges, and educational needs. Results: Of 610 surveyed pediatric surgeons, 120 responded (19.67% response rate). Majority of the respondents were affiliated with teaching programs, either in the public sector (61.18%) or in corporate setups (25.21%). While 65.83% of respondents managed pediatric patients with chronic kidney disease, only 10% had PKT programs at their institutes. Most of the respondents (67.5%) believed that pediatric surgeons should perform PKTs. Despite this, only 15.83% were part of the renal transplantation team at their institute and only 2.5% routinely performed PKTs. Most of the respondents (63.33%) advocated for mandatory KT exposure during postdoctoral training. Conclusion: Despite enthusiasm among pediatric surgeons, actual involvement remains low. Dedicated PKT programs are necessary to address these challenges along with improved training by integrating transplantation sciences into the pediatric surgical curriculum. The study underscores the need for pediatric surgeons to specialize in transplantation and advocates for policy changes to address the prevailing challenges.
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institution Kabale University
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publishDate 2024-11-01
publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-74cb5b765a1e4beb8c1c3e19fefd3f002024-12-10T11:03:39ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912024-11-0129660861110.4103/jiaps.jiaps_102_24The State of Pediatric Kidney Transplantation in India: A Survey-based Analysis of Practices, Challenges, and Educational NeedsArka BanerjeeAdwait S. BendreGayatri MunghateMinnie BodhanwalaBackground: Technical and immunological advancements have improved patient and graft survival rates in pediatric kidney transplantation (PKT). However, the landscape of PKT in India remains underexplored. We conducted a questionnaire-based survey among Indian pediatric surgeons to delineate contemporary trends in PKT. Methods: The online survey comprised 10 questions assessing pediatric surgeons’ involvement in PKT, existing challenges, and educational needs. Results: Of 610 surveyed pediatric surgeons, 120 responded (19.67% response rate). Majority of the respondents were affiliated with teaching programs, either in the public sector (61.18%) or in corporate setups (25.21%). While 65.83% of respondents managed pediatric patients with chronic kidney disease, only 10% had PKT programs at their institutes. Most of the respondents (67.5%) believed that pediatric surgeons should perform PKTs. Despite this, only 15.83% were part of the renal transplantation team at their institute and only 2.5% routinely performed PKTs. Most of the respondents (63.33%) advocated for mandatory KT exposure during postdoctoral training. Conclusion: Despite enthusiasm among pediatric surgeons, actual involvement remains low. Dedicated PKT programs are necessary to address these challenges along with improved training by integrating transplantation sciences into the pediatric surgical curriculum. The study underscores the need for pediatric surgeons to specialize in transplantation and advocates for policy changes to address the prevailing challenges.https://journals.lww.com/10.4103/jiaps.jiaps_102_24chronic kidney diseasekidney transplantationpediatric kidney transplantationpediatric solid-organ transplantationpediatric surgeonpediatric transplantation
spellingShingle Arka Banerjee
Adwait S. Bendre
Gayatri Munghate
Minnie Bodhanwala
The State of Pediatric Kidney Transplantation in India: A Survey-based Analysis of Practices, Challenges, and Educational Needs
Journal of Indian Association of Pediatric Surgeons
chronic kidney disease
kidney transplantation
pediatric kidney transplantation
pediatric solid-organ transplantation
pediatric surgeon
pediatric transplantation
title The State of Pediatric Kidney Transplantation in India: A Survey-based Analysis of Practices, Challenges, and Educational Needs
title_full The State of Pediatric Kidney Transplantation in India: A Survey-based Analysis of Practices, Challenges, and Educational Needs
title_fullStr The State of Pediatric Kidney Transplantation in India: A Survey-based Analysis of Practices, Challenges, and Educational Needs
title_full_unstemmed The State of Pediatric Kidney Transplantation in India: A Survey-based Analysis of Practices, Challenges, and Educational Needs
title_short The State of Pediatric Kidney Transplantation in India: A Survey-based Analysis of Practices, Challenges, and Educational Needs
title_sort state of pediatric kidney transplantation in india a survey based analysis of practices challenges and educational needs
topic chronic kidney disease
kidney transplantation
pediatric kidney transplantation
pediatric solid-organ transplantation
pediatric surgeon
pediatric transplantation
url https://journals.lww.com/10.4103/jiaps.jiaps_102_24
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