Achieving the Best Possible Clinical Outcomes for End-Stage Renal Disease
Building on over 40 years of experience treating children with end-stage renal disease, the Division of Nephrology and Hypertension at Cincinnati Children’s has recently teamed up with the James M. Anderson Center for Health Systems Excellence to pursue the highest quality and reliable care for patients with end-stage renal disease.
The mission of our multi-disciplinary team is to work jointly with our patients and their families to achieve the best possible clinical outcomes through reliable, evidence-based medicine; personalized and family-centered care; state-of-the-art research and quality improvement; and seamless transition through all phases of care.
Areas of Emphasis
- Managing children whose renal failure is accompanied by severe congenital anomalies and / or bladder dysfunction. Using a team approach to nutrition, growth promotion, and staged surgical repair, the end-stage renal disease team has successfully rehabilitated a number of children with devastating anomalies.
- Staged surgical procedures, including bladder augmentation or replacement; creation of a Mitrofanoff neourethra; urinary and bowel incontinence repairs; and nephrectomy.
- Developing and monitoring clinical guidelines for childhood renal transplantation.
- Clinical and quality improvement research to design healthcare delivery systems capable of delivering the highest quality, reliable, evidence-based and personalized care.
- Providing all modalities of dialysis, including peritoneal dialysis, hemodialysis, and hemofiltration for children of all ages including infants.
- Kidney transplantation for higher risk patients, including very young children, children with complex urologic conditions, children with focal segmental glomerulosclerosis, and pre-sensitized patients.
End-Stage Renal Disease Program Highlights
- Performed the first pediatric kidney transplant in Ohio, as well as one of the first in the nation.
- One of the first in the United States to provide comprehensive end-stage renal disease services for children
- Performed 682 kidney transplants (as of October 2018) since 1965
- Performed the first total urinary tract replacement including creation of a neobladder and neourethra followed by renal transplant
- Performs an average of 21 renal transplants a year, with both living and cadaveric donors
- As of 2018 follows about 110 post-transplant patients
- Provides Home peritoneal dialysis to approximately 30 patients
- Provides in center hemodialysis to 15 patients
- We encourage, provide medical staffing and assist our patients to attend kidney summer camp annually
