Banerjee Arka, Bendre Adwait S, Munghate Gayatri, Bodhanwala Minnie
Department of Pediatric Surgery, Bai Jerbai Wadia Hospital for Children, Mumbai, Maharashtra, India.
K J Somaiya Hospital and Research Centre, Mumbai, Maharashtra, India.
J Indian Assoc Pediatr Surg. 2024 Nov-Dec;29(6):608-611. doi: 10.4103/jiaps.jiaps_102_24. Epub 2024 Nov 5.
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.
The online survey comprised 10 questions assessing pediatric surgeons' involvement in PKT, existing challenges, and educational needs.
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.
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.
技术和免疫学的进步提高了小儿肾移植（PKT）患者的生存率和移植物存活率。然而，印度PKT的情况仍未得到充分探索。我们对印度小儿外科医生进行了一项基于问卷的调查，以描绘PKT的当代趋势。
在线调查包括10个问题，评估小儿外科医生在PKT中的参与情况、现有挑战和教育需求。
在610名接受调查的小儿外科医生中，120人做出了回应（回应率为19.67%）。大多数受访者隶属于教学项目，要么在公共部门（61.18%），要么在企业机构（25.21%）。虽然65.83%的受访者负责治疗患有慢性肾病的小儿患者，但只有10%的人所在机构设有PKT项目。大多数受访者（67.5%）认为小儿外科医生应该进行PKT。尽管如此，只有15.83%的人是所在机构肾移植团队的成员，只有2.5%的人常规进行PKT。大多数受访者（63.33%）主张在博士后培训期间强制进行肾移植接触。
尽管小儿外科医生热情高涨，但实际参与度仍然很低。需要有专门的PKT项目来应对这些挑战，并通过将移植科学纳入小儿外科课程来改进培训。该研究强调了小儿外科医生进行移植专科培训的必要性，并主张进行政策改革以应对当前的挑战。
