TY - CHAP M1 - Book, Section TI - Pediatric Kidney Transplant Rejection A1 - Gefen, Ashley M. A1 - Sethna, Christine B. A2 - Molmenti, Ernesto Pompeo PY - 2023 T2 - Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e AB - Definition: A recipient’s immune response to foreign antigens expressed by the donor that if unresolved will lead to graft lossIncidence:According to Organ Procurement Transplant Network (OPTN) and Scientific Registry of Transplant Recipients (SRTR), in the 2016–2017 cohort, incidence of acute rejection within 1 year was 11.4% overall.1According to the North American Pediatric Renal Transplant Cooperative Study (NAPRTICS), in the 2012–2017 cohort, probability rate of first acute rejection within 1 year was 12.7% for living donors and 13.2% for deceased donors.2Significance:According to NAPRTICS, chronic rejection and acute rejection are the leading causes of graft failure in children.2 Therefore prevention as well as early diagnosis and treatment are important in improving long-term outcomes.3From 2008 to 2017, 21.3% and 16.4% of index graft failures were secondary to chronic and acute rejection, respectively.2 SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/19 UR - accesssurgery.mhmedical.com/content.aspx?aid=1194188762 ER -