Objective:

To know the survival of the renal transplant program at the National Children’s Hospital, from January 1978 to January 2016.

Methods:

Retrospective and descriptive study in children who received a kidney transplant. The information was compiled from the clinical files. We included children who had a viable graft for at least three months, patients with a complete passive file and who provided informed consent.

Results:

A total of 152 patients were collected, and 143 were included in the study, since 9 were excluded. 51% (n = 73) were women. A total of 167 kidney transplants were performed, 63.5% (n = 105) were grafts from a related living donor. Survival at the first year was 100%, 95% at 10 years and 61% at 20 years after transplantation. Regarding the survival of the graft, a survival rate of 95% was found in the first year, 76% at 3 years and 73% at 5 years after transplantation, with an incidence of acute rejection of 28.7%.

Conclusions:

Kidney transplantation in children is a very complex procedure where survival depends on multiple environmental factors and / or acquired, however it is possible that pediatric centers like ours can reach survival rates according to centers in developed countries.