ADULTS WITH terminal renal failure can be maintained for prolonged periods of time by means of hemodialysis, peritoneal dialysis, or renal transplantation. Many patients with end-stage kidneys have been rehabilitated to their former occupations and lead relatively normal lives.
There have been few publications describing programs designed to rehabilitate uremic children. Renal transplantation is being performed in a small number of centers and the experience with children is limited. Starzl and co-workers1 in 1966 reported 22 patients under 18 years of age who had transplantations with encouraging results. Hutchings et al2 in 1966 described their experience with long-term hemodialysis in a 14-year-old girl and felt that this procedure was not ready for general application in preadolescents. Although hemodialysis is probably more efficient than peritoneal dialysis and causes less discomfort, it has not been generally applied to the management of uremic children. This is due in part to the