Renal Replacement Therapy

To the Editor: In his editorial, “Renal Replacement Therapy,” in the June 30 issue,¹ Dr. Luke states, “Transplantation of a graft from a histocompatible living related donor gives the best results for almost all patients except… young children under 8 kg in weight. For these children, continuous ambulatory peritoneal dialysis or hemodialysis can be employed until body size is adequate to permit transplantation.” We have reported the outcomes in 12 children weighing 5.4 to 8.89 kg (mean, 7.08 kg) who received a kidney transplant from an adult living related donor or a cadaver.^2,3 The survival rates for patients.