| [ Summary ] |
The ultimate goal for treatment of children with ESRD is renal transplantation. However, in Japan, because of severe national shortage of donors for renal transplantation, children require long-term dialysis, which causes a great burden for children and families. The effect of chronic renal failure and replacement therapy on the psychosocial development of children is important. The success of ESRD therapy must be judged by the patient's rehabilitaion. This review focused on many problems affecting patient's rehabilitation and QOL, including the burden of care for families, school attendance, future employment, environmental factors, etc. |