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Shweta Shah and Sarah J. Swartz

Although the number of children with end-stage kidney disease (ESKD) is small compared to adults, their management can pose a unique challenge due to variability in size and their complex medical, growth, and maturational needs, as well as caregiver involvement. The adjusted incidence of ESKD in children has remained relatively unchanged from 2014 to 2018, ~11.5 per million population, whereas prevalence has increased, with close to 71% of the pediatric ESKD population receiving kidney transplant (1). Racial disparities are noted in modality of treatment, with White children twice as likely to receive a kidney transplant as Black children,