This retrospective analysis of data obtained from the Australia and New Zealand Dialysis and Transplant Registry (ANZDATA) identified 215 patients aged <18 years who started renal replacement therapy in New Zealand between 1990 and 2012. The analysis revealed disparities in live donor transplantation: Europeans and Asians were most likely to receive a transplant (92% and 91% transplanted within 5 years, respectively), while Pacific and Māori patients were less likely to receive a transplant than Europeans (51% and 46%, respectively). Pacific patients were more likely to have glomerulonephritis and focal segmental glomerulosclerosis. Rates of 5-year death-censored graft survival were lowest among Pacific patients (31%), higher among Māori (61%) and highest among Europeans (88%). Retransplantation after loss of primary graft did not occur in any Pacific patients within 72 patient-years of follow-up, whereas 14% of Māori patients and 36% of European and Asian patients were retransplanted within 5 years.
