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rove the quality of life of children with kidney failure and their families. A higher resolution version of the Graphical abstract is available as Supplementary information. The need for dialysis after kidney allograft failure (DAGF) is among the top five reasons for dialysis initiation, making this an important topic in clinical nephrology. However, data are scarce on dialysis choice after transplantation and clinical outcomes for DAGF in children. Patients receiving chronic dialysis 18 years were recorded from January 1991 to Januar