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From January 1986 through December 1998, 175 adults received single kidneys from donors less than 60 months of age. Recipient age ranged from 16 to 66 years (mean 41.2 years), weight from 75 to 186 lb (mean 138 lb), and no exclusion was made for previous transplants, diabetes, or factors other than weight. Donor age ranged from 9 to 56 months (mean, 25.3 months), weight from 9 to 60 lb (mean, 28 lb),...