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Introduction and Dislcaimer
Transplant Evaluation
Introduction & Disclaimer

A kidney transplant evaluation is a complex process. This section will help patients to navigate the process.

  1. There is a lot of helpful information on the websites provided in this section.
  2. Patients PCP and/or general nephrologist can contact the transplant center to get a patient set up for an appointment to begin an evaluation.
  3. Patients may be able to go on-line or call the local transplant centers directly to see about scheduling an initial visit.
  4. The UNOS website and the SRTR website have helpful information on how to find a transplant center.

Disclaimer

Useful Websites

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Finding a transplant
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Transplant Work up
Transplant Evaluation
Transplant Work Up

Determining a Good Transplant Candidate

High Risk Donor Kidney

Surgical Barriers to Transplant

Psychosocial Assessment

Reasons Not to Proceed to Transplant

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DR. SILAS

The importance of getting multiple opinions

DR. SILAS

Reasons a patient may not be a good candidate

PATRICK

Transplant work up for evaluation

CHAZ

Determining a good candidate

Transplant Evaluation
Transplant Evaluation
Transplant Evaluation

Referral to a Transplant Center

Transplant Benefits

Medical Evaluation Tests

Transplant Education

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Transplant Benefits

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Transplant benefits

MARY

Transplant benefits

CHAZ

Transplant education

DR. SILAS

Transplant evaluation

Transplant Healthcare Providers
Transplant Evaluation
Transplant Healthcare Providers

There are specific team members that have a direct role with every patient being evaluated.  See the transplant team member section for more information about those members.

Transplant Healthcare Providers

Other Possible Healthcare Providers

Healthcare Providers in Training

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CURTIS

Transplant team

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Transplant providers

MARY

Transplant providers

CHAZ

Transplant providers

Transplant Team Members
Transplant Evaluation
Transplant Team Members

Transplant Social Worker

Transplant Financial Counselor

Transplant Dietician

Transplant Pharmacist

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CURTIS

Helpful social worker

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Transplant team

CHAZ

Other transplant team members social support

Multidisciplinary Committee (NDC)
Transplant Evaluation
Multidisciplinary Committee (NDC)

Multidisciplinary Committee General Info

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CHAZ

Multidisciplinary
committee general info

Patient Approved
Transplant Evaluation
Patient Approved
  1. Once a patient is approved for transplant there are several things that the transplant center will discuss with the patient.
  2. The transplant team will begin more discussions about how to get a living donor and what will happen if the patient needs a kidney from a deceased donor.
  3. The patient will be placed on the waiting list for a deceased donor.
  4. See the wait list general information section .

Living Donor

Deceased Donor

Swap-National Kidney Registry

Blood Type Matching

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Living donor

CHAZ (1/2)

General waitlist

CHAZ (2/2)

Blood type matching

Matching Kidneys to Recipients
Transplant Evaluation
Matching Kidneys to Recipients

United Network for Organ Sharing (UNOS)

Kidney Donor Profile Index (KDPI)

Estimated Post-Transplant Survival Score (EPTS)

Adult Kidney Allocation System

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Waitlist
Transplant Evaluation
Waitlist

Waitlist General Information

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Waitlist

CHAZ

Transplant evaluation and waitlist

Patient Deferred
Transplant Evaluation
Patient Deferred

Reasons for Deferral

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Patient Deferred

MARY

Patient Deferred

CHAZ

Patient Deferred

Patient Denied
Transplant Evaluation
Patient Denied

A denial may mean that there are no fixable issues, which would prevent a patient from ever being a transplant candidate. A denial may mean that a patient has fixable issues that will take more than 6 months to achieve

  1. Weight loss, fixable heart issues (bypass surgery or stents into the heart blood vessels).
  2. Cancer can come back fast and spread easily in a patient who is on anti-rejection medications.  These prevent the patients body from fighting the cancer, which allows it to grow fast and travel to other areas of the body.
  3. Recovery from cancer- many cancers require 5 years cancer-free before being listed.
  4. Some cancers may only require 2 years or less before being listed.

Reasons for Denial

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CHAZ

Transplant denied

DR. SILAS

Patient denied

Referral to transplant center
Transplant Evaluation
Referral to a Different Transplant Center

Transplant center denied a patient

  1. Ask the transplant center for a referral to a different transplant center
  2. Some centers are willing to take more risk
  3. Some centers differ in absolute reasons not to transplant a patient
  4. The patient's general nephrologist can help with a referral to a different transplant center
  5. Private insurance companies may limit at which transplant centers a patient can be evaluated.
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