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 online 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. (see useful websites below)

Introduction & Disclaimer

Disclaimer

Useful Websites

Table of Contents

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Transplant Evaluation
  1. If anyone should wish to see the references to the literature supporting the educational guidelines in this part of the Patient Journey, please reach out to VericiDx on our website.

KEN

Finding a transplant
center

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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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Transplant Healthcare Providers
Other Transplant Team Members

DR. SILAS (1/2)

The importance of getting multiple opinions

DR. SILAS (2/2)

Reasons a patient may not be a good candidate

PATRICK

Transplant work up for evaluation

CHAZ

Determining a good candidate

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KEN

Transplant work up

MARY

Transplant work up

Transplant Evaluation
Transplant Evaluation
Transplant Evaluation

Referral to a Transplant Center

Potential Transplant Benefits

Medical Evaluation Tests

Transplant Education

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Transplant Work Up
Transplant Healthcare Providers

ANEL

Transplant Benefits

KEN (1/2)

Tips for your Transplant evaluation

KEN (2/2)

Tests included in your Transplant evaluation

MARY

Transplant benefits

CHAZ

Transplant education

DR. SILAS

Transplant evaluation

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Transplant Healthcare Providers
Transplant Evaluation
Transplant Healthcare Providers

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

Transplant Healthcare Providers

Other Possible Healthcare Providers

Pre-Transplant Coordinator

Healthcare Providers in Training

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Other Transplant Team Members

CURTIS

Transplant team

KEN

Transplant providers

MARY

Transplant providers

CHAZ

Transplant providers

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Transplant Team Members
Transplant Evaluation
Other Transplant Team Members

Transplant Social Worker

Transplant Financial Counselor

Transplant Dietitian

Transplant Pharmacist

Transplant Psychologist

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Multidisciplinary Committee

CURTIS

Helpful social worker

KEN

Transplant team

CHAZ

Other transplant team members social support

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Multidisciplinary Committee (MDC)
Transplant Evaluation
Multidisciplinary Committee (MDC)

Multidisciplinary Committee (MDC) General Info

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Patient Approved
Patient Denied
Refer Different Transplant Center
Patient Deferred

CHAZ

Tips for the multidisciplinary committee

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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 find 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 .

Patient Approved

Living Donor

Deceased Donor

Swap-National Kidney Registry (NKR)

Blood Type Matching

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Matching Kidneys to Recipients
Waitlist General Information

MARY

Living donor

CHAZ (1/2)

General waitlist

CHAZ (2/2)

Blood type matching

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Matching Kidneys to Recipients
Transplant Evaluation
Matching Kidneys to Recipients
  1. The process to match a donor kidney to a patient on the waiting list is very structured and organized.
  2. The following pop-ups explain how organs are matched to a recipient.
  3. More information on this process can be found in the useful website section at the beginning of the transplant evaluation section.

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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General Waitlist information

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Waitlist
Transplant Evaluation
Waitlist

General Waitlist information

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Multidisciplinary Committee

CHAZ

Transplant evaluation
and waitlist

CURTIS

wait list - long time

ANEL

Waitlist

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Patient Deferred
Transplant Evaluation
Patient Deferred

Reasons for Deferral

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Multidisciplinary Committee

KEN

Patient Deferred

CHAZ

Patient Deferred

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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 for kidney transplant 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 patient's body from fighting the cancer, which allows it to grow fast and travel to other areas of the body.
  1. Recovery from cancer- many cancers require 5 years cancer-free before being listed.
  2. Some cancers may only require 2 years or less before being listed.

Patient Denied

Reasons for Denial

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Referral to Another Transplant Center

CHAZ

Transplant denied

DR. SILAS

Patient denied

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Referral to transplant center
Transplant Evaluation
Referral to Another 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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DR. SILAS

The importance of getting multiple opinions

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