Preparing for a Kidney Transplant
Choosing a transplant center
If your doctor recommends a kidney transplant, you may be referred to a transplant center. You are also free to select a transplant center on your own or choose a center from your insurance company's list of preferred providers. When you are considering transplant centers, you may want to:
- Learn about the number and type of transplants the center performs each year.
- Ask about the transplant center's recipient survival rates.
- Consider additional services provided by the transplant center, such as coordinating support groups, assisting with travel arrangements, helping with local housing for your recovery period and offering referrals to other resources.
After you've selected a transplant center, you will need an evaluation to determine whether you meet the center's eligibility requirements for a kidney transplant. The team at the transplant center will assess whether you:
- Are healthy enough to have surgery and tolerate lifelong post-transplant medications
- Have any medical conditions that would hinder transplant success
- Are willing and able to take medications as directed and follow the suggestions of the transplant team
Finding a donor
A kidney donor can be living or deceased, related or unrelated to you. Your health care team will consider several factors, such as blood and tissue types, when evaluating whether a living donor will be a good match for you. Family members are often the most likely to be compatible kidney donors. However, many people undergo successful transplants with kidneys donated from people who are unrelated.
If a compatible living donor is not available, your name will be placed on a waiting list for a deceased-donor kidney. Because there are fewer available kidneys than there are people waiting for a transplant, the waiting list continues to grow. The waiting time for a deceased donor kidney can be a year or longer.
Paired kidney donor exchange may be an option if you have found someone willing to donate a kidney, but the donor's blood and tissue are not compatible with yours. Rather than donating a kidney directly to you, your donor may give a kidney to another person whose blood and tissue are compatible. In exchange, you will receive a kidney from another transplantee's donor.
Whether you are waiting for a donated kidney or whether your transplant surgery is already scheduled, work to stay healthy. Being healthy can make it more likely that you will be ready for the transplant surgery when the time comes. It may also help speed your recovery from surgery. Work to:
- Take your medications as prescribed.
- Follow your diet and exercise guidelines.
- Keep all appointments with your health care team.
- Stay involved in healthy activities, including relaxing and spending time with family and friends.
Stay in touch with your transplant team and let them know of any significant changes in your health. If you are waiting for a donated kidney, make sure the transplant team knows how to reach you at all times. Keep your packed hospital bag handy, and make arrangements for transportation to the transplant center in advance.
In order to stay active on the waitlist, it is necessary for you to follow up annually with the transplant center and to update your testing. The UMC Kidney Transplant Program is required to keep the waitlist patients’ clinical information up to date, on an ongoing basis, to ensure that organ offers are made for patients appropriately, based on their clinical status.
- Patients, referring physicians and dialysis centers are encouraged to keep the UMC Kidney Transplant Program updated on the listed candidate’s medical condition
- Patients are informed that they have a responsibility to contact the kidney transplant program if they have any changes in their medical, financial or social status
- If a patient’s medical status should change for any reason while they are on the UNOS waitlist, the Transplant Nephrologist and/or Medical Director will be notified
- Reported changes must be made on the UMC Transplant Waitlist within 24 hours, so everyone has up to date information about each patient
- A member of the Kidney Transplant Program will contact waitlisted patients periodically to review their clinical, financial and contact information