• Kidney Transplant Evaluation Process at Lahey

    Before we list you as a kidney transplant candidate, you’ll need to go through our evaluation process. You will be meeting with multiple transplant team members. This is to help us determine: 

    • The severity of your condition 
    • That you are healthy enough to undergo surgery 
    • That you meet our transplant guidelines 
    • That you have a support system to help you with recovery 
    • The best plan for you for transplant surgery and post-transplant care 

    Some of the tests you will have include:

    • Cardiopulmonary tests, including an electrocardiogram (EKG), cardiac stress test, pulmonary function test, and a chest x-ray 
    • Imaging tests, including CT scans, abdominal and renal ultrasound, and vascular ultrasound 
    • Blood tests 
    • Compatibility tests of your blood to determine which type of kidney donor you are most compatible with 
    • Preventive care testing such as age-appropriate mammography, PAP, and colonoscopy 
    • Other tests as deemed necessary 

    The Evaluation Decision 

    Once your pre-transplant evaluation is complete, your information is presented to the multidisciplinary transplant committee. The decision to accept a candidate is made by consensus of the committee based on the results of testing and opinions provided by team members.

    Possible outcomes include:

    • Accepted for listing for  kidney transplantation and placed on the list as an active candidate 
    • Accepted for listing for transplantation and placed on the list as an inactive candidate (pending clearance of outstanding issues that will be outlined for you) 
    • Defer for additional testing, based on your medical condition 
    • Determination that you are not an appropriate transplant candidate (if you are declined, our physician will talk to you about your options) 

    Within 10 business days after the committee meeting, a letter will be sent to you detailing the decision of the committee, including any recommendations and required follow-up.

    Do You Have a Donor? 

    The question of whether you have a living kidney donor is one of the most important in the kidney transplant process. Having a donor will greatly improve your entire kidney transplant experience. We strongly encourage you to ask your family or friends to make the life-saving decision to donate.  If you are uncomfortable asking someone to donate a kidney for you, please speak with your transplant coordinator or social worker. They will help you devise strategies for discussing the topic with your friends and family.

    The benefits of having a live kidney donor include: 

    • Shorter time on the kidney waiting list 
    • The ability to get a new kidney before you need dialysis; studies show that this leads to longer-lasting transplants 
    • Better outcomes (longer lasting and better function) 

     

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