CKD Treatment Option - Transplant

Click HERE to download a PDF version of this blog.


HOW DO YOU TREAT CKD?

There are four ways to treat CKD: peritoneal dialysis, hemodialysis, transplant, or medical management.

What is a kidney transplant?

A kidney transplant is when a healthy kidney from a living or deceased donor is placed inside your body. The healthy kidney takes over the work of your failed kidneys and resumes normal kidney function. This is a treatment option for kidney failure, but does not cure the original kidney disease.

Who can have a kidney transplant?

You will need a thorough evaluation from a transplant center. Age and certain medical-condition restrictions exist and qualifications differ between centers. Your GFR must be 20 or lower.

Who is on the transplant team?

Typically, your transplant team will have the following:

  • Surgeon and kidney doctor

  • Transplant coodinator

  • Social workers

  • Financial counselor

  • Pharmacist

  • Nursing staff

  • Dietician

What does the transplant process look like?

  1. You speak with your physicians and family

  2. You receive a referral

  3. You have an initial consult with a transplant center

  4. You receive medical and surgical evaluations

  5. A transplant team will evaluate your results

  6. You become active on a waiting list

  7. If you have a potential living kidney donor, they will be evaluated

  8. TRANSPLANT PROCEDURE takes place

  9. Post care managed by transplant center

Image from https://www.stanfordchildrens.org/en/topic/default?id=kidney-transplantation-85-P01495

What affects waiting time for a transplant?

The factors that affect waiting time:

  • Blood type

  • Tissue type

  • Height and weight of the transplant candidate

  • Size of the donated organ

  • Medical urgency

  • Distance between the donor’s hospital and the candidate’s transplant hospital

  • The number of donors in the local area

  • The transplant program’s criteria for accepting organ offers

What are the pros and cons of a transplant?

Pros:

  • Longer life and improved quality of life

  • Better control of problems associated with chronic kidney disease

  • Only potential way to replace complete kidney function

  • Easier to have an active lifestyle

  • Fewer dietary/fluid restrictions

  • Freedom from dialysis

Cons:

  • Out-of-pocket costs can be high

  • Surgery has risks

  • Rejection of the kidney is possible at any time

  • Anti-rejection medication must be taken for as long as you have the transplant

  • Medications have side effects 

  • You may eventually need another transplant or dialysis

Common concerns about using a living donor

We understand that asking a loved one to consider donating a kidney is difficult. You may feel concerned or worried about the donor’s health, finances, and the magnitude of the gift. Additional concerns include":

  • Your relationship with the donor may change

  • The donor loses time from work and family

  • The donor may feel ignored or forgotten, especially if attention is focused on the recipient

  • The donor may have pain, anxiety, and depression especially if you (the recipient) or they do not do well

What transplant centers are in Minnesota?

There are four transplant centers in Minnesota: Hennepin, Mayo Clinic, University of Minnesota, and Abbott Northwestern.

HOW CAN INTERMED CONSULTANTS HELP YOU THROUGH YOUR KIDNEY CARE?

InterMed Consultants has been providing renowned kidney care in the Minneapolis area, as well as greater Minnesota, since 1979. From diagnosis to treatment, we provide extensive care for all of your CKD needs, including slowing down the progression of CKD, addressing additional problems associated with CKD, and educating patients and preparing them for all treatment options.

For more information or to schedule an appointment, please contact us (952) 920-2070.