ChristianaCare

Kidney Transplant Program

Kidney Transplant Evaluation

Our kidney transplant team relies on the following consultations and tests to assess your overall health.

The initial evaluation consultations consist of:

  • Transplant education.
  • Medical evaluation by a nephrologist.
  • Psychosocial evaluation.
  • Financial evaluation.
  • Initial tests: Lab work (blood tests), X-ray and EKG.

The comprehensive testing consists of additional:

  • Cardiac studies.
  • Imaging studies.
  • As needed for some patients: standard health screenings, including colonoscopy, prostate screening, mammogram, Pap test and/or dental exam.

At your kidney transplant evaluation appointment you will also meet with several other team members, including:

  • A social worker, who reviews your support system and insurance coverage.
  • A dietitian, who reviews your dietary habits and, if needed, helps you change them.
  • A financial analyst, who determines if you have any medically related financial challenges that need to be addressed.
  • A pharmacist, who reviews your allergy information and current medications, and discusses medications you will take after your kidney transplant.

Finally, you will meet with a kidney transplant coordinator, who becomes your point of contact with our program. The coordinator reviews your test results and helps to arrange further tests if needed. Once all the tests are complete, our team works as a committee to determine if you are a good candidate to go on the list to receive a kidney transplant.

Once the evaluation is complete, the patient’s chart will be reviewed by the physicians and multi-disciplinary team at the weekly selection committee meeting. The selection committee may approve the patient for listing, require additional information prior to making a decision, or determine that the patient is not a candidate for transplantation. The patient, referring physician, and dialysis unit (if applicable) will receive letters notifying of the committee’s decision.

Once a patient has been approved for transplant listing, insurance authorization will be obtained if needed prior to being placed on the national transplant waiting list.