Reasons Why Many CKD Patients Are Being Prevented From Receiving Kidney Transplant After Eligibility

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The number of Chronic Kidney Disease (CKD) patients added to the Kidney Transplant Waiting List in the United States has been increasing by "3000 to 4000 patients each year," suggests University of California, Los Angeles Professor of Medicine, Gabriel Danovitch (MD). However, as of 2010 nearly one third (30%) of the 93,000 patients waiting on the Kidney Transplant List were classified as "inactive," meaning they could not be given an organ if it became available because they are too sick, or not sick enough, or for some other later explained reason.

Recommended Reading: Why Would Your Transplant Surgeon Reject a Kidney Transplant before You Are Notified?

There are initial factors that prevent CKD patients from being selected for the Kidney Transplant List such as having a current life expectancy of less than five years, suffering with Cancer (aside from most skin Cancers), developing uncorrectable heart disease, having an untreatable psychiatric illness, active substance abuse and lacking health insurance or Medicare/Medicaid coverage. Yet, people with CKD who are otherwise healthy are placed on the list in an "active" status, which means there are no outstanding issues and s/he will be eligible to conduct a Kidney Transplant as soon as a viable kidney becomes available. Those with CKD who experience issues such as infections, consistently missing/skipping dialysis treatments or frequently signing off of their in center dialysis machine early will be given "inactive" status. In this case the patient will not receive organ offers but will accrue credit for waiting time on the Kidney Transplant list.

Recommended Reading: What is Your Number on the Kidney Transplant Waiting List, and How is it Determined?

In order to be selected for the Kidney Transplant Waiting List as well as remain active KidneyBuzz.com encourages people with CKD to abide by their dialysis treatment schedule (at home or in center) , employ strategies to avoid infection, learn to manage stress, and eat according to their renal diet plan. It is equally as important for CKD patients who have a Living Donor to stay as healthy as they possibly can because Kidney Surgeons take into account the wellness status of the recipient, donor and other factors when considering conducting Kidney Transplant surgery.

Recommended Reading: What You Can Do to Get on the Kidney Transplant Waiting List After Being Rejected

For ideal outcomes make sure that you stay in communication with your Kidney Transplant Team and let them know of any significant changes to your health. If you are waiting on the list for a kidney, make sure that your transplant team knows how to reach you at all times. Stay involved in healthy activities including exercise because even light exercise at home that is done regularly will help preserve your endurance, strength, mobility and reduce stress. Also, education and support groups both online such as , and offline may provide you with the tools and support you need to better manage your health before and after receiving a Kidney Transplant. 

*Note: Do not forget to order your No BP/No Stick Medical Alert Bracelet!  

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References:

Kidney Transplant — How You Prepare." mayoclinic.com. The Mayo Clinic. 

"The Kidney Transplant Listing Process." Emoryhealthcare.org. Emory Healthcare.

Shafi S, Zimmerman B, Kalil R. "Temporary Inactive Status on Renal Transplant Waiting List: Causes, Risk Factors, and Outcomes." Ncbi.nlm.nih.gov. US National Library of Medicine National Institutes of Health.

"Resources Glossary." OPTN: Organ Procurement and Transplantation Network. Health Resources and Service Administration.

Gabriel Danovitch, MD. "The Kidney Transplant Waiting List." Www.uptodate.com. Wolters Kluwer - Health.

"FAQs for Kidney Recipients." Barnesjewish.org. Barnes-Jewish Hospital.