All is not lost, if you receive notice that you were turned down for the Kidney Transplant Waiting List. You have the option to appeal the decision to that Hospital's Ethics Committee in an attempt to have the Center reconsider, and they have been known to change their original decisions. Also you can seek a second opinion by being evaluated at another Transplant Center that may have different criteria for selecting patients and could potentially present a more favorable decision.
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The single most prevalent reason that Hospital Transplant Committees do not accept requests for Kidney Transplantations is non-compliance to dialysis, prescribed medication and keeping appointments. You should be aware that your track record of attending dialysis treatments, meeting all necessary medical appointments and taking medications is continually monitored to identify non-compliance. As you are probably aware, post Kidney Transplant lifestyle changes are the key to ensuring a successful recovery and long term health of the new kidney. Adherence to your healthcare team's recommended lifestyle changes is an important ingredient to getting and staying active on the Kidney Transplant Waiting List.
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The post-transplant regiment is rigorous and requires diligence so your ability to follow your current regimen will be considered an indication of your willingness to take care of yourself after your transplant. Donor kidneys are becoming increasingly scarce which is stiffening the competition to receive a Kidney Transplant. Transplant Teams typically are very skilled at evaluating patients to determine who can most benefit. However, if you feel that you have been unjustly denied a place on the Kidney Transplant Waiting List don't give up because you have options including immediately appealing to the Kidney Transplant Center's Ethics Committee.
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"How to Get on the Waiting List For an Organ Transplant." About.com Surgery.
"Compliance of Kidney Transplant Patients to the Recommended Lifestyle Behaviours: Single Centre Experience." National Center for Biotechnology Information. U.S. National Library of Medicine
"Pre-Transplant Medical Evaluation." Dallas Nephrology Associates.
"Before Transplant." The Ohio State University Wexner Medical Center.
To improve your chances at getting listed, review the United Network for Organ Sharing (UNOS) web site and their statistics on the transplant hospitals you are considering. Learn as much as possible about your desired Transplant Center's Requirements and choose one that will be covered by your insurance company. Some insurance carriers require you to receive your transplant at specific hospitals in order for the procedure to be covered.
The decision to wait list you at any Kidney Transplant Center is not made by any one person, an entire team decides if you will make a good candidate for a successful transplant. You will be notified if you have been approved for transplantation once your evaluation is completed and the different members of the team have determined your eligibility. If you are approved, you will be expected to maintain ongoing appointments with your Kidney Transplant Team designed to keep you in the best possible health. If you are rejected by the Transplant Center then you should review the reasons and determine if you should make lifestyle changes before reapplying, apply for other Transplant Centers or appeal the decision.