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Hello Ryan,Seeing your mention of research, can you please tell me if this is a homework question?Thanks!Ben
No the research I am conducting is not being done for purposes of an assignment.
Hello Ryan,Thanks for writing back.My name isXXXXX a registered nurse and licensed attorney. Glad to try and help out.In the United States, there is a centralized system called the United Network for Organ Sharing (UNOS). Its importance really cannot be overstated when talking about organ donation. Now, when it comes to renal (kidney) transplantation, here is a nice explanation directly from the source:
Patients: Q & A About Kidney Allocation Policy
That's a good basic overview directed toward a patient audience. For a more in depth discussion, you would need to please realize that each medical center has its own criteria. If you have a particular name in mind, please just let me know and I'll be happy to give you those details.If you have a follow-up question or need clarification, please just say the word by using "reply" to reach me.
I hope all works out for you.
Thank you for that information.
If I had to narrow it down, I would have to say I',m gathering information primarily from the perspective of the Emory Transplant Center in Atlanta, GA.
Could you let me what type of information you can garner pertaining to the requirements set forth by this institution?
Eligibility Criteria for transplant referral:
• Stage 4 or greater chronic kidney disease (GFR<30ml/min)
• Absence of systemic illness or medical condition that significantly decreases estimated short or long-term survival. Examples of such conditions include severe cardiovascular and/or peripheral vascular disease and disseminated malignancy.
• Ability to comply with a complicated, long-term medical treatment regimen. Other important factors include a strong social/family support system and freedom from active drug or alcohol abuse.
• Adequate financial plan to obtain the required immunosuppressive medications after transplant.
Okay great. I suppose what I am mainly interested in is the 3rd set of criteria (ability to comply with a complicated, long-term medical treatment regimen).
Is this category addressing the healthcare requirements that patients need to maintain in order to remain active on the transplant waiting list?
For instance, I've read that a frequent requirement for patients on the waiting list is to see a dentist at least 2x a year. It's requirements like these that I am referring to.
Wow that's interesting.
Are the requirements to stay on the list different between patients at the same transplant center or will they vary? For example, if you and I were both ESKD patients at Emory, would we both have the same requirements to remain active on the transplant list or is that not necessarily true?
And similarly, how are the requirements tracked (how do patients know that they are complying with all the requirements)? I know that tracking their health targets is an area of concern.