In this episode of the Let's Talk About Kidneys podcast, Dr. Muhammad Qureshi talks about the benefits of a kidney transplant, why it's a good choice after kidney failure, and what the process looks like before, during and after.
Why should a CKD patient consider a kidney transplant?
Dr. Qureshi talks about the fact that there are both mortality and morbidity benefits of a kidney transplant. In other words, not only do you live longer, but you live better.
Who qualifies for a kidney transplant?
Anyone who has a kidney function less than 20% or someone who has already started dialysis on a chronic basis can potentially qualify for a kidney transplant. At that point they will visit a transplant center for a thorough evaluation to be sure they meet the minimum criteria for a transplant. That includes being sure they have a healthy heart and can handle the immunosuppressive medications, as well as age-appropriate screening for cancer, pre-existing infections, etc.
Who is involved in the pre-transplant process?
A nephrologist, transplant surgeon, dietitian, and social worker will all be involved in the pre-transplant process. They each have a role in evaluating the patient and making sure they have adequate coverage for their medications and care plan.
What happens when a patient is matched with an organ?
Once an organ is available, the first person the patient typically sees is a transplant nephrologist. They will again perform screenings to ensure nothing has changed - no active infections or wounds, blood testing to ensure organ compatibility, COVID screening, etc.
What happens after the transplant is complete?
Dr. Qureshi walks through the importance of immunosuppressive medications. The patient will take some immunosuppressive medications immediately following transplant and some will be lifelong, which are called maintenance immunosuppressive medications.
Once the patient is discharged from the hospital, the nephrology team still follows them very closely. They will see the patient three times a week for the first couple of weeks, twice a week for two weeks, and then once a week for about another month. In that time medications will be monitored and adjusted, the wound will be monitored for infection or complications, and more.
What types of kidney transplants are available?
How does a patient find a living donor?