9/30/2016. Chris E. Freise, MD Professor of Surgery UCSF Transplant Division
|
|
- Jody Arnold
- 6 years ago
- Views:
Transcription
1 Chris E. Freise, MD Professor of Surgery UCSF Transplant Division Clear advantages over deceased donation for kidney transplant Shorter wait times Better short and long term function Improved graft half-life Ability to desensitize Program started 1964 Volume per year living donor Despite many resources dedicated to program, still only about % of kidney transplants are living donor Adult Program : Pediatric Program: 3 half day eval clinics per week on main campus Multiple outreach sites Dedicated Transplant Floor Reserved OR block time Good access to consultants, radiology Separate Campus 1 half day eval clinic Reserved OR block time Donors done at main campus 1
2 The Living Donor Team Donor RN Coordinator 2.6 Outreach Coordinator 0.4 LD Recipient Coordinator 1.0 LD Recip Coordinator NKR 1.0 LD Facilitator 1.0 NP 0.5 ILDA 0.7 Financial Counselor 0.75 Psychiatrist 0.05 Pharmacist 0.05 Data Coordinator 0.75 Admin Assistant 3.5 New Evaluations 890 Donor HHQ reviewed 1770 Donor Progressed to DWU Living Donor Transplants 100 (202 deceased donor) Surgeons 9 (4 donor surgeons) Nephrologists 7 The Transplant Funnel Recipients Donors Challenges: Educating recipients on survival advantage Timely work-up of donor and recipient Minimizing hassles for donor Tracking donors and recipients in process Maintaining high quality care (ie Outcomes) Compliance with regulations Coordinating multiple providers required interactions with donors and recipients Producing results to justify support Initial Eval Appropriate testing Selection Prepare Donor HHQ DWU 1 DWU2 Selection Prepare Transplant 2
3 Phases of Care Recipient Eval Breeze Donor Questionnaire Donor Workup 1 Donor Workup 2 Preop Visit Surgery Postop Cares Donors and Recipients tracked through phases electronic database Recipient Evaluation Half day visit Nephrologist/Surgeon, Coordinator, Finance, Social Work, Dietician Education on aspects of transplant, Video Program Introduction special programs High Risk donor High KDPI donor HCV positive donor Bariatric program Emphasis on living donor On Site Selection, Select Cases to Formal Selection 3
4 Recipient Evaluation If patient meets listing criteria, placed on UNOS list Further work-up proceeds based on proximity to estimated transplant time If living donor HHQ received, further recipient work-up shifts to LD coordinator once donor clears DWU 1 milestone Donor Evaluation INTAKE Electronic HHQ (BREEZE) Screening questions Can rule out based on weight, other criteria HHQ reviewed by dedicated coordinator Phone contact with donor, review HHQ, discussion of phases of workup, consented for donor evaluation Donor Workup 1 Local Lab tests GFR measurement ABO typing Blood Pressure Measurement (Voucher for BP checks) Request of records Review and cleared by Dedicated Coordinator with input from nephrology Donor Workup 2 Donor case forwarded to new coordinator to complete workup Review of outside records Extra testing scheduled (echo, specialty consults) ABO type (A2, paired exchange) HLA typing and crossmatch Clinic Visit Nephrology/Surgery face to face clinic visit CT angiogram ILDA eval, psychiatry if needed On to selection conference when work-up completed of recipient 4
5 Recipient Workup progresses in parallel with DWU 2, When studies completed, seen for re-evaluation for final clearance On to selection conference Physician Support Throughout work-up phase of donors and recipients, nephrologists are available to navigate through abnormal results, further testing (Buddy docs) Single surgeon reviews all CT imaging of donors for clearance Same surgeon also reviews donor workup for any other issues of concern Donor surgeons meet with all potential donors at donor workup 2 to discuss procedure Other Considerations Discussion about Paired kidney Exchange Possibility of internal swaps explored Assessment of interest in compatible pairs participating in exchange program Formal Selection Conference Discussion of all potential living donors and recipients for final clearance If approved, surgery can be scheduled If any concerns about pain management referral made to pain service Pharmacist will review donor meds, as well as outpatient prescriptions filled for pain meds. If significant, referral to pain service for preop assessment If cleared, surgery date arranged 5
6 Preop Visits Repeat essential labs Final crossmatch Infectious disease testing Meeting with anesthesia Meeting with respective surgeons (if not seen before) Discussion of eligibility for studies Hardstop Report Hardstop Report Reviewed by donor and recipient surgeon, as well as nephrologist After review, each person above replies by verifying infectious disease clearance Now include immunosuppression plan (based on final crossmatch information) 6
7 Surgery All donors done via laparoscopic approach Recipients done in parallel Protocols for floor management Followed in clinic by nephrology/ NP s Long Term Care of Donors Contact with ILDA to remind of follow-up Triggers sent automatically Option of returning to UCSF offered New program of Thank You card sent to donors at yearly milestones up to year 5, with inserts addressing importance of healthy lifestyle QA/QI Can track time between phases as metric of efficiency Weekly meeting with living donor team to discuss areas for change/improvement Participation of surgical director, medical director, transplant administration Meeting agenda developed by lead living donor coordinator Recently established leadership meeting to further evaluate workflow for areas of improvement Increasing Number of Donors Goal for all transplant centers First step is proper education recipient Initial information at first evaluation Could improve education efforts through dialysis units, referring nephrologists. Utilize novel methods to identify potential donors for a given recipient Social network tools/apps Donor Champion program 7
8 A Smartphone App for Increasing Live Organ Donation Smartphone App Cameron et.al. AJT 2016 Allows for recipients to create Facebook post about need for organ Is a passive method of relaying information about need to potential donors that might be in social network In limited study use of method increased donors coming forward by 6 fold American Journal of Transplantation 10 AUG 2016 DOI: /ajt Live Donor Champion Program Developed at Johns Hopkins Series of educational sessions, role playing exercises to train advocate for potential recipient (Living donor champion) on methods to spread awareness of need of recipient for transplant. Transfers the barrier of how to ask from the recipient to the live donor champion. 8
9 Live Donor Champion Program at UCSF Modeled after Hopkins Program Will be condensed into two sessions Educational materials now available to centers Future Directions to Increase Living Donors Further decrease disincentives Build on NLDAC Reimbursement of donor costs for all donors Protection of employment status (Donor Protection Act) Remove risk of increased health care premiums for donors Donor Health Insurance Would ensure access to proper lifelong follow-up Catastrophic insurance for periop events Non Directed donors who enter exchange program allowed to identify family members who could receive a kidney in future if they developed renal failure. 9
10 Conclusions Living donor kidney transplant remains the gold standard as an organ source Transplant centers need to commit appropriate resources for a successful program Process needs to be efficient for both donor and recipient Future directions with an advocacy approach need to be further explored 10
Keeping your options open. Transplant In Center Hemodialysis Home Hemodialysis Peritoneal dialysis No dialysis
Keeping your options open Transplant In Center Hemodialysis Home Hemodialysis Peritoneal dialysis No dialysis Survival With/Without Transplant % of Transplants 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% Recipient
More informationGeorgia Regents. Kidney and Pancreas Transplant Program. Welcome!
Georgia Regents. Kidney and Pancreas Transplant Program Welcome! Orientation Packet Your packet includes forms for you to review. The forms will be explained again during your work up. Patient Education
More informationTransplantation in 2012:
Transplantation in 2012: Optimizing Outcomes through Seamless Communication Kidney, Pancreas and Islet Breakout Session Kidney Transplantation as a Treatment of Choice for ESRD Uday S. Nori, MD Assistant
More informationEmpowering Our Communities:
Empowering Our Communities: Starting the Conversation About Living Organ Donation Karina Fernandez Director of Education and Outreach The Living Bank Lori Taylor- LeDett Living Donor The Living Bank Raising
More informationBarriers to Transplantation
Barriers to Transplantation Ruth McCarrell RN BSN CNeph(C) Clinical Nurse Leader Kidney transplant Program St. Paul s Hospital Email: rmccarrell@providencehealth.bc.ca Overview Transplant Basics Living
More informationThe New Kidney Allocation System: What You Need to Know. Anup Patel, MD Clinical Director Renal and Pancreas Transplant Division Barnabas Health
The New Kidney Allocation System: What You Need to Know Anup Patel, MD Clinical Director Renal and Pancreas Transplant Division Barnabas Health ~6% of patients die each year on the deceased donor waiting
More informationThanks to our Speakers!
Thanks to our Speakers! Fizza Naqvi, MD Assistant Professor at the Department of Medicine (Nephrology), Johns Hopkins Attending physician at Johns Hopkins hospital. Involved with kidney recipient evaluation
More informationA Guide to Better Living
Transplantation What Is a Kidney Transplant? Kidney transplantation is placing a kidney from one person (donor) into a patient with kidney failure (recipient). This is done by surgery where the donated
More informationTA L K I N G A B O U T T R A N S P L A N TAT I O N
TA L K I N G A B O U T T R A N S P L A N TAT I O N Frequently Asked Questions about Kidney Transplant Evaluation and Listing If your kidneys have stopped working properly, or may stop working soon, you
More informationUCLA Kidney Exchange. An option for patients with incompatible living donors
UCLA Kidney Exchange An option for patients with incompatible living donors What is a kidney exchange? A kidney exchange is an innovative twist on efforts aimed at increasing the donor pool by giving people
More informationStep One: The Referral
Step One: The Referral There are 3 phases of your journey through kidney transplant. They are: 1. Referral and Evaluation 2. Wait List 3. Post-Kidney Transplant In this section, you will find information
More informationUpdate on Kidney Allocation
Update on Kidney Allocation 23rd Annual Conference Association for Multicultural Affairs in Transplantation Silas P. Norman, M.D., M.P.H. Associate Professor Division of Nephrology September 23, 2015 Disclosures
More informationTreatment Options: Kidney Transplant
Patient Education Chapter 5 Page 1 Treatment Options: Kidney Transplant Objectives: 1. Understand pros and cons of kidney transplantation. 2. Understand care aspects linked with kidney transplant. Transplant
More informationIowa Methodist Medical Center Transplant Center. Informed Consent for Kidney Transplant Recipient
Iowa Methodist Transplant Center Iowa Methodist Medical Center Transplant Center 1215 Pleasant Street, Suite 506 Des Moines, IA 50309 515-241-4044 Phone 515-241-4100 Fax Iowa Methodist Medical Center Transplant
More informationLiving Donor Paired Exchange (LDPE)
Living Donor Paired Exchange (LDPE) Why do we need Living Donation? 3,796 patients waiting for an organ transplant 2,679 (71%) waiting for a kidney transplant 249 people died while waiting for an organ
More informationWhat Happens on Call?? June 02, 2016
What Happens on Call?? June 02, 2016 MSI Donor Registry High Status Organ Offers Referrals from NS NB & NL Donors National Open Organ Offers 4S Heart Offers General Inquires HSP Kidney Offers Potential
More informationGuide to Transplantation and Living Donation
Guide to Transplantation and Living Donation About transplantation With more than 100,000 people waiting for a kidney in the United States, it is important to educate yourself and your family about transplantation
More informationAbout kidney transplant care in New Zealand
About kidney transplant care in New Zealand A summary of the 2014 New Zealand Nephrology Activity Report: Kidney transplant care provided in 2014 1 ABOUT THIS REPORT This report is for people who have
More informationEvaluation Process for Liver Transplant Candidates
Evaluation Process for Liver Transplant Candidates 2 Objectives Identify components of the liver transplant referral to evaluation Describe the role of the liver transplant coordinator Describe selection
More informationEvaluation Process for Liver Transplant Candidates
Evaluation Process for Liver Transplant Candidates 2 Objectives Identify components of the liver transplant referral to evaluation Describe the role of the liver transplant coordinator Describe selection
More informationKidney Transplant and Living Donation. Martin L. Mai, MD Chair Division of Transplant Medicine Medical Director Kidney/Pancreas Transplant
Kidney Transplant and Living Donation Martin L. Mai, MD Chair Division of Transplant Medicine Medical Director Kidney/Pancreas Transplant Mortality: General Population vs Dialysis Am J Kidney Dis 2008;
More informationOxford Transplant Centre. Live donor kidney transplantation what if we are not a match?
Oxford Transplant Centre Live donor kidney transplantation what if we are not a match? page 2 You will already have been provided with information about different types of kidney transplant and the tests
More informationInformation for potential living kidney donors
Feedback We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service
More informationLiving Donor Kidney Transplant Education Manual
Living Donor Kidney Transplant Education Manual Texas Transplant Institute A Department of Methodist Hospital On the Campus of Methodist Specialty and Transplant Hospital A Campus of Methodist Hospital
More informationKidney Transplant. Patient Education. A treatment option for kidney disease. Overview. Kidney Early Education Program (KEEP) Chapter 5
Patient Education (KEEP) Chapter 5 Kidney Transplant A treatment option for kidney disease Objectives: 1. Understand the pros and cons of kidney transplant. 2. Understand the care needs linked with a kidney
More informationThe New Kidney Allocation System (KAS) Frequently Asked Questions
The New Kidney Allocation System (KAS) Frequently Asked Questions Contents General: The Need for the New System and Key Implementation Details... 4 Why was the newly revised KAS necessary?... 4 What were
More informationBLAZING TRAILS IN TRANSPLANTATION. Danielle Fritze, MD
BLAZING TRAILS IN TRANSPLANTATION Danielle Fritze, MD BETTER TODAY THAN YESTERDAY BETTER TOMORROW THAN TODAY. Jim Harbaugh,via Twitter (and others) Transplant s Joseph Murray Legacy The Herrick Twins NPR,
More informationUW MEDICINE PATIENT EDUCATION. Kidney Transplant. A treatment option for kidney disease. Kidney Transplant
UW MEDICINE PATIENT EDUCATION Kidney Transplant A treatment option for kidney disease Class Goals 1. Understand the pros and cons of kidney transplant. 2. Understand the care needs involved with having
More informationU.S. changes in Kidney Allocation
U.S. changes in Kidney Allocation Match kidneys with longest survival to patients with longest survival No parallel matching for kidneys with lower survival potential Decrease discard of kidneys with lower
More informationOrgan Procurement and Transplantation Network
OPTN Organ Procurement and Transplantation Network POLICIES This document provides the policy language approved by the OPTN/UNOS Board at its meeting in June 2015 as part of the Operations and Safety Committee
More informationUNIVERSITY OF MARYLAND MEDICAL CENTER WE HEAL, WE TEACH, WE DISCOVER, WE CARE
Kidney Transplant Program Patient Guide Overview The University of Maryland Kidney Transplant Program has saved the lives of thousands of patients who have end stage renal disease. By replacing kidneys
More information2015 National Kidney Foundation, Inc. All rights reserved. Disclosures. Objectives
Disclosures Transplant & Dialysis Social Workers Collaborating to Presenters have no disclosures. National Kidney Foundation Spring Clinical Meeting Presented on March 28, 2015 Jeff Harder, MSW, LICSW,
More informationLiving Kidney Donation. Dr. Joseph Keith Melancon
Living Kidney Donation Dr. Joseph Keith Melancon Thanks to our speaker! Keith Melancon, MD Chief Transplant Institute And Division Of Transplant Surgery; Medical Director GW/ Ron And Joy Paul Kidney Center
More informationCertified Clinical Transplant Nurse (CCTN) * Detailed Content Outline
I. PRETRANSPLANTATION CARE 9 11 3 23 A. Evaluate End-Stage Organ Failure 1 1 1 3 1. History and physical assessment 2. Vital signs and / or hemodynamic parameters 3. Lab values 4. Diagnostic tests B. Monitor
More informationSTEP-programme S-candiaT-ransplant kidney E-xchange P-rogramme (STEP) Version 1.8
STEP-programme S-candiaT-ransplant kidney E-xchange P-rogramme (STEP) Version 1.8 June 12, 2017 General guidelines Purpose To increase the likelihood of offering a suitable kidney graft to immunized (HI)
More informationGlossary. Anesthesiologist A doctor who puts you or parts of your body to sleep during surgery.
1-Glossary Glossary Acute rejection A type of rejection that occurs when immune cells from your body attack the transplanted organ(s). Acute rejection may occur at any time after a transplant. But it usually
More informationCommonly Asked Questions about Kidney Transplants
Commonly Asked Questions about Kidney Transplants Should I consider having a kidney We encourage you to get as much information as possible. Ask questions. Talk with other transplant patients and talk
More informationKIDNEY TRANSPLANT - A TREATMENT OPTION
KIDNEY TRANSPLANT - A TREATMENT OPTION Page 1/5 WHAT IS A KIDNEY TRANSPLANT? When kidney failure becomes very advanced, your kidneys are so damaged they can no longer do their job. A transplant is a treatment
More informationThe Kidney Exchange Problem
100 The UMAP Journal 28.2 (2007) The Kidney Exchange Problem Transplant Network Despite the continuing and dramatic advances in medicine and health technology, the demand for organs for transplantation
More informationPaired Donation. Andrew Bradley Rachel Johnson Joanne Allen Susan V Fuggle. Cambridge University NHS Hospitals NHS Foundation trust
Paired Donation Andrew Bradley Rachel Johnson Joanne Allen Susan V Fuggle Cambridge University NHS Hospitals NHS Foundation trust Showing a preference 1860 John Calcott Horsley UK Living Donor kidney transplant
More informationThe Gift of Life. Organ Donation and its Challenges Presented by Jessica Roth, RN, BSN, CPTC
The Gift of Life Organ Donation and its Challenges Presented by Jessica Roth, RN, BSN, CPTC Nebraska Organ Recovery System (NORS) Federally designated as an organ procurement organization (OPO) Tasked
More informationDeveloping an Endoscopic Bariatric Practice and Reimbursement. Shawn Garber, MD FACS FASMBS
Developing an Endoscopic Bariatric Practice and Reimbursement Shawn Garber, MD FACS FASMBS www.stopobesityforlife.com www.bellyballoon.com Disclosures Companies with which I have a financial or other relationship(s):
More informationPatient Education Transplant Services. Glossary of Terms. For a kidney/pancreas transplant
Patient Education Glossary of Terms For a kidney/pancreas transplant Glossary of Terms Page 18-2 Antibody A protein substance made by the body s immune system in response to a foreign substance. Antibodies
More informationChest x-ray Cardiovascular tests (EKG, echocardiogram, angiogram, stress test) Upper and lower G.I. (gastrointestinal) tests Blood tests
Transplantation_Eng.indd 1 1/25/10 1:50:53 PM This booklet is an introduction to transplantation for people with advanced kidney disease. If you have been told that your kidneys are failing, or you are
More informationDesensitization in Kidney Transplant. James Cooper, MD Assistant Professor, Kidney and Pancreas Transplant Program, Renal Division, UC Denver
Desensitization in Kidney Transplant James Cooper, MD Assistant Professor, Kidney and Pancreas Transplant Program, Renal Division, UC Denver Organ Shortage Currently there are >90,000 patients on the kidney
More informationHeart Transplant Family Education Class
Heart Transplant Family Education Class Celebrating 30 years History of Heart Transplantation First successful adult heart transplant in United States- January 6, 1968 First heart transplant at OHSU -
More informationTransplant Update New Kidney Allocation System Transplant Referral Strategies. Antonia Harford, MD University of New Mexico
Transplant Update New Kidney Allocation System Transplant Referral Strategies Antonia Harford, MD University of New Mexico Financial Disclosures Doctor Harford has received financial support for dialysis
More informationSeptember 28, 2013 Jennifer Butler, RN, CCTC
How To Get Listed for Kidney Transplant September 28, 2013 Jennifer Butler, RN, CCTC Objectives What kidney failure is 3 major forms of treatment Kidney transplant evaluation Kidney transplant List Functions
More informationNew Zealand Kidney Allocation Scheme
New Zealand Kidney Allocation Scheme The New Zealand Kidney Allocation Scheme (NZKAS) has been developed to ensure that kidney allocation in NZ is performed on an equitable, accountable and transparent
More informationTypes of living donor transplants
TA L K I N G A B O U T T R A N S P L A N TAT I O N U N I T E D N E T W O R K F O R O R G A N S H A R I N G In response to the shortage of organs for transplantation, relatives, loved ones, friends, and
More informationNHSBT Board July Update on UK Living Kidney Sharing Scheme
1. Status Public 2. Executive Summary NHSBT Board July 27 2017 Update on UK Living Kidney Sharing Scheme This paper provides an update on activity and plans for the UK Living Kidney Sharing Scheme (UKLKSS),
More informationA Quality Improvement Project: Decreasing the Time from Diagnosis to Surgery in Patients with Bladder Cancer
Decreasing the Time from Diagnosis to Surgery in Patients with Bladder Cancer Abstract Otto Sandoval, M.D. 1 Andrew Blake 2 Josh Barnes- Livermore 3 Doug Salvador, M.D., MPH 4 Brian Jumper, M.D. 5 Jennifer
More informationTRANSPLANT REFERRAL TO WAITLIST - NAVIGATING THE SEVEN STEPS
TRANSPLANT REFERRAL TO WAITLIST - NAVIGATING THE SEVEN STEPS Benjamin Hippen, MD, FASN, FAST Chair, Medical Review Board, ESRD Network 6 Metrolina Nephrology Associates P.A., and Atrium Heatlh Charlotte,
More informationJohns Hopkins Children s Center
How to reduce head CT orders in Children with Hydrocephalus using Lean Sigma Methodology: Experience in a Major Academic Children s Center Aylin Tekes-Brady 1, Eric Jackson 2, Jean Ogborn 3, Elyce Wolfgang
More informationTransplant First. Standards & Guidelines for Renal Transplantation in the West Midlands. Final version
West Midlands Cardiovascular Clinical Network Transplant First Standards & Guidelines for Renal Transplantation in the West Midlands Final version - 091116 Contributors: Mr Nicholas Inston, Consultant
More informationKidney Allocation- Will it ever be fair? Peter G Stock MD, PhD UCSF Department of Surgery. Would you accept this offer?
Kidney Allocation- Will it ever be fair? Peter G Stock MD, PhD UCSF Department of Surgery Question 1: A 19 y/o deceased donor kidney (O mismatch) from NYC is allocated to a 72 y/o highly sensitized caucasian
More informationGreen Light to Transplant: A Stepwise Approach
Green Light to Transplant: A Stepwise Approach Andrea O Shaughnessy RN, BSN, PGDip. ICU/ER, Transplant Coordinator Vancouver General Hospital Sharon Duncan BA, RN, BSN, Patient Services/Transplant Coordinator/Educator
More informationNew Ways to Tackle a Growing Health Care Dilemma - ESRD
New Ways to Tackle a Growing Health Care Dilemma - ESRD J. Keith Melancon, M.D., F.A.C.S. George Washington University Professor of Surgery Chief, Transplant Surgery and Transplant Institute Thanks to
More informationDisparities in Transplantation Caution: Life is not fair.
Disparities in Transplantation Caution: Life is not fair. Tuesday October 30 th 2018 Caroline Rochon, MD, FACS Surgical Director, Kidney Transplant Program Hartford Hospital, Connecticut Outline Differences
More informationRole of the Clinical Pharmacist in Primary Care
Role of the Clinical Pharmacist in Primary Care Amy Kramer, Pharm.D., Manager Clinical Pharmacy Services Kaiser Permanente Holly Miller, Pharm.D., BCACP, Primary Care Clinical Pharmacist Kaiser Permanente
More informationUpdate on organ donation in British Columbia
Update on organ donation in British Columbia Jagbir Gill MD MPH FRCPC Associate Professor of Medicine, UBC Vice President, CORR Board 2017 BC Kidney Days October 5, 2017 Canadian Institute for Health Information
More informationOverall Goals and Objectives for Transplant Hepatology EPAs:
Overall Goals and Objectives for Transplant Hepatology EPAs: 1. DIAGNOSTIC LIST During the one-year Advanced Pediatric Transplant Hepatology Program, fellows are expected to develop comprehensive skills
More informationYour Health Matters. What You Need to Know about Adult Liver Transplantation. Access our patient education library online at
Access our patient education library online at www.ucsfhealth.org Your Health Matters What You Need to Know about Adult Liver Transplantation Table of Contents 1. Introduction 2. The Preliminary Process
More informationUse of HCV + Donors Should Be Considered Standard of Care
GUIDE TO ERGOT S 2018 ATC TALKS Hopkins Team Mentor: Christine Durand, Andrew Cameron, Russell Wesson, Jaime Glorioso, William Werbel, Mary Grace Bowring, Chelsea Song Haugen, Christine Weeks, Sharon Bae,
More informationTransplant Options for Patients: Choices and Consequences. Olwyn Johnston Medical Director Kidney Transplantation Vancouver General Hospital
Transplant Options for Patients: Choices and Consequences Olwyn Johnston Medical Director Kidney Transplantation Vancouver General Hospital BC Kidney Days October 6 th 2017 Non contributory Conflict of
More informationIs a kidney transplant right for me?
Is a kidney transplant right for me? Your guide to the transplant process www.esrdncc.org Contents Introduction 3 What is a Transplant Center? 4 What is the Waiting List? 5 What Happens After the Surgery?
More informationInformed Consent for Liver Transplant Patients
Informed Consent for Liver Transplant Patients Evaluation Process You will be evaluated with consultations, lab tests and various procedures to determine the medical appropriateness of liver transplant.
More informationPatient Education. Transplant Services. For a kidney/pancreas transplant
Patient Education Waiting for Transplant For a kidney/pancreas transplant You have completed your evaluation and are ready to be added to the wait list. Learn about the wait list and things you can do
More informationThank you for Joining us today the Webinar will begin shortly
Thank you for Joining us today the Webinar will begin shortly Improve Transplant Coordination: Patient Ambassador Kickoff Deb DeWalt, MSN RN Sue Swan-Blohm, BS, OCDT February, 2018 Meeting Reminders All
More informationJohns Hopkins Hospital Comprehensive Transplant Center Informed Consent Form for Thoracic Organ Recipient Evaluation
Johns Hopkins Hospital Comprehensive Transplant Center Informed Consent Form for Thoracic Organ Recipient Evaluation The decision to undergo transplantation can be extremely difficult and often confusing.
More informationWelcome to Your DSA Action Team Meeting. February 29, 2012
Welcome to Your DSA Action Team Meeting February 29, 2012 Who s on the Call? Questions??? Use the Q & A panel displayed on your screen Type your question in at the very bottom portion of the Q & A panel.
More informationTransplant A Report from Baylor Annette C. and Harold C. Simmons Transplant Institute Living Liver Donation: An Attractive Option for Some Patients
TransplantUpdate A Report from Baylor Annette C. and Harold C. Simmons Transplant Institute Volume 5 Number 2 Living Liver Donation: An Attractive Option for Some Patients 2 Advanced liver disease is debilitating,
More informationPatient Acknowledgement for Kidney, Pancreas or Kidney-Pancreas Transplant
Patient Acknowledgement for Kidney, Pancreas or Kidney-Pancreas Transplant This form provides information about having a kidney transplant. It describes the purpose, process, tests, risks, benefits, and
More informationKIDNEY FAILURE TREATMENT OPTIONS Choosing What s Best For You
KIDNEY FAILURE TREATMENT OPTIONS Choosing What s Best For You What Kidneys Do The kidneys are a pair of bean shaped organs located below your ribcage near the middle of your back. Kidneys play a vital
More informationPaired Exchange Results Quarterly Report
Paired Exchange Results Quarterly Report As of September 3, 213 Table of Contents Message From the Founder... 1 Transplants Facilitated by Year... 2 Patient Referrals to NKR Member Centers... 2 New Pair
More informationClinical & Practical Aspects of Establishing a Successful Heart & Valve Clinic
Clinical & Practical Aspects of Establishing a Successful Heart & Valve Clinic Marci S. Damiano, RN, MSN Coordinator of the Center for Valvular Heart Disease Division of Cardiology, Department of Medicine
More informationIs a Kidney Transplant Right for Me?
Is a Kidney Transplant Right for Me? Network 8 Introduction What do singer Natalie Cole, actor Ken Howard, funny men Tracy Morgan and George Lopez and fashion reporter Steven Cojocaru have in common? They
More informationGetting a New Kidney UHN. Information for patients and families. Is a kidney transplant right for me? Read this booklet to learn:
Getting a New Kidney UHN Information for patients and families Read this booklet to learn: about kidney transplants who can be donors how to start the transplant process how long the process might take
More informationLive Donor Liver Transplantation: A Life Saving Option for End Stage Liver Disease
Live Donor Liver Transplantation: A Life Saving Option for End Stage Liver Disease Abhi Humar, MD Clinical Director, Thomas E. Starzl Transplantation Institute 1 PITTSBURGH THE BIRTHPLACE OF LIVER TRANSPLANTATION
More informationRenal Transplantation: Allocation challenges and changes. Renal Transplantation. The Numbers 1/13/2014
Renal Transplantation: Allocation challenges and changes Mark R. Wakefield, M.D., F.A.C.S. Associate Professor of Surgery/Urology Director Renal Transplantation Renal Transplantation Objectives: Understand
More informationAre two better than one?
Are two better than one? Disclosures Ryutaro Hirose, MD Professor in Clinical Surgery University of California, San Francisco I have no relevant disclosures related to this presentation The PROBLEM There
More informationA VIDEO SERIES. living WELL. with kidney failure KIDNEY TRANSPLANT
A VIDEO SERIES living WELL with kidney failure KIDNEY TRANSPLANT Contents 2 Introduction 3 What will I learn? 5 Who is on my healthcare team? 6 What is kidney failure? 6 What treatments are available
More informationOrgan Donation & Allocation. Nance Conney Thomas E. Starzl Transplantation Institute
Organ Donation & Allocation Nance Conney Thomas E. Starzl Transplantation Institute History of Transplantation Dr. Sushruta second century B.C. Solid Organ Transplantation 1954 Living-Related Kidney (Dr.
More informationKidney Transplant FAQs
Kidney Transplant FAQs For Living Donors How long am I in the hospital? One to three days for the donor. When can I return to work/school? Two weeks for the donor. How long is the surgery? Each surgery,
More information21th Budapest Nephrology School Ágnes Haris, Kálmán Polner
21th Budapest Nephrology School Ágnes Haris, Kálmán Polner 53 years old female, -worked as computer scientist, -lived with her husband and 2 children, -in excellent financial situation. Diagnosed with
More informationAre Your Patients Well Prepared for Kidney Transplant?
Are Your Patients Well Prepared for Kidney Transplant? Venkatesh Kumar Ariyamuthu MD FASN Disclosures National Kidney Foundation Scientific Advisory Board 78 year old Hispanic female ESRD secondary to
More informationHong Kong Journal Nephrol of 2000;(2): Nephrology 2000;2(2): BR HAWKINS ORIGINAL A R T I C L E A point score system for allocating cadaver
Hong Kong Journal Nephrol of 2000;(2):79-83. Nephrology 2000;2(2):79-83. ORIGINAL A R T I C L E A point score system for allocating cadaveric kidneys for transplantation based on patient age, waiting time
More informationBest Practices: U.S. News & World Report s Top 10 Endocrinology & Diabetes Programs
Best Practices: U.S. News & World Report s Top 10 Endocrinology & Diabetes Programs Jim Price Principal jim.price@progressivehealthcare.com Haley Eskew Consultant haley.eskew@progressivehealthcare.com
More informationColorectal Cancer- QI process and clinic success: A Case Study at Atascosa Health Center
Colorectal Cancer- QI process and clinic success: A Case Study at Atascosa Health Center Kaela Momtselidze Health Systems Manager Primary Care Systems American Cancer Society Sheri Frank Director of Corporate
More informationMaintaining Your Kidney Transplant
Maintaining Your Kidney Transplant Darshika Chhabra, MD, MPH Transplant Nephrologist and Medical Director Advocate Christ Medical Center March 29, 2014 Why get a kidney transplant? Improved survival Transplant-Related
More informationQuestions and Answers for Transplant Candidates about the Kidney Allocation System
TA L K I N G A B O U T T R A N S P L A N TAT I O N Questions and Answers for Transplant Candidates about the Kidney Allocation System United Network for Organ Sharing (UNOS) is a non-profit charitable
More informationPARTICULARS, SCHEDULE 2 THE SERVICES, A SERVICE SPECIFICATION. A03/S(HSS)/a Pancreas transplantation service (Adult)
A03/S(HSS)/a NHS STANDARD CONTRACT FOR PANCREAS TRANSPLANTATION SERVICE (ADULT) PARTICULARS, SCHEDULE 2 THE SERVICES, A SERVICE SPECIFICATION Service Specification No. Service Commissioner Lead Provider
More informationProject 3dii: Expansion of the Home Environmental Asthma Management Program
1 Project 3dii: Expansion of the Home Environmental Asthma Management Program Asthma Primary Care Project Participation Opportunity Purpose 2 This Project Participation Opportunity is specifically targeted
More informationPatient Education. Transplant Services. For a liver transplant
Patient Education Preparing for Medical Evaluation, Labs & Tests For a liver transplant The evaluation process is complex and is unique to each patient. The Transplant Team will determine whether the real
More informationTransfusion support in Transplantation
Transfusion support in Transplantation Patricia Campbell University of Alberta Hospitals University of Alberta Objectives UofA transplant programs What we do and why? HLA and ABO incompatible transplants
More informationThe New Kidney Allocation Policy: Implications for Your Patients and Your Practice
The New Kidney Allocation Policy: Implications for Your Patients and Your Practice Clinical Practice Today CME Co-provided by Learning Objectives Upon completion, participants should be able to: Explain
More informationTransplant Nephrology Update: Focus on Outcomes and Increasing Access to Transplantation
Transplant Nephrology Update: Focus on Outcomes and Increasing Access to Transplantation Titte R Srinivas, MD, FAST Medical Director, Kidney and Pancreas Transplant Programs Objectives: Describe trends
More informationUEMS & EBS: DIVISION OF TRANSPLANT SURGERY
CURRICULUM AND SYLLABUS TRANSPLANTATION Module 1: Multi-organ retrieval Ability to evaluate donor suitability Ability to retrieve abdominal organs for transplantation Evaluation of donor/ organs suitability
More information