Thank you for your interest in Transplantation at Carolinas Medical Center. Our team of professionals is here to help you and your patient every step of the way.
A patient with end-stage renal disease who undergoes a kidney transplant has a better chance for survival than a patient who stays on dialysis. Kidney transplantation is no longer just considered life-enhancing, but is now a life-saving therapy. Safer methods of immunosuppression have enhanced the consideration of elderly and high-medical risk candidates-patients who were once thought to be physically unable to undergo a successful transplant procedure.
When to Refer a Patient
The length of time a patient is on dialysis is a significant risk factor for transplant outcomes, so referrals should be made as soon as possible. Early referral will expedite evaluation and allow for any living donors to complete an evaluation and possibly pre-empt the need for dialysis. A patient may be listed for transplantation once the transplant team has approved them and also may be listed prior to starting dialysis. See our page on Evaluation Criteria for kidney transplantation.
How to Refer A Patient
Patients may be referred to the Transplant Center for consideration by their nephrologists. For more information on the referral process, contact the Intake office at 704-355-3825 or print the referral form and fax required information to 704-355-7616.
It is important that the transplant team know as much as possible about each potential candidate for transplantation. Referral information should include:
- Patient demographic information
- Insurance information (copies of the front and back of insurance cards)
- A recent history and physical
- Any recent hospitalization discharge summary
- Results of any Chest X-rays, EKG's or cardiac tests within the past 12 months
- Recent labs
- Medication list
- Recent dialysis flow sheets
- Current long and short-term care plan
- If a history of substance abuse, documentation of abstinence or treatment
- Mammogram within 12 months (for females over 40, responsibility of patient)
- Pap smear within 12 months (for females over 18, responsibility of patient)
- Colonoscopy for patients over 50 (patients' responsibility)
Once a referral is received, insurance verified and an evaluation has been completed, patients are discussed in a multi-disciplinary transplant conference and their acceptance as a candidate for transplantation is determined. Final authorization for transplant listing is requested from the insurance carrier. Once obtained the patient may then be placed on the United Network for Organ Sharing (UNOS) national waiting list. If a living donor is being evaluated, surgery may be scheduled, if indicated.
For more information on organ donation and allocation, visit www.unos.org.
For more information regarding center specific data and statistics, visit www.ustransplant.org.