What Are The Requirements For Kidney Transplantation?

by Keshu Kumar
Best kidney transplant hospital

In terms of the cost involved and treatment quality, India is the chosen destination for medical patients across the world. The hospitals and doctors in India have access to world-class equipment and improved technology than several of their American and European counterparts. Thus, it is natural for patients to look for kidney transplantation here. In fact, at the best kidney transplant hospital in India, the success rate for the procedure stands at around ninety percent. 

India comes right after the USA in terms of the total number of kidney transplants. More than 200,000 patients get kidney transplants in the country each year. 

What exactly is a kidney transplant? 

Patients who are in the end-stage of kidney failure need a new kidney to get transplanted to continue normal bodily functions. Kidneys help in removing additional waste and fluids from the bloodstream. As the kidneys no longer function properly, they cannot filter wastage. It leads to an increase in wastes and toxic fluids in your body. 

In many cases, a kidney transplant is the only option that the patient has. Though the body has two kidneys, it can adequately function even by using one of them. Only one kidney is needed for replacing two non-functioning kidneys. 

The requirements for kidney transplantation 

The main criteria for kidney transplantation are the presence of irreparable kidney damage. Any child or adult who has been diagnosed by the best kidney transplant hospital in India as having stage 5 CKD (chronic kidney disease) or ESRD (end-stage renal disease) is considered for evaluation for a kidney transplant.  

In several cases, even stage 4 CKD individuals might also be made candidates for evaluation. At any hospital that has kidney transplantation facilities, each patient is addressed individually. The process starts by assessing the patient and the kidney transplant form submitted for the patient by the referring physician. 

Along with utilizing kidney transplant criteria for determining transplantation eligibility, several contraindications might preclude patients from being taken into account for the transplant. Some of the most common contraindications are: 

  • Active malignancy like cancer. 
  • Active abuse of alcohol, drugs, and other such substances. 
  • Severe heart and peripheral vascular diseases that can’t be corrected, such as severe cardiomyopathy, and an ejection fraction below 25 percent. 
  • Serious pulmonary hypertension that can’t be treated or controlled. 
  • BMI (Body Mass Index) is higher than forty. 
  • Uncontrolled or active psychiatric disorders. 
  • Known history of being non-compliant with medications and medical regimes without any justification. 
  • Inability to meet the expenses involved in kidney transplantation, and the subsequent care due to lack of any insurance coverage and support from friends and family. 

Several relative contraindications might also exclude the patients from being considered for kidney transplantation, along with the above-mentioned criteria. These are based on the specific patient and the stage of illness. They involve: 

  • Chronic or active untreated infections. 
  • Medical history of malignancy in the last three to five years. 
  • Uncontrolled diabetes. 
  • Active immunologic diseases that might affect the transplanted graft. 
  • Active hepatitis B or C. 
  • BMI (Body Mass Index) is around thirty-five to forty. 
  • Severe heart and peripheral vascular diseases with active use of tobacco. 
  • The urinary tract is not intact and does not have a suitable urinary diversion. 
  • Extremely sensitized patients having high levels of antibodies, and the ones non-responsive to any desensitization treatment. 

These are the basic criteria and contraindications. Only a certified medical professional can dictate whether you need the transplant or not. 

The tests conducted for patient evaluation before the transplant 

The hospitals prescribe a couple of tests for evaluating the case. A few of these tests are: 

  • Blood and tissue type testing. 
  • Skin tests. 
  • Blood tests. 
  • Heart tests like echo, and EKG.  

What exactly is the waiting time for kidney transplants in the country? 

India has a strict procedure in place for organ transplantations. International patients need to come to India with their kidney donor, either a spouse or a blood relative. 

Also, the waiting time to schedule a kidney transplantation surgery isn’t promised as the number of days in general. It keeps varying based on the patient’s condition. But after a case is evaluated, the medical team starts determining the process and gives an estimated time to the patient. 

Furthermore, the cost of a kidney transplant in India is one-third of what one has to pay in the USA and Europe, while the quality of treatment remains the same. 

The bottom line 

Your physician is the one who can help to determine if you need a kidney transplant, and how soon you need it. So, talk to your doctor about it and follow the treatment plan that he/she suggests. You will be on the path to recovery soon enough. 

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