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Evaluation Process
You
can call (800) 749-7424 ext 5-0254 to make a referral to
the kidney transplant program at the Shands Transplant Center
at the University of Florida.
In order
to determine if you and your donor make a good match for
a kidney transplant, you must come to the Shands Transplant
Center at UF for an evaluation.
The
evaluation makes sure that the patient:
-
Is an appropriate candidate
- Can
safely undergo a major surgical procedure
-
Doesn't have medical, psychosocial or other problems to
be corrected before transplantation
-
Has a reasonable chance of benefiting from transplantation
over the long term
- Is
likely to be compliant with taking immunosuppressive and
other medications and returning for clinic visits (here
or elsewhere)
-
Can afford post-transplant immunosuppressive drugs
Transplant
candidates
If you
are candidate for a kidney transplant, you will be scheduled
for a complete evaluation. The evaluation will include blood
tests, X-rays and diagnostic tests. You may be seen by several
members of our health care team, including a kidney doctor,
transplant surgeon, psychologist, urologist, social worker,
physicians assistant, financial counselor and transplant
nurse coordinator.
During
the evaluation, your kidney transplant team will learn about
you so we can prepare you for your new kidney in the best
way possible. You will also have a chance to get to know
us and learn more about kidney transplantation and how it
will affect you.
If you
are planning to get a kidney from a living donor, he or
she will have a complete medical and psychological evaluation
at a later date. This donor evaluation may be done at Shands
at UF or other arrangements can be made with a doctor in
the donors area.
After
evaluation After
your evaluation is complete, the transplant team will make
recommendations to your referring kidney doctor. After you
have completed everything that the transplant team requires
you to do and they have reviewed all your test results,
we will either add your name to the kidney waiting list
or begin evaluating any living donors.
It is
in your best interest to complete all tests and dental work
as soon as possible. Once the transplant team has a full
picture of your current health status, they will proceed
with plans for your transplant. The waiting period for a
well-matched cadaveric kidney may take several months or
years, depending on your blood type, your transplant antigens
and your antibody level.
You
will be required to attend a Patient and Family Education
group meeting during your evaluation to discuss specific
topics related to kidney transplant.
Payment
Every transplant candidate is seen by a hospital financial
counselor. The counselor will confirm your insurance coverage,
discuss your financial responsibility and tell you about
the different options that may be available to you. The
donor and recipient evaluations and surgeries are paid for
by several methods, which include managed care, commercial
insurance, Renal Medicare and Florida Medicaid.
If you
are covered by Renal Medicare Part B, it will pay 80 percent
of the cost of the anti-rejection drugs and you will be
responsible for 20 percent. At this time, Renal Medicare
covers the cost for three years. However, Medicare does
not pay for all the drugs you will need to take after transplant.
If you
are covered by another insurance that pays for medications,
that insurer may cover some of the remaining cost that Medicare
does not. You will be responsible for any co-payments required
by your insurance coverage.
There
are other sources that you may qualify for based on financial
need. The pharmacy services representatives are willing
to discuss the details of these sources with you before
you make your decision about transplantation.
Statistics
Success rate and various other statistics regarding the Shands Transplant Center at UF are available from the Scientific Registry of Transplant Recipients at ustransplant.org.
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