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| | |-+  At What GFR will you be considered for a transplant?
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Author Topic: At What GFR will you be considered for a transplant?  (Read 3500 times)
BASSMAN
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« on: September 06, 2009, 12:14:05 PM »

I am considering getting a kidney transplant when the time comes.  Just exactly, when is that time?  Will you ONLY be considered for transplant when you reach 15% GFR.  If I found someone willing to donate.  Will they do it before you reach ESRD?  I am at 20% GFR right now.  Would they even start the process now?  All I have right now is a Neph as I am not on dialysis. No team or anything.  I am getting a fistula built in a couple of weeks.  I was just wondering.  I figure that after my fistula is built and if all goes good and after it is developed, I would like to start the testing and such.  My wife wants to be tested.  I have a wide array of emotions about the whole thing right now.  I am just looking for answers.  I guess it would depend largely on my insurance to what GFR I have to reach  before they will pay for it.

I know I have read on here about people getting a transplant pre-dialysis.  Do you have to have a GFR of 15 to be considered? 

Any info would be greatly appreciated!
Thank you in advance!



Edited: Fixed error in subject line - okarol/admin
« Last Edit: September 07, 2009, 11:23:40 AM by okarol » Logged

Membranous Glomerulonephritis confirmed by biopsy in  April 1989
currently Stage IV CRF
GFR 18
Creatinine 3.9
AV fistula (radiocephalic) placed September 24, 2009
Began transplant evaluation November 11, 2009
Completed transplant eval and approved for transplant February 10, 2010
Received confirmation letter I am on the UNOS list February 18, 2010
Wife began donor testing March 1, 2010
Received living donor preemptive transplant from spouse July 22, 2010

http://www.caringbridge.org/visit/phillipjohnsen
willowtreewren
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« Reply #1 on: September 06, 2009, 12:18:03 PM »

I don't have a definitive answer for you, Bassman. But my husband's neph wanted to get him on the list early enough that he might have gotten a transplant before going on dialysis. It didn't work out. There was a one year delay in getting listed because the social worker was misinformed about insurance. ARGH. At any rate, ask your neph about it.

Good luck.

 :flower; :flower;

Aleta

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Wife to Carl, who has PKD.
Mother to Meagan, who has PKD.
Partner for NxStage HD August 2008 - February 2011.
Carl transplanted with cadaveric kidney, February 3, 2011. :)
Rerun
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« Reply #2 on: September 06, 2009, 12:34:43 PM »

You can get evaluated at 20 GFR and under.
« Last Edit: September 06, 2009, 12:36:32 PM by Rerun » Logged

Jie
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« Reply #3 on: September 06, 2009, 12:39:16 PM »

In the U.S. at 20% GFR, it is ok to start evaluation to get into the waiting list. Transplants normally occur with GFR below 15%, depending on the patients. With GFR above 15%, one does not need dialysis or transplant. I always believe that there is an optimal point to have a transplant if one has a living donor. This point varies from patients to patients. Some patients are still feeling pretty good at 10% or 11% of GFR. Some patients feel badly at 15% GFR. If one feels good, one year of delaying transplant is one year less on the post-transplant drugs. The optimal point is that the transpant benefit outweights the risk of post-transplant drugs. 
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paris
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« Reply #4 on: September 06, 2009, 12:45:07 PM »

All three transplant centers I have worked with (one being Johns Hopkins) will evaluate and transplant when you are at 20%.  There really no point in waiting until it gets lower, if you are approved and especially if you have a living donor. The process takes awhile, so go ahead and get evaluated and listed.   Good luck in your journey   :2thumbsup;
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Romona
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« Reply #5 on: September 06, 2009, 06:53:37 PM »

Since you have some one willing to donate, talk to your doc about gettting started. At the center that I got my transplant, it takes a few months to get an evaluation.
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BASSMAN
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« Reply #6 on: September 07, 2009, 08:21:48 AM »

Thank you all for taking the time to reply.  I really appreciate it!
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Membranous Glomerulonephritis confirmed by biopsy in  April 1989
currently Stage IV CRF
GFR 18
Creatinine 3.9
AV fistula (radiocephalic) placed September 24, 2009
Began transplant evaluation November 11, 2009
Completed transplant eval and approved for transplant February 10, 2010
Received confirmation letter I am on the UNOS list February 18, 2010
Wife began donor testing March 1, 2010
Received living donor preemptive transplant from spouse July 22, 2010

http://www.caringbridge.org/visit/phillipjohnsen
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