7. Evaluation Decision


Once the pre-transplant evaluations are complete, the patient's information is presented to the multidisciplinary transplant committee. The decision to accept a candidate is made by consensus of the committee based on the results of testing and opinions provided by team members. The possible outcomes are below:

Proceed With Listing

In this case, all your evaluation results have returned indicating that you’re a suitable candidate for kidney transplantation. We’ll add you to the wait-list, and if you have a potential living donor, we suggest you ask him or her to contact our department so we may begin their evaluation process.

Defer Listing for Additional Testing

This is done based on an individual’s medical condition. For example, candidates may need a colonoscopy, or female candidates may require a mammogram and pap-smear. Some abnormalities discovered through diagnostic testing may require a specialist, such as a cardiologist, pulmonologist, etc. Other patients may require additional radiological testing.

Defer Listing due to Substance Abuse

Almost all transplant centers in the United States require six months of complete sobriety before patients can be considered for transplantation. If you have a history of substance abuse we may require you to attend substance abuse counseling before being listed for a kidney transplant. Our social worker will discuss this situation with you as necessary.

Decline Listing

Certain issues may disqualify you from receiving a kidney transplant. If you are declined, our physician will talk to you about your options. Some of the reasons for being declined may be:

  • Continued abuse of alcohol or drugs, despite the team's request to discontinue its use.
  • Cancer in other parts of the body.
  • Other types of diseases, such as heart disease, lung disease, or uncontrolled infections.
  • A standing record of noncompliance with our team's instructions. This includes repeatedly missing appointments, not getting labwork done on time, or failing to take your medications.
  • Not having a suitable support system, such as friends or family, to help you with your recovery post-surgery.
  • Being HIV-positive.
  • Having undergone several abdominal surgeries.
  • Advanced age.
  • High levels of obesity.
  • Abnormal anatomical conditions.