This page was last modified on 03/12/2009 at 10:14.
Referral
For East of Scotland patients:
- A referral letter with a transplant recipient check-list and summary (appendix I) should be sent to the Transplant Unit (addressed to Mr J Forsythe; Mr M Akyol; or Mr J Casey, Consultant Transplant Surgeons). All referred patients will be sent an appointment.
- Lothian, Borders and Fife patients are seen at the transplant assessment clinic in Edinburgh, others are seen in regional units.
- Patients are seen by a transplant surgeon and recipient transplant co-ordinator.
- If indicated further assessment by an anaesthetist, psychologist (Appendix III) dentist, dietitian, dermatologist or any other relevant specialist may be sought.
- Work up for renal transplantation should be carried out at the local centre.
- Patients will have the opportunity for detailed discussion regarding kidney transplantation and will be counselled with respect to relative risks and benefits of cadaveric and living donor kidney transplantation.
- An information booklet is also given to the patient to support the verbal information given at the assessment clinic.
All patients who are referred for renal transplantation should have risk factors assessed and further screening requested as per Appendix II.
Listing
- Following initial outpatient assessment, those patients who are considered potentially suitable candidates and who remain willing to be considered for a transplant will undergo further investigation as required.
- The transplant coordinator will arrange for copies of all the required investigations prior to listing.
- When investigations are complete, the transplant team will review the results. Further investigations and/or treatments may be required at this time.
- The decision about listing the candidate for kidney transplantation will be made by the transplant surgeons after discussion with the multi-disciplinary team and the patient.
- A detailed letter regarding the patient assessment will be sent to the referring centre with a copy to the general practitioner.
- If the patient is to be listed, the patient will be directly informed, verbally and in writing, by the transplant co-ordinator.
- All patients have the opportunity to be seen for a repeat appointment in clinic before listing.
- UKT will be informed by the transplant co-ordinator as per unit procedure.
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