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Who is Not a Good Candidate for a Kidney Transplant Procedure?

People with end-stage kidney disease or kidney failure may benefit from a kidney transplant procedure more than relying on dialysis. Kidney transplantation improves the quality of life, increases lifespan, and helps avoid dialysis’s side effects. For example, patients who have had a kidney transplant procedure have fewer dietary restrictions than those who are on dialysis. Furthermore, a kidney transplant costs much lower than lifelong dialysis. Furthermore, patients who undergo a kidney transplant procedure have a greater life expectancy than those who remain on dialysis.

What is Kidney Transplant Procedure?

Kidney transplantation procedure (Renal Transplantation) is a surgical procedure that involves implanting a healthy donor kidney into a patient who has a severe renal disease that cannot be treated with medication or dialysis.

A kidney transplant is generally performed when a patient has End-Stage Renal Disease (the patient’s kidney loses approximately 90% of its function). The following are some of the most common causes of this condition:

  • High/uncontrolled blood pressure
  • Diabetes
  • Kidney Polycystic Disease
  • Abuse of Analgesics
  • Glomerulonephritis

To understand the people who are not eligible for a kidney transplant, let us go through the eligibility criteria of a general kidney transplant patient.

When Would Someone Need a Kidney Transplant?

The kidneys are vital because they eliminate waste from the body. When they stop working, waste and fluids accumulate. It causes issues such as high blood pressure and kidney failure.

If the kidneys lose the ability to filter and clean up wastes, the waste products can accumulate, potentially causing death. Therefore, the most common reason for requiring a kidney transplant is loss of kidney function, also known as end-stage chronic kidney disease or, in common words, kidney failure.

A person suffering from chronic kidney disease has two options. First, they can receive a healthy kidney from a living or deceased donor through a transplant. They can also begin dialysis, a treatment in which blood is filtered either by a machine or in the stomach using a special tube.

One might think of a transplant as a last resort, something to do when all other options have been exhausted. But that is not the case. Doctors generally prefer transplantation to dialysis for most patients.

Requirements to be eligible for a kidney transplant:

  • One must have irreversible chronic kidney disease that has not responded to other medical or surgical treatments. They are either on dialysis or will be shortly.
  • Patients must be eligible for and capable of enduring major surgery.
  • You and your family/support system must be aware of the risks and benefits of transplantation, including the need for long-term medical monitoring and anti-rejection therapy for the rest of your life.
  • You and your family must provide for the financial implications and other responsibilities that come with the long-term care you will require following transplantation.

Who is Not a Good Candidate for a Kidney Transplant Procedure?

  • People with other life-threatening diseases or conditions that would not improve with transplantation are ineligible. For example, certain cancers, infections that cannot be treated or cured, and severe, irreversible heart disease fall into this category.
  • People with a history of chronic noncompliance with medical treatments and medications or other behaviours that would impair their ability to care for themselves fully after transplantation.
  • People with a history of chronic and ongoing drug or alcohol abuse that cannot be successfully treated before transplantation.
  • Anyone with a history of serious psychiatric disorders that could not be successfully treated before transplantation would be considered a high risk for the psychiatric disorder continuing or worsening after transplantation.

The following mental issues may also preclude a transplant:

  • Dementia
  • Abuse of drugs or alcohol
  • Inadequate functional status.
  • Having difficulty remembering to take medication
  • Mental health issues that are not easy to manage

The Wait for the Right Donor

Patients in need of a kidney transplant may have to wait an average of 2 years on the waiting list. In addition, those with uncommon blood groups generally need to wait longer than those having common blood groups.

Those on the wait list must be ready for the operation at the last minute. The patients with their names on the list may be kept on dialysis and must make every effort to stay as healthy as possible by following a healthy and nutritious diet and exercise routine.


As one of the country’s leading institutions, Max Healthcare Group provides services such as kidney transplantation, hemodialysis, SLED(sustained low-efficiency dialysis), CRRT, peritoneal dialysis, plasmapheresis, and critical care nephrology.

The nephrology team is highly skilled in performing renal transplants. The department also provides renal replacement therapy procedures such as peritoneal dialysis and hemofiltration.

Patients suffering from kidney diseases require high-quality care, hope, and direction, and Max Healthcare Group ensures it.

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