Why choose Ohio State for kidney transplant?
Expertise: We perform more than 200 kidney transplants a year, making us one of the top 10 percent busiest programs in the country. Since our first kidney transplant in 1967, we have performed more than 6,500 kidney transplant surgeries. In September 2011, we completed a six-way, single-institution transplant, the first and largest to date in Ohio, and one of only a handful in the United States.
Experience: Our Comprehensive Transplant Center has one of the largest organ transplant programs in the nation. We perform more than 350 kidney, liver, pancreas, combined kidney-pancreas, heart and lung transplants each year. Since our program started in 1967, we have performed more than 9,250 lifesaving transplants.
Kidney transplant research: We participate in clinical trials of new immunosuppressive drugs and antirejection therapies. Our current standard of care is using prednisone-free immunosuppressive medications, a regimen available to only about one quarter of all patients in the United States at this time.
Kidney Transplant Candidates
Kidney transplant candidates
Solid organ kidney transplant involves surgically implanting a new kidney that has been donated by a deceased or a living donor. Typically, your kidneys are left in place. Kidney transplantation may be a treatment option for patients whose kidneys have permanently failed due to chronic end-stage renal disease caused by:
- Autoimmune disease: Your body's immune system protects you from disease and infection. But if you have an autoimmune disease, your immune system attacks healthy cells in your body by mistake. Autoimmune diseases can affect many parts of the body.
- Congenital abnormalities: A birth defect is a problem that happens while a baby is developing in the mother's body. Most birth defects happen during the first three months of pregnancy. One out of every 33 babies in the United States is born with a birth defect.
A birth defect may affect how the body looks, works or both. Some birth defects like cleft lip or neural tube defects are structural problems that can be easy to see. To find others, like heart defects, doctors use special tests. Birth defects can vary from mild to severe.
Your overall health, not your age, is the most important factor in determining if you are a suitable organ recipient. Screenings before transplant ensure that you are in good medical and psychological health and that you have the motivation and support to comply with treatment plans. People who generally are not candidates include those with metastatic cancer, active drug or alcohol abuse, active infection or severe medical problems.
A goal of our Comprehensive Transplant Center is to ensure our transplant patients experience a thorough continuity of services through the entire transplant process, including pre-transplant evaluation, communication throughout the waiting process, acute medical care during and following surgery, intensive outpatient treatment, post-transplant outpatient visits and ongoing telephone follow-up.
You may be referred to our program for evaluation by your nephrologist, your dialysis nurse or your family physician. You may also refer yourself. Contact our Kidney Transplant Program at 614-293-6724 to arrange for you and your family to attend an introductory information session in our outpatient clinic and meet with a member of our transplant team.
Here are some of the steps in the pre-transplant referral process:
- The referring party is responsible for providing the coordinator with all applicable medical information according to the transplant referral protocol provided at time of referral
- You will need to notify your insurance company before making your initial evaluation appointment. Our pre-transplant office and hospital business office will work with you to determine insurance availability and precertification requirements
- Pre-transplant coordinators and business office staff then work together to meet insurance company requirements for evaluation and transplant procedure approval
Clinic Evaluation Phase
You will be scheduled for two outpatient clinic evaluation visits. One involves a comprehensive education program that details the surgical procedure, medications, recovery and rehabilitation associated with the transplant process. Your family and support members are strongly encouraged to attend.
The second is a day of all the pre-transplant initial testing, lab work and clinical testing, transplant doctor interview and social work consultation.
It is preferred that these tests be completed at Ohio State’s Wexner Medical Center, but depending on your geographic location or payer preference, they may be completed closer to your home.
Every patient being evaluated for kidney transplant will also have a psychosocial assessment with a social worker. This evaluation will help determine if you have the psychological stability, motivation and personal support to meet the challenges of transplantation.
The transplant team evaluates the information gathered and determines whether transplantation is appropriate. We will also determine what additional information is needed prior to placing you on the transplant list.
A letter is also sent to your insurance company, with a copy of the pre-transplant patient chart, requesting precertification of the transplant procedure. We will send follow-up letters to the referring physician or dialysis center, summarizing the pre-transplant clinic visit and asking for any additional information required.
If it is determined that you are an appropriate candidate for kidney transplant and your insurance company approves your surgery, you will be listed for the transplant with United Network for Organ Sharing (UNOS). A letter will be sent to you detailing your responsibilities while waiting for your transplant.
Active Wait List Phase
Approximately 2,600 people in Ohio are waiting for a kidney transplant. Kidney donation can come via a deceased or a living donor; the wait time for patients who have a living donor are greatly reduced from years to months and transplant recipients have better outcomes when the donor is living. We encourage all patients waiting for a kidney transplant to seek a living donor. Living donors do not have to be blood relatives of yours and can be a spouse or a friend. Visit our Living Kidney Donation
section for more information.
You may also receive a donated kidney from a deceased donor who has previously registered to become an organ donor or the family wishes to donate. Please be prepared to wait as long as three to five years for a kidney from a deceased donor. In addition, the donor must have a blood type compatible with yours. Each potential donor also must be screened very carefully for disease, infection or trauma to ensure that you receive a healthy kidney.
You must be reachable by phone at all times. When a kidney becomes available for you, you will be notified by the pre-transplant coordinator and admitted to our transplant unit.
You will have multiple lab tests done to ensure you are ready for transplant. You will be given a number of medications, including antibiotics, antifungals and immunosuppression medications.
Ideally, surgery is performed as soon as the organ is available. However, using the latest perfusion techniques, we are able to transplant kidneys within 48 hours of recovery. The surgery will generally last at least four to six hours.
Following your admission, your referring physician and insurance company are notified of your transplant.
After your surgery, you will be admitted to the transplant unit for recovery. Your hospital stay is typically five to seven days.
You will be seen daily by the transplant surgeons, midlevel providers and discharge coordinators. You’ll receive individualized education from floor nurses and attend education classes on medication and general discharge instructions. The discharge coordinators manage your care process, communicate with insurance case managers and plan for discharge. A social worker will visit you to address any psychosocial issues associated with the transplant.
Once you are discharged, you are followed on an outpatient basis with vital signs and laboratory profiles two times a week for the first three months post-transplant. Lab profiles are evaluated by a transplant coordinator and a transplant surgeon.
You will be seen again in the outpatient clinic at one-month post-transplant, three months post-transplant, six months post-transplant, one year post-transplant and at any other time in between if warranted. You will be seen annually thereafter, unless more frequent visits are required. After you are released by your surgeon, you will be seen by the Transplant Medicine Service. Lab frequency is reduced as you progress.
We will communicate with your referring physician at the beginning and end of each hospitalization, as well as with each outpatient clinic visit.
Because of the many interactions of other medications with immunosuppressives, please check with the post-transplant office prior to filling any prescription.
Private medical insurance and Medicare’s End-Stage Renal Disease Program share in covering the cost of kidney transplantation. The Veterans Administration or Medicaid may also be a source of financial aid for those patients who are eligible.
Our Comprehensive Transplant Center treatment team includes:
This doctor specializes in kidney transplants and will follow you before, during and after your transplant. He will complete a physical exam and discuss what additional testing is needed to prepare you for your transplant.
This doctor will perform your kidney transplant surgery. He or she will discuss the risks and benefits related to surgery and assist you in understanding what to expect after receiving your transplant.
- Kenneth Washburn, MD - Executive Director, Comprehensive Transplant Center; Director, Division of Transplantation Surgery
- Sylvester Black, MD, PhD
- Ginny Bumgardner, MD, PhD - Associate Dean for Research Education
- Ashraf El-Hinnawi, MD - Director, Abdominal Surgery Fellowship Program
- Amer Rajab, MD, PhD - Surgical Director, Renal Transplantation; Director, Pancreas and Islet Transplantation
Infectious Disease Physician
These doctors, who specialize in infectious diseases, will follow you before and after your transplant (if needed) to reduce risk of infection.
Advanced Practice Provider
The advanced practice providers include physician assistants and nurse practitioners who work closely with your physician to ensure continuity of care throughout your stay at the hospital and your transition to outpatient care. He or she orders and monitors diagnostic tests and treatments, responds to urgent needs, diagnoses and treats problems if they arise and provides the educational tools and resources necessary to continue success with your transplant once you are discharged.
- Rachel Bidwell, MS, CNP
- Donni Case, PA-C
- Marie Jubak, CNP
- Megan Link, CNP
- Terri Miller, CNP
- Eniko Ungureanu, CNP
These are nurses who will be your primary contact from the time you are referred for a transplant evaluation throughout your care here. They will help answer any questions you may have and assist you throughout your transplant experience.
Pre-transplant living donor coordinators:
- Bobbi Peterson, BSN, RN, CCTC
- Robin Petersen-Webster, RN, CCTC
- Lailah Barwari, BSN, RN
- Jennifer Carver, BSN, RN
- Teri Davis, MSN, RN
- Michael Ford, BSN, RN
- Ellen Ledyard, BSN, RN
- Sarah Schultz, BSN, RN
- Gina Scott, BSN, RN
- Samuel Ullum, RN, BSN
- Evelyn Cooper, BSN, RN, PCCN
- Maria Helena Friday, BSN, RN
- Joe Gregory, BSN, RN, CCTC
- Karen Luciano, MBA, BSN, RN, CCTC
- Julie Luebke, BSN, RN, CCTC
- Robert Milewsky, BSN, RN
- Stephanie Millender, BSN, RN
- Marilyn Moor, BS, RN
- Josh Reed, BSN, RN
- Debbie Walsh, BSN, RN, CCRN
- Melanie Wesley, MSN, BSN
Living donor program assistants:
- Carrie Gemperline
- Angela Oliva
- Amy Spain
Pre-transplant office associates:
- Becky Duvall
- Brooke Lykins
- Sandi Parsons
- Barbara Horton
- Tracy Walker
- Brook Zindel-Link
Post-transplant information associates:
- Betty Allen
- Rebecca Lantto
- Sherree McNeary
- Teresa Sanders
Post-transplant office associates:
Social Worker and Psychologist
These professionals meet with you to evaluate your psychological readiness for transplantation.
- Kristin Kuntz, PhD, Transplant Psychologist
- Kim Ansley, MSW, LSW
- Megan Homsy, LISW-S
- Beca Pruzan, MSW, LSW
- Melissa Skillman, LISW-S
A transplant pharmacist works specifically with patients who have received a transplanted organ. This pharmacist has been trained to understand details about anti-rejection medications, works closely with your transplant physician to help manage your medications and helps answer medication questions you may have.
- Mythili Chunduru, RPh
- Abbie Leino, RPh, BCPS
- Kendra Schnelle, RPh, BCPS
- Holli Winters, RPh, BCPS
- Olya Witkowsky, RPh
Pharmacy Patient Assistance Coordinator
The pharmacy patient assistance coordinator offers assessment, linkage and referrals for assistance to patients who need certain medications and have high co-pays or no prescription drug coverage.
- Emily Snow
- David Williams
Frequently Asked Questions
Which health insurance are accepted?
The list of accepted insurances for kidney transplant can often change. Please contact your healthcare insurance provider to confirm your coverage for transplant at Ohio State’s Comprehensive Transplant Center.
What is tissue typing?
Ohio State's Tissue Typing Laboratory ensures that an organ is compatible with its recipient. The process involves matching a person's unique configuration of six human leukocyte antigen (HLA) molecules with a potential pool of approximately 100 different varieties.
Cross-match testing helps prevent some types of organ rejection. The testing involves mixing cells from the donor's and recipient's serum to determine whether rejection-promoting antibodies will occur. This information helps your physicians plan for the right medication strategy to best control organ rejection.
Transplant support testing includes monitoring new drugs that patients use, testing to determine a patient's overall ability to maintain a recipient's organ and developing new tests to support many of the clinical aspects of transplantation.
Are there any support groups to join?
As the local organ, eye and tissue recovery agency, Lifeline of Ohio does not have a formal support group, but does have a volunteer program that brings organ transplant recipients together in the effort to promote organ, eye and tissue donation awareness, and the need for registered donors. Volunteer trainings and promotional events are held periodically throughout the year.
More information can be obtained by calling 614-384-7375 or visiting www.lifelineofohio.org/volunteers.
How to Ask for a Living Kidney Donation
How to ask for a living kidney donation
How to ask for a living kidney donation
If you need a kidney transplant, your best option is to receive a kidney from a living donor; but easier said than done!
The truth is there is an enormous physical and emotional toll of living with end-stage kidney disease, not to mention the exhaustion of dialysis treatment. So it is not a surprise that finding a living donor can be overwhelming. In fact, the conversation is so difficult more than half of all people in need of a kidney transplant do not even ask one person to donate.
Though you may not want to ask, often friends and family members are eager to spread the word for you and help identify potential living donors.