Welcome to the kidney transplant decision aid. This tool was created with input from patients with kidney disease and the doctors who care for them. It is intended to be used during your visit with your doctor as you learn about kidney transplant. Our goal is to provide informative materials to help you understand your treatment options and outcomes. Your doctor will guide you through the tool and explain the information to help you make informed decisions.
This tool contains information to compare the pros and cons of
We also created a calculator to estimate a patient’s likely outcomes on the kidney transplant waiting list based on the transplant regions / programs and the individual’s medical condition. Your medical provider will guide you through the calculator. We hope you will find the tool and the likely outcomes helpful in explaining treatment options with your friends and family.
While this aid is designed to help you better understand kidney transplant, many patients with advanced kidney disease are also trying to understand different dialysis options. For more information about dialysis options, see the Arbor Research Collaborative for Health's Choosing Dialysis website .
Thank you to all the patients and providers who contributed to help us promote communication and informed decision making in kidney transplant!
All deceased donor kidneys considered good enough to transplant are given a score (0-100), called the Kidney Donor Profile Index (KDPI). The score is calculated based on 10 factors that help predict how long the kidney will last, the factors are:
A HIGHER score means LOWER quality. A kidney with a score higher than 85 is often referred to as a "high KDPI kidney."
Some kidneys are donated from people considered at "increased risk" for infectious diseases such as HIV and Hepatitis B and C. The donors have tested negative for these infections, therefore the risk is very low. This category is different from the quality, or KDPI, as these kidneys are likely to be high quality.
For example, the family of a 22 year old man who died of a drug overdose is donating his kidney. His blood tests for infections such as HIV and hepatitis B and C are negative. The kidney has a low KDPI (high quality) because he is young, has no other medical problems, and the kidney function was good. However, he was known to have died from a drug overdose, so there is a small (4 in 1000) risk that he was exposed to HIV or hepatitis in the last few days and the blood tests are not yet able to detect this. Therefore, his donor kidneys would be classified as "increased infectious risk" (compared to standard donors) but high quality, or "low KDPI."
Predictions based on adult first-time kidney transplant candidates on the waitlist between September 2020 and August 2021