Kidney Transplant Eligibility

If you have advanced kidney disease or kidney failure, you may qualify for a kidney transplant. But not everyone with these conditions will be eligible.

Careful kidney transplant evaluation helps make sure that a transplant is expected to be safe for you and likely to succeed in the long term. To see if you are eligible for a kidney transplant, you will need to have certain medical tests and assessments.

General kidney transplant eligibility criteria

The transplant team evaluates every person on a case-by-case basis to see if they qualify for a kidney transplant. These are the main factors the team considers when reviewing kidney transplant eligibility.

Age 

You need to be 18 years old or older for a kidney transplant at Banner Health. Children under age 18 should be referred to a pediatric facility. 

Weight and nutrition

To be eligible for a kidney transplant, you need to maintain a healthy weight and good nutrition. 

If you are overweight, you’re more likely to have a longer hospital stay and you are at higher risk for complications like infections and hernias at the incision site. 

A transplant dietitian can help improve your overall health and reduce the risk of complications through diet and nutrition education for long term health.

Kidney health

Kidney transplant candidate evaluation includes reviewing your kidney failure stage and dialysis history. Generally, you need to be diagnosed with end-stage renal disease or chronic kidney disease to qualify.

Overall health

Testing to determine overall health may be needed based on your age, gender and medical history. Your care team will help you schedule the tests you need, which may include:

  • A physical exam to assess your overall health
  • Blood testing to check for health issues and see which donor blood types would work for you, if you qualify for a transplant 
  • Antibody testing to see which donor organs will match
  • Urine testing for health concerns
  • Chest X-ray to check the heart and lungs
  • Heart function testing such as electrocardiogram, echocardiogram or stress test
  • Lung function testing, especially if you have a history of smoking or lung disease
  • Dental X-rays to check for infection
  • In select cases where inherited kidney disease is suspected, genetic testing may be done with a simple cheek swab to check your DNA

Your team may also make sure you’re up to date on screenings such as:

  • Mammograms and pap tests (for women)
  • PSA tests (for men)
  • Colonoscopy
  • Bone density scans
  • Immunizations 

Emotional readiness

As part of the kidney transplant referral criteria, you may be referred for a psychosocial evaluation to ensure you’re committed to long-term follow-up care and you have plans in place for caregiving.

Kidney transplant referral process

In most cases, your nephrologist (kidney doctor) or primary care provider will recommend you for kidney transplant consideration. But it’s possible to refer yourself.

Banner Health offers kidney transplants in two locations, Phoenix and Tucson:

Evaluation and selection

The kidney transplant selection committee decides whether you qualify for a kidney transplant. This multidisciplinary team of transplant experts includes doctors, nurses, social workers, financial coordinators, pharmacists, dietitians and others. 

They review your testing, health, emotional readiness and insurance status, following both their own protocols and the United Network for Organ Sharing (UNOS) regulations. 

The team will also make sure you understand costs, insurance coverage and out-of-pocket expenses, both for surgery and going forward. 

They may decide that you are:

  • Accepted: You meet the selection criteria and are approved for transplant.
  • Deferred: You need to have more testing or appointments or meet other requirements before your case is reviewed again.
  • Denied: You do not meet criteria and are not approved.

Why you may not qualify

Not everyone with advanced kidney disease or kidney failure is a candidate for a transplant. You may not qualify if:

  • Transplantation isn’t a proven treatment for your condition.
  • Your kidney function is adequate.
  • You are not healthy enough to go through surgery and follow-up medical care.
  • You have health conditions like advanced heart, lung or liver disease, cancer, poorly controlled diabetes or certain infections.
  • You have a history of noncompliance with a medical treatment plan.
  • You use tobacco, alcohol, marijuana or illegal drugs.
  • You do not have a support team to help care for you before and after your transplant.
  • You are not psychiatrically stable.
  • You do not have insurance or financial resources to cover the cost of surgery and lifetime medications.

You can be re-evaluated to see if you qualify for a transplant after medical changes or lifestyle modifications. For example, you might qualify after you get treatment for health conditions or stop drinking alcohol or smoking.

Next steps after qualification

If you are approved, your name will be added to the UNOS waitlist. If you have a living donor, the team will work with you and your potential donor on next steps towards transplantation. 

If you have a living kidney donor, your donor may start their evaluation once you have been approved for transplant.

Learn more

Get more information about kidney transplants: