Kidney Transplant A Patient’s Guide

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Treatment for End-Stage Kidney FailureKidney Transplant or Dialysis Therapy

HaemodialysisA dialysis machine filters the blood and then infuses it back into the body through a vein in the patient's arm.

Peritoneal dialysis(Water dialysis) A permanent tube is surgically inserted into the stomach to pump and drain 2 litres of special solution into the body.

There are 2 types of dialysis. 1 2

3X a week, 4-hours a session

Dialysis done at center or home

Treatment done at home everyday

4X a day

Shorter waiting time for a kidney compared to wait list for cadaveric donor (non-living donor)

Better survival outcomes

Flexibility in scheduling the transplant date

Only a Small Percentage of kidney failure patients undergo transplantation due to a few reasons:

5 years mortalitywhile on dialysis is about

30 to 40%

Cardiovascular complications

Pre-morbid conditions such as Diabetes

Mainly due to serious health problems that may arise from dialysis such as:

Lack of donors

Blood group incompatibility

Lack of experienced doctors

Cultural beliefs

Benefits of Kidney Transplantation: - Good survival outcome (90% or more do well post-transplant)- Better quality of life, free from dialysis- Female patients can plan for babies

Benefits of Living Donor Transplant

Transplant vs Dialysis

ABO Incompatible Transplantsare now possible with latest advances in medical and quality care. Patients do not need to have blood group compatible living donors.

It is possible to do an emotionally related kidney transplant in Singapore. This means that it is legal for non-family members, such as friends, to donate their kidney to people they love.

Kidney Transplant in Singapore

Quality Standards and Patient Safety:

Success rates for blood-related living donor kidney transplants are high.

Singapore’s blood supply ranks among the safest in the world. Blood Services Group HSA (previously known as Singapore’s Centre for Transfusion) was appointed as a World Health Organization (WHO) Collaborating Blood Centre for Transfusion Medicine for the Western Pacific Region in 1992.

High standards of healthcare, in terms of clinical outcomes and patient safety,

Our team of kidney specialists offer a complete range of medicaland surgical interventions including:

Senior Kidney Specialists

Acute and chronic disease managementEnd-stage disease managementKidney transplantation

Full fledged Transplant Unit designed to provide transplant patients with comprehensive and specialised care. Dedicated in-patient ward with Intensive Care Unit (ICU) facilities for seamless post-surgery care.Team of specialised ICU nurseswell-trained to support patients through the entire process from surgery to post transplant monitoring and recovery.

Dedicated Transplant Unit with ICU

They have the capabilities and experience to undertake complicated, high risk transplants such as blood group incompatible transplants and cross-match positive (sensitised patients) transplants.

Our Transplant Programme

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4

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The KidneyTransplant Patient Journey

Health assessment and consultation prior to traveling to Singapore

Recipient & Donor Arrival to Singapore (outpatient assessment)Clinical review and consultation with specialists.

Transplant Ethics Committee (TEC) meeting

Follow up by doctor in home country.

Ethics Committee Approval

Surgery

Hospitalization

Anaesthetist Consultation(one day before surgery)

OutpatientReturn Home

Patient rests at hotel or apartment and goes back to hospital for follow-up treatment.

Specialists’ assessmentfor flight fitness.

Estimated total journey for recipient:

31 days onwardsEstimated total journey for donor:

23 days onwards

From recipent & donor arrival in Singapore to Ethics Commitee Approval will take about 2 - 3 weeks.

7 days for decision making upon approval by TEC.

Recipient: Removal of stent 2 weeks after surgery. Return to home country thereafter.

Donor: Return home usually 10th day after surgery.

Get a Pre-Transplant Assessment

Recipient : Should undergo some preliminary investigation to determine whether you are medically suitable for the transplant.

Donor : Should also undergo investigation to determine thathe is medically suitable to be a kidney donor.

If you are uncertain, please ask your doctoror contact our kidney specialist.

Transplant procedure assessment by TEC.

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56Recipient: 10 days: 1 day in ICU, 9 days in general ward

Donor: 6 days: 1 day in ICU, 5 days in general ward