Eligible and ineligible individuals as kidney transplant recipients
Patients under 70 years old with appropriate physical conditions, including normal mobility, no muscular weakness, and a biological age consistent with chronological age.
Patients over 70 years old, provided they have suitable physiological conditions and approval from the transplant team.
Patients with appropriate cardiac and vascular conditions, as approved by the center's cardiologist.
Patients without active infections, as determined by clinical examinations and initial laboratory tests.
Patients with a history of HIV, HCV, or HBV infections, as cleared by an infectious disease specialist or transplant-focused ID fellowship.
These eligibility criteria are in place to ensure the safety and success of kidney transplantation at the Hashemi Nejad Center, taking into account each patient's unique circumstances and medical history.
Ineligible Candidates for Kidney Transplantation:
Active cancer (untreated or at risk of relapse)
Active local (e.g., oral, dental) or systemic infections (e.g., tuberculosis)
Non-compliance with medical treatment and dialysis
Terminal non-renal progressive diseases (e.g., advanced liver cirrhosis, severe cystic fibrosis, frailty based on the frailty index)
Active and severe cardiovascular or pulmonary diseases posing life-threatening risks (e.g., advanced coronary artery disease, severe pulmonary hypertension)
Uncontrolled neurological or psychiatric disorders
Active addiction to narcotic or psychotropic drugs that interfere with daily life
Severe atherosclerotic vascular disease
Severe obesity: A BMI above 35 requires weight loss before transplantation. For patients with a BMI over 40, transplantation must be cautiously considered due to risks like impaired wound healing,
metabolic complications post-transplant, and steroid-induced obesity.
Life expectancy of less than 5 years due to potential underlying diseases and disease-specific life expectancy tables
These criteria are essential to evaluate a patient's suitability for kidney transplantation and ensure the best possible outcomes for both the recipient and the donor