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Seamless Kidney Transplant Pathways

Evaluate, coordinate, and sustain transplant success with Ajuda's multidisciplinary nephrology team

Book Transplant Review
92%
1-Year Graft Survival
On par with leading Indian transplant centres
14 days
Evaluation Timeline
Complete recipient & donor workup
1.5%
Acute Rejection Rate
Lower than 4% national average

When to Consult

  • eGFR below 20 ml/min or approaching dialysis
  • Nephrologist recommends transplant evaluation
  • Looking for donor compatibility assessment
  • Post-transplant follow-up and immunosuppression titration
  • Managing infections or complications after transplant
  • Planning second transplant or paired donation

Understanding Kidney Transplant Care in the Indian Context

Kidney transplantation offers the best survival and quality of life for eligible CKD Stage 5 patients. In Telangana, cadaveric donation through Jeevandan is increasing, but timely evaluation is essential to secure a match. Ajuda Hospitals streamlines assessments, documentation, and lifelong follow-up so patients from Hyderabad and surrounding districts stay transplant-ready.

Many families struggle with paperwork, donor coordination, and post-surgery medication costs. Our transplant clinic provides legal guidance, financial counselling, and insurance liaison support to keep the process transparent and stress-free.

When to Consult Our Transplant Specialists

⚠️ Seek Immediate Care If You Experience:

  • ✓ Fever above 100°F, graft pain, or reduced urine post-transplant
  • ✓ Sudden rise in blood pressure or swelling
  • ✓ Uncontrolled vomiting or diarrhoea threatening medication absorption
  • ✓ Exposure to infections like chickenpox without immunity

Plan an evaluation as soon as your nephrologist anticipates end-stage kidney disease. Early planning allows living donors to be screened and cadaveric registration to be completed before dialysis dependence begins.

Our Diagnostic Approach

Recipient Fitness Review

We assess cardiac function (echo, stress test), pulmonary status, infection screening, and nutritional status. Psychologists ensure mental readiness for surgery and follow-up.

Donor Safety Assessment

Potential donors undergo renal function tests, CT angiography, and psychosocial evaluation to ensure safe nephrectomy and long-term wellbeing.

Multidisciplinary Board

Nephrologists, transplant surgeons, cardiologists, psychologists, and social workers meet weekly to confirm suitability and documentation compliance with NOTTO/THOA.

Post-Transplant Surveillance

After surgery, we monitor creatinine, tacrolimus levels, and graft ultrasounds. Surveillance biopsies detect subclinical rejection, and infections are addressed promptly.

Treatment Pathways

Ajuda's transplant program is designed end-to-end:

  • Pre-Transplant Optimisation: Manage comorbidities, update vaccinations, and treat infections.
  • Donor Coordination: Legal paperwork, compatibility testing, and counselling for living donors.
  • Cadaveric Readiness: Register with Jeevandan, maintain updated medical data, and prepare for short-notice surgery.
  • Surgical Collaboration: Tie-ups with accredited transplant centres for theatre and ICU care under the same clinical protocols.
  • Post-Transplant Care: Immunosuppression management, infection prophylaxis, and lifestyle counselling.
  • Long-Term Surveillance: Annual health checks, cardiovascular risk assessments, and tele follow-up for outstation patients.

What to Expect: Your Care Journey

  1. Initial Consultation: Recipient and family meet the transplant team, understand eligibility, and schedule investigations.
  2. Evaluation Phase (2 Weeks): Cardiac, infectious, and psychosocial assessments for recipient and donor; documentation compiled.
  3. Transplant Board Decision: Case approved, surgery date finalised for living donors or cadaveric readiness confirmed.
  4. Post-Transplant Follow-up: Weekly visits for the first month, then monthly with labs, drug level adjustments, and lifestyle counselling.

Technology & Innovation

Our Transplant Tracking Registry links lab results, medication refills, and tele consult notes, ensuring no follow-up is missed. Automated alerts flag abnormal creatinine or tacrolimus levels. We integrate with Jeevandan for real-time updates on cadaveric organ availability.

Preventing Complications

Vaccination protocols, antimicrobial prophylaxis, and regular labs keep infections minimal. Early biopsies detect rejection, while diabetes and hypertension management protect long-term graft function. Mental health support addresses post-surgery anxiety and adherence challenges.

Why Ajuda for Transplant Care?

🤝 Dedicated Coordinators

Each family gets a transplant navigator handling paperwork, insurance, and schedule updates.

🧪 Advanced Monitoring

On-site tacrolimus assays, surveillance biopsies, and tele reporting keep grafts safe.

📜 Regulatory Compliance

NOTTO/THOA documentation and Jeevandan coordination managed meticulously.

Take the First Step

A kidney transplant journey requires expertise, empathy, and precise follow-up. Connect with Ajuda Hospitals to map your evaluation, donor workup, and long-term care. Call 9010550550 or message us on WhatsApp to begin your transplant planning today.

Diagnosis Approach

1

Recipient Assessment

Medical history, cardiac fitness, infections screening, and psychological readiness per NOTTO guidelines.

2

Donor Evaluation

Blood group typing, HLA crossmatch, kidney function, and imaging to ensure donor safety.

3

Transplant Board Review

Multidisciplinary committee approves suitability, financial counselling, and documentation for state/national registries.

4

Post-Transplant Surveillance

Regular labs, drug levels, and biopsy when indicated to detect rejection early.

Treatment Options

Pre-Transplant Optimisation

Control diabetes, blood pressure, and infections; vaccinate against hepatitis, varicella, and pneumococcus.

Reduces peri-operative complications by 35%.
4-8 weeks pre-surgery

Living Donor Coordination

Crossmatch testing, legal documentation, and surgical counselling for related and spousal donors.

Shortens wait time to under 3 months.
2-6 weeks depending on workup

Cadaveric Transplant Readiness

Registration with Jeevandan (Telangana) and NOTTO, sensitisation monitoring, and standby protocols.

Ensures rapid response within 6 hours of organ availability.
Ongoing until organ allocation

Immediate Post-Transplant Care

ICU monitoring, fluid balance, immunosuppression induction with basiliximab/ATG, and infection prophylaxis.

Supports 95% immediate graft function.
7-10 days inpatient

Long-term Immunosuppression Clinic

Tacrolimus/cyclosporine levels, mycophenolate adjustments, and steroid taper tracked through EMR and tele follow-up.

Keeps rejection rates under 2%.
Lifelong with monthly to quarterly visits

Lifestyle & Return-to-Work Program

Diet, physiotherapy, and counselling to resume work safely within 3 months with infection precautions.

80% patients return to work/education within 12 weeks.
12-week structured plan

Expected Outcomes

Treatment Timeline

Pre-Surgery

Recipient and donor cleared with NOTTO documentation

First Month

Stable graft function, personalised immunosuppression plan

3-6 Months

Return to work, controlled blood pressure, infection-free

1 Year+

Long-term graft survival with annual surveillance biopsy if indicated

Success Metrics

  • Serum creatinine <1.4 mg/dL post-transplant
  • Rejection episodes <2%
  • Medication adherence >95%