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  1. 1. [LANKENAU KIDNEY TRANSPLANT BROCHURE] [FRONT COVER] When it’s time for a Kidney Transplant … Main Line Health Lankenau Kidney Transplant Program [INSIDE SPREAD] Patients are people, not just case numbers, at Lankenau. Transplantation is an effective treatment option for most patients with severe kidney failure – including those who have not yet begun dialysis. The procedure involves transplanting a healthy donor kidney to do the work of the patient’s two failed kidneys; in most cases, it allows the patient to resume a normal lifestyle, free from the inconvenience and uncertainties of dialysis and diet and travel restrictions. Unlike many other programs, the Lankenau Kidney Transplant Program emphasizes personal attention. Every patient is assured of individual consultation with the surgeon and transplant nephrologist, as well as step-by-step support throughout the process and personalized follow-up after surgery. We also maintain constant contact with the referring physician. The evaluation process At Lankenau, patients who are being evaluated are always seen by an attending physician or surgeon. Each doctor spends whatever time is necessary with the patient to educate them and answer questions. Patients who are interested in transplantation can call directly to schedule an evaluation appointment, or their appointment can be arranged by a physician or a member of the dialysis unit staff. Because transplant centers have different criteria for accepting or rejecting patients, we encourage nephrologists to consult with us even if their patient has been turned down by another transplant center. During their evaluation, patients spend a half day with our team. Each patient has a private consultation with a nephrologist or surgeon and a transplant nurse coordinator. Patients receive a complete physical examination and learn about the risks and benefits of transplantation and the possible side effects of immunosuppressive medications. Our social worker evaluates patients and their support networks and offers assistance if needed. Our administrator reviews the patients’ financial resources and provides
  2. 2. information about assistance programs to which they may be entitled – not only for transplant surgery, but for ongoing medication expenses. Waiting for the transplant Patients who have successfully completed the evaluation are placed on the waiting list. For those patients who are fortunate enough to have living donors – related or unrelated – the potential donors are evaluated at this time. Patients on the waiting list are asked to have bloodwork obtained on a monthly basis and to let us know if they move or anticipate changes in insurance coverage or other circumstances. We ask for the assistance of the referring physician or dialysis unit in identifying any medical problems that might preclude transplantation for patients on the waiting list. The transplant procedure Patients who will receive a living-donor transplant can be scheduled for surgery. Those who must wait for the availability of a suitable kidney are called to the hospital by the transplant coordinator as soon as the kidney becomes available. Most patients are discharged within a week after surgery. Lankenau’s transplant surgeons, nephrologists and urologists all have exceptional credentials and extensive experience in transplant procedures – including more than 700 kidney transplant surgeries and more than 150 laparoscopic donor nephrectomies. The laparoscopic advantage Prospective kidney donors are offered a choice between two types of minimally invasive procedures – either a hand-assisted laparoscopic donor nephrectomy or a modified open procedure known as mini-incision for living donors (MILD) nephrectomy. Both options offer the advantages of smaller incisions, minimal discomfort and faster discharge and recovery. Follow-up care After discharge, transplant patients are followed closely in our clinic, where they are seen by the Director of the program, the Associate Medical Director, or both. During these follow-up visits, the physicians address such concerns as immunosuppressive drug management, routine medical care and surgical issues. Patients are seen 2-3 times per week during the first month after surgery, then progressively less frequently during the next five months. After six months, their continuing care is transferred to their referring nephrologists, although we continue to be available for consultation and periodic follow- up.
  3. 3. Personal attention and state-of-the-art medical care. Since its inception in 1993, the Lankenau Hospital Kidney Transplant Program has offered personalized care for our patients, at a convenient and safe suburban location, as well as outstanding patient and graft survival results. Outstanding survival statistics* The Lankenau team has intensified its efforts to reduce kidney rejection, to shorten operation times for improved organ function, and to decrease acute tubular necrosis, a condition in which the transplanted kidney does not function immediately after surgery. Lankenau results now compare very favorably to other programs nationwide: [CHART] 1-month 1-year Graft survival 97.50% 94.93% Patient survival 100% 100% *Published by the Scientific Registry of Transplant Recipients (USTransplant.org). Includes patients transplanted between 1/1/99 and 6/30/01. Outstanding patient satisfaction In addition to the outstanding clinical results, our patients have expressed their satisfaction with other aspects of our program as well. They appreciate having their phone calls returned promptly … and being seen by a staff physician during evaluation, while in the hospital and at each clinic visit. They appreciate the relaxed and supportive atmosphere … and the customized education based on each individual’s specific needs. And they appreciate the convenience and safety of our suburban location … and the free parking. Outstanding communication with referring physicians Communication with referring physicians is a top priority for us. We confirm each patient’s evaluation appointment, provide a complete summary of the transplant evaluation, and send another letter when the patient goes onto the active list or is scheduled for living-donor surgery. We inform both referring physicians and dialysis unit personnel on the day after surgery. We send a standard-of-care letter to the referring physician when the patient is discharged. And we send regular follow-up letters after patients are stabilized and transferred to their nephrologist for continuing care. Our physicians and transplant coordinators are available to consult with referring physicians at any point in the evaluation process or after transplant to discuss treatment options or concerns.
  4. 4. The Lankenau Hospital Kidney Transplant Program 4405 Medical Science Building 100 Lancaster Avenue Wynnewood PA 19096 Phone: (610) 645-8485 Fax: (610) 645-8509 [BACK COVER] You deserve highly personalized care. Main Line Health Lankenau Kidney Transplant Program 100 Lancaster Avenue Wynnewood PA 19096 Phone: (610) 645-8485 Fax: (610) 645-8509