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The transplant programs at Baylor University Medical at Dallas and Baylor Scott & White All Saints Medical Center – Fort Worth, together have performed more than 4300 kidney transplants since the kidney transplant program began in 1985. In the past decade, we’ve averaged 200 kidney transplants annually at the Baylor transplant programs. 

At the Annette C. and Harold C. Simmons Transplant Institute, kidney transplant candidates also have the option of considering a combined kidney/pancreas transplant. Simultaneous kidney-pancreas transplants are performed for patients with either Type 1 or Type 2 diabetes who qualify. The dual transplant functions better than a kidney alone because the new pancreas protects the transplanted kidney from the harmful effects of diabetes. As a result, the new kidney performs better and longer in the kidney/pancreas transplant recipient. Many kidney/pancreas transplant recipients are free of diabetes years after their transplant and report a better quality of life than kidney-alone patients.

Patients on the waitlists at Baylor will wait on average four months for a simultaneous kidney/pancreas transplant. This reflects some of the shortest wait times of all transplant centers in the region and nation.

Kidney transplant candidates and kidney/pancreas transplant candidates gain improved access to organs through Annette C. and Harold C. Simmons Transplant Institute’s two transplant center locations at Baylor University Medical Center at Dallas and Baylor Scott & White All Saints Medical Center – Fort Worth. These two transplant center locations are served by two separate organ procurement organizations (OPO) providing patients access to organs from both OPOs.


Contact Us


Dallas – Recipients

Dallas Nephrology Associates: 214-358-2300


Fort Worth – Recipients

Baylor Annette C. and Harold C. Simmons Transplant Institute

Baylor Scott & White All Saints Medical Center – Fort Worth: 817-922-4650


Dallas Donors: 214-820-GIFT

Fort Worth Donors: 817-922-2990


For more information, visit Baylor Scott & White Health Kidney Transplant.


Who are Candidates for Kidney Transplant?

To be considered for a kidney transplant, you must have a diagnosis of end-stage renal disease without any conditions that would exclude you from getting a transplant. It is not necessary to be on dialysis before transplant. Pre-dialysis candidates should have a GFR of 20 to be placed on the transplant waiting list. The option of getting a kidney transplant before dialysis -called preemptive kidney transplant, requires a living donor. This advanced solution helps patients receive a kidney sooner. The less time spent on dialysis, the better the outcome of kidney transplantation. 

 


Partners in Transplant Care

Annette C. and Harold C. Simmons Transplant Institute works collaboratively with Dallas Nephrology (DNA) to care for kidney transplant patient who seek evaluation in Dallas. DNA is the largest nephrology practice group in the United States, and has been in existence for over 35 years. Dallas Transplant Institute (DTI), which is owned and operated by DNA provides medical evaluation to patients who are being consider for a kidney transplant at Baylor Dallas and also provides follow-up care to patients who have received a transplant. 

 

Dallas patients contact:

Dallas Transplant Institute

3601 Live Oak, Suite 100

Dallas, Texas 75204

214-358-2300

 

Fort Worth patients contact:

Baylor Annette C. and Harold C. Simmons Transplant Institute

Baylor Scott & White All Saints Medical Center – Fort Worth: 817-922-4650

Referral and Pre-Transplant Surgery Process

The referral process begins when a patient completes and submits an application form to Dallas Transplant Institute (DTI) or Baylor Fort Worth. When the application is received a Pre-Transplant Coordinator will be assigned to the patient.

Once patients are financially approved and all outside medical records have been received, patients will begin the medical evaluation for transplantation. The patient will be scheduled for an orientation/education session, receive educational material and get an opportunity to ask questions. A Pre-Transplant Coordinator will meet with the patient to discuss tests or procedures necessary during the medical evaluation. Patients will be scheduled for a consultation with a Transplant Nephrologist. Appointments for social worker assessment, laboratory testing, x-ray and sonograms will also be scheduled. Patients are responsible for completing their cancer screenings as appropriate based on age and gender. Examples – colonoscopy, mammogram, PAP, and PSA .

We use the American Society of Transplantation (AST) clinical practice guidelines for the evaluation of kidney transplant candidates and living kidney donor. These guidelines were designed to assist the healthcare team in the evaluation process that leads to kidney transplant and in the evaluation process of potential living kidney donors. Although they are very comprehensive, they do not cover every possible situation, since each potential transplant recipient and each potential living donor have unique characteristics that require specific evaluation and intervention.

Every patient's evaluation will include the following:

  • Transplant Nephrologist Evaluation
  • Transplant Social Worker Evaluation
  • Blood work which will include: Routine Blood Chemistries; Tests to Rule Out Active Hepatitis, Syphilis, and AIDS; Blood-typing and Tissue-typing Tests which will help the Transplant Team Find the Best Possible Kidney Match for You
  • Chest X-Ray, Renal Sonogram
  • Electrocardiogram, TB Test and Stool Test for Blood

Other parts of the evaluation will depend on the patient's diagnosis, age, and past medical history. The Pre-Transplant Coordinator will discuss these individually with each patient.

How long will my evaluation take?

The pre-transplant medical evaluation takes a few weeks or up to several months, depending on the complexity of the patient's medical problems. Cooperation in keeping appointments and responding to requests can greatly reduce the work-up process time.

Kidney Transplant Surgery

The actual kidney transplant surgery usually takes two to four hours. The kidney is usually placed in the front on either side of the lower abdomen (pelvis). The area is selected for several reasons:

  • It is easier to connect the tube that carries the urine from the kidney to the bladder (called the ureter).
  • This is the best position for the doctors, nurses, and you to feel the new kidney in determining its size and whether there is tenderness.

Immediately after the surgery, you may be cared for in the transplant intensive care unit or on the transplant floor at the hospital. Throughout the surgical process you will be cared for by our world-class transplant team. The Baylor transplant team has received specialized training in caring for transplant patients. Members include doctors, nurses, physician assistants, transplant coordinators, dietitians, and social workers. A chaplain is also available to provide spiritual guidance to those families that request it.

Kidney Transplant Post-Surgery

The average length of your hospital stay after receiving your kidney is 5 to 7 days. Discharge will be granted based on positive results of the following:

  • Is your new kidney producing urine?
  • Did you experience any rejection episodes?

Dallas Transplant Institute

After you are discharged from the hospital, you will receive follow-up care at the Dallas Transplant Institute (DTI). At DTI, our medical professionals will examine your health and perform blood tests, as needed, evaluate your medication levels, and report results to your physician. You will visit DTI an average of three times a week for the first several weeks following your transplant. As your kidney function stabilizes, your visits to DTI will decrease. Your physician will determine your appointment schedule based on examination and laboratory results reported.

Post-Transplant Evaluations

You will be required to have one or two post-perative visits with your Transplant Surgeon for evaluation and progress.

You will need to be seen regularly by a physician as long as you have your transplanted kidney

Dallas Transplant Institute is located at 3604 Live Oak, Suite #100. When you come to the clinic, you will be weighed, have blood drawn, and asked to give a urine sample. One of the nurses will review your medicines and any problems you might have. Then you will be seen and examined by one of the Transplant Nephrologists, Physician Assistants and/or Nurse Practitioners in the clinic.

Who will take care of me when I return to my home if I am an out-of-town patient?

The physician who referred you for transplant will be responsible for your medical care when you return to your home. At first, you will alternate visits with your physician and DTI physicians. As your kidney function stabilizes, the visits to DTI will become less frequent.

You will be asked to return to DTI at regular intervals or if you experience any health problems associated with your transplant.

​​​​​Patient Education

Click on each link to view videos posted on the American Society of Transplant Surgeons web site.

Living Kidney Donation: What You Need to Know

Living Kidney Donation What You Need to Know (Spanish)

Kidney Transplantation a Guide for Patients and Their Families

Kidney Transplantation a Guide for Patients and Their Families (spanish)

Living Donor Kidney Transplant

The fastest way to receive a kidney transplant is a living donor kidney transplant. This may make it possible for a patient to stop dialysis sooner or avoid starting dialysis. A kidney from a living donor is the best quality kidney. It begins to function more quickly after transplant and lasts twice as long as kidney from deceased donors. Living donors can be family members, a spouse, friends or co-workers.

Donating a kidney to a friend, family member or other person is a big decision. The dedicated living donor team at Baylor Annette C. and Harold C. Simmons Transplant Institute is available to guide you through the process.

Getting Started:

  • Complete the online confidential health history questionnaire. If the recipient was evaluated by the Dallas transplant program, visiting LivingDonorDallas.org and if the recipient was evaluated by the Fort Worth program, visit LivingDonorFortWorth.org
  • A donor’s information will then be reviewed by a living donor coordinator.
  • Possible donor candidates will be contacted by the coordinator to review the questionnaire and answer any questions.

Donor Questions:

Dallas – 214-820-GIFT (4438)

Fort Worth – 817-922-2990

 


Living Donor Liver Transplant

Living donor liver transplantation may be an option for any person who is presently on the liver transplant waiting list. Living donor liver transplantation offers immediate organ availability and is a planned operation which can avoid the progression of the recipient’s disease and its life threatening complications. A living donor liver is the best quality liver and a living donation maximizes the chance for a recipient to receive a transplant before the patient’s condition worsens. Baylor Dallas is the only transplant program in north and central Texas offering living donor liver transplantation.

Living donors can be relatives, loved ones, friends, or unrelated individuals with a close emotional connection to the recipient.

Getting Started:

  • Complete the online confidential health history questionnaire at LivingDonorDallas.org or LivingDonorFortWorth.org.
  • A donor’s information will be will be reviewed by a living donor coordinator.
  • Possible candidates will be contacted by the living donor liver coordinator to review the questionnaire and answer any questions.

Donor Questions:

214-820-GIFT (4438)

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