Posts Tagged ‘kidney failure’

Study Finds Patients at For-Profit Dialysis Centers are Less Likely to Receive a Kidney Transplant

kidneysA recent study published on September 10, 2019 in the Journal of the American Medical Association (JAMA) finds that kidney failure patients receiving dialysis at for-profit dialysis centers are less likely to get a kidney transplant than patients at nonprofit dialysis clinics.

Emory researcher Rachel Patzer, PhD, MPH, associate professor in the departments of Surgery and Medicine, Emory University School of Medicine, and senior author on the JAMA paper, wanted to determine if there were lower rates of living donor and deceased donor transplantation among for-profit dialysis facilities.

Using publicly available data from the national United States Renal Data System (USRDS), researchers looked at nearly 1.5 million kidney failure patients over 16 years. The study included review of non-profit small chains, non-profit independent facilities, for-profit large chains, for-profit small chains, and for-profit independent facilities.

Results of the Study

Researchers found that almost 12% of patients at for-profit centers were waitlisted for a kidney transplant, but that nearly 30% of nonprofit dialysis patients got on a waiting list.

“For-profit dialysis facilities have a higher profit margin when they have more patients on dialysis,” says Patzer. “In nonprofit facilities, there is not the same emphasis on profit margins. We hypothesize that this leads to fewer referrals for transplant among for-profit dialysis facilities, which may explain why there is a higher rate of waitlisting and living donor transplants among nonprofit facilities compared to for-profit dialysis facilities.”

Whether patients receive dialysis in a for-profit or non-profit dialysis facility, there is one important message the researchers want to pass along …

“Patients should advocate for themselves, and ask questions about all treatment options, including transplantation,” says Patzer. “Not all patients are candidates for transplant, but patients should make sure to have these conversations with their medical providers to understand the risks, benefits, and steps needed to pursue kidney transplantation as a treatment option.”

Kidney Transplant as a Treatment Option

A kidney transplant is another option for individuals with end-stage renal failure. This surgical procedure removes the kidneys that are no longer functioning and replaces them with one healthy kidney. Our bodies only need one healthy kidney to effectively filter waste and water from the blood.

The main advantage of a kidney transplant is quality of life: Individuals who undergo a kidney transplant are usually able to return to a normal, active lifestyle. In fact, many find themselves enjoying things they never were able to before the transplant, such as travel, exercise and more time with family and friends.

A transplant improves your kidney health and your overall health and wellness. Many find they have more energy, a stronger appetite, and are better able to manage chronic health conditions. They also no longer need dialysis.

Kidneys for transplantation come from two sources: living donors and deceased (non-living) donors. Living donation is possible because a person can live well with one healthy kidney.

About Emory Kidney Transplant Program

Emory Transplant Center performed Georgia’s first kidney transplant in 1996 and continues to deliver comprehensive care.

In 2018, the Emory Kidney Transplant Program performed 281 adult kidney transplants and 13 simultaneous kidney and pancreas transplants. This number of surgeries placed the Emory Kidney Transplant Program among the top six centers in the nation for adult kidney transplants.

And as a top kidney transplant center in the nation, we’re at the forefront of clinical excellence and in pioneering new transplant therapies. We offer cutting-edge technology while delivering unsurpassed, comprehensive care to our patients.

Learn more about the care and innovation available through the Emory Kidney Transplant Program.

 

Truly Thankful – Update on Veteran Police Officer and Altruistic Donor

Raleigh Callaway

Raleigh Callaway and Chris Carroll

As you may remember, it all started with a Facebook post. Raleigh Callaway received a lot of media attention when his wife posted a message on Facebook sharing Raleigh’s need for a kidney. The post resulted in thousands of people contacting the Emory Transplant Center with offers of help. But it was one man from Texas who heard his story, and gave the gift of life – a new kidney. Chris Carroll, who lives near Dallas, says he saw the Callaway family pictured on Facebook with their two children holding a sign that read, “Our Daddy Needs a Kidney.” Chris said he felt divinely led to call to see if he could become a donor.

“I’m just blessed to be able to do it,” Carroll said in one of the many TV interviews the two have conducted after their donor and transplant operations. The media coverage has spread far and wide — from the U.S. to the U.K., Australia and Japan. You can check out some of the stories at these Atlanta outlets: AJC.com, WAGA-TV, WSB-TV, and WGCL-TV.

Carroll’s and Callaway’s surgeon, Dr. Nicole Turgeon, says they are both doing “incredibly well.” Callaway hopes to go back to his job as a police investigator in Greensboro, Ga. in a couple of months to continue to support his family. His community will be glad to have him back on the job.

As we reflect on this Thanksgiving holiday and of all that we are thankful for, let’s remember those who have given the generous donation of life through organ transplantation.

Complete Stranger Gives the Gift of Life to a Georgia Police Officer

It all started with a Facebook post…Raleigh Callaway, a veteran Georgia police officer and patient of the Emory Transplant Center, needed a kidney transplant. Desperate to find a match as he entered the late stages of renal failure, he and his family turned to social media to find a potential donor.

The Callaways’ posted a message on Facebook sharing Raleigh’s need for a kidney and a donor. The post resulted in more than 900 people contacting the Emory Transplant Center – one of whom was Chris Carroll, a health care consultant and grandfather from McKinney, Texas. He saw the post and suddenly felt compelled to give.

After going through extensive testing to see if Chris would be a match for Raleigh, the kidney transplant surgery was performed Thursday, September 25, 2014. Emory doctors said that Raleigh and donor Chris both did “incredibly well” following the operation. Chris was discharged from Emory University Hospital on Saturday, and Callaway is expected to be discharged from the hospital on Monday.

Chris was among hundreds who contacted Emory wanting to help. Dr. Nicole Turgeon, Emory transplant surgeon who performed the operation, credits the power of social media for not just saving Raleigh Callaway’s life, but potentially many more. Of the hundreds who contacted Emory, more than 125 people are still being considered for transplant surgeries to other patients. This generous act will continue to give to other patients.

Check out the video below to learn more about this incredible story!

Emory Transplant Center Coordinator, Juanita Conner – Dedicated to Helping Patients

Juanita Conner, a nurse since 1984, is a Kidney Transplant Coordinator with the Emory Transplant Center. Prior to joining Emory in 2008, Juanita worked in various roles as a nurse and case manager, earning certifications in case management, health care quality and nephrology nursing. It wasn’t until her role at Emory that all of her experience, education and expertise came together.

Kidney Transplant Coordinator, Juanita Conner

Juanita Conner, Kidney Transplant Coordinator
Photo via Leita Cowart, AJC.com

“This work [as a Kidney Transplant Coordinator] allows me to use all my nursing background and skills. I have found my niche,” says Juanita Conner, RN, BSN, MPA, CCM, CNN, CPHQ, CCTC.

Juanita chose to work with chronic kidney disease patients because they have options, and she believes she can help them the most.

“It’s a population I’m passionate about, and kidney disease is an epidemic in this country, especially in the South,” she said.

An estimated 26 million adults in the United States have chronic kidney disease, according to the Centers for Disease Control and Prevention. This can lead to end-stage renal disease (ESRD) or kidney failure.