Criteria have been established to help determine if a patient is a candidate for transplantation. The criteria explain the reasons for inclusion in, or exclusion from pancreas and/or kidney transplantation.
Inclusion
Criteria for liver transplantation:
- Patients must have chronic irreversible liver disease which has not responded to other medical or surgical treatments.
- Patients with certain types and stages of liver cancer are considered for transplantation on a case by case basis.
- Patients with acute fulminant hepatic failure are considered for transplantation if it is determined they will not recover without a transplant.
- Patients must qualify for and be able to tolerate major surgery.
- Patients and their family members/support system must be able to understand the risks and benefits of transplantation, including the long-term need for close medical follow-up and life-long need for anti-rejection therapy.
- Patients/families must be able to accept the responsibility to be involved in the long-term care required after transplantation, including the financial responsibilities.
Exclusion
Factors and considerations that may result in exclusion from transplantation include:
- The presence of some other life-threatening disease or condition that would not improve with transplantation. This would include certain cancers; infections that cannot be treated or cured or significant brain damage which is not thought to be reversible.
- History of chronic non-compliance including but not limited to medical treatments, medications, or other behaviors that would affect the patient's ability to fully care for themselves after transplantation.
- History of chronic and ongoing drug and/or alcohol abuse that cannot be successfully treated before transplantation, putting the patient at risk for continued harmful behavior after transplantation.