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The Effectiveness of Kidney Transplants in
Managing Kidney Disease

Kidney failure is a growing health concern across India, with studies estimating that nearly 2 lakh new patients develop end-stage kidney disease every year, requiring dialysis or a transplant (Indian Journal of Nephrology, 2020). Patients are increasingly seeking alternative kidney failure treatments that go beyond dialysis—like medical management or kidney transplant—to maintain their quality of life. In this article, we’ll break down your treatment options and help you understand how kidney failure can be managed, even without dialysis.

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If you or a loved one is living with kidney failure and considering treatment options beyond dialysis, this guide is for you. Keep reading to explore effective alternatives available right here in Goregaon, Mumbai—and discover how the right approach can help you manage your condition with more comfort and control.

What is a Kidney Transplant?

A kidney transplant is a medical procedure where a healthy kidney from a donor is surgically placed into the body of a patient whose kidneys are no longer functioning properly. This is a life-saving procedure for those with end-stage kidney failure.

There are two types of kidney transplants:

  • Living-donor kidney transplant : This is when the kidney comes from a living person, often a family member, friend, or sometimes even a stranger.
  • Deceased-donor kidney transplant : This involves receiving a kidney from someone who has passed away.

Success Rates of Kidney Transplants

Kidney transplants are known for their high success rates, but the type of transplant plays a role in how successful the procedure will be.

  • Success rates of kidney transplants from living donors :

Living-donor kidney transplants typically have better outcomes. The 5-year survival rate is 97.8% for those aged 18-35, and 83.9% for individuals over 65. Living-donor transplants also tend to result in a quicker recovery and less time spent on dialysis.

  • Success rates of kidney transplants from deceased donors :

Though still highly successful, kidney transplants from deceased donors have a slightly lower survival rate. The 5-year survival rate is 74.3% for individuals over 65 and 95.8% for those aged 18-34. While the success rates are still strong, the longer waiting times for a transplant can sometimes create additional challenges for patients.

Factors Affecting Kidney Transplant Success

Several factors can impact how successful a kidney transplant will be:

  • Age of donor and recipient: Older recipients or donors can experience higher rates of rejection. However, surprisingly, younger people may have more immune responses that lead to organ rejection.
  • Cold ischemic time: This is the time the kidney spends outside the body. A shorter cold ischemic time is associated with better outcomes.
  • Creatinine levels at discharge: Creatinine is a waste product filtered by the kidneys. Lower creatinine levels upon discharge can indicate better kidney function and transplant success.
  • Ethnicity: Studies have shown that Asian recipients generally have higher success rates than Black recipients. However, the reasons behind this are still being explored.

Eligibility for Kidney Transplant

To be considered for a kidney transplant, doctors will evaluate whether you meet the necessary criteria. Typically, all individuals with chronic kidney disease who are approaching end-stage kidney failure are eligible for a transplant evaluation.

Some factors influencing eligibility include:

  • Age: While there’s no strict age limit, older patients may face more challenges with transplant success.
  • Health conditions: Severe heart disease, active infections, or other serious conditions might disqualify someone from being a candidate.
  • Lifestyle choices: Smoking, obesity, and substance misuse can impact your eligibility for a transplant.

Most transplant centers recommend beginning the evaluation process 6 to 12 months before you’ll need dialysis.

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Challenges in Kidney Transplantation

While kidney transplants can be life-saving, there are some challenges involved:

  • Long waiting times: There’s often a long wait for a kidney, especially for those who are on the list for a deceased donor kidney. The wait can be several years depending on your blood type, location, and the availability of organs.
  • Difficulty in finding a matching donor: Finding a donor who is a good match for your body can be a complex process, and sometimes people may need to wait a long time for the perfect match.

Conclusion

Kidney failure is a serious condition, but with the right treatment, it’s possible to manage and even improve your quality of life. Kidney transplants, whether from living or deceased donors, offer highly successful outcomes, especially for those who are eligible. While living-donor kidney transplants tend to have higher success rates, both types can effectively extend life and reduce the reliance on dialysis.

For patients in Goregaon, Mumbai, seeking kidney failure treatment, consulting an experienced nephrologist like Dr. Rashmi Algeri can help guide you through the process and determine the most suitable treatment plan. With expert guidance and the right approach, kidney failure can be managed in a way that allows for a better, fuller life.

Conclusion

Kidney failure can feel overwhelming, but it’s important to know that dialysis isn’t your only option. In India, alternative treatments approaches like kidney transplant and medical management are helping many patients lead better, more comfortable lives. These treatment options focus on preserving kidney function, easing symptoms, and improving quality of life.

Under the expert care of Dr. Rashmi Algeri, a trusted nephrologist in Goregaon, Mumbai, patients receive personalized kidney failure treatment plans tailored to their unique health needs. Whether you're exploring transplant, conservative care, or symptom management, Dr. Rashmi Algeri offers the guidance and support needed to manage kidney failure beyond dialysis.

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FAQs on Kidney Disease Treatment & Nephrology Care

Answers to Common Questions About Kidney Health and Treatment by
Dr. Rashmi Algeri – Leading Nephrologist in Mumbai

1. What are the early signs of kidney disease?
Early symptoms may include fatigue, swelling in the legs or ankles, changes in urination patterns, and high blood pressure. If you experience any of these, it’s important to consult a nephrologist promptly. ​
2. When should I see a nephrologist?
You should consult a nephrologist if you have risk factors like diabetes, hypertension, a family history of kidney disease, or if you notice symptoms such as persistent fatigue, swelling, or changes in urine output. ​
3. What tests are used to diagnose kidney disease?
Common diagnostic tests include:
  • Blood Tests: To measure kidney function markers like creatinine and blood urea nitrogen (BUN).
  • Urine Tests: To detect protein or blood in the urine.
  • Imaging: Ultrasound or CT scans to assess kidney size and structure.
  • Biopsy: In some cases, a small sample of kidney tissue may be taken for examination.
4. What is chronic kidney disease (CKD) and how is it managed?
CKD is a gradual loss of kidney function over time. Management includes controlling underlying conditions like diabetes and hypertension, dietary modifications, and regular monitoring of kidney function. ​
5. What treatment options are available for kidney failure?
Treatment options depend on the stage of kidney failure and may include:​
  • Dialysis: A procedure to remove waste products and excess fluid from the blood.
  • Kidney Transplant: Surgical placement of a healthy kidney from a donor.
  • Conservative Management: For patients who are not candidates for dialysis or transplant, focusing on symptom management and quality of life.
6. How often should kidney function be monitored?
For individuals at risk, such as those over 60 or with diabetes or hypertension, annual kidney function tests are recommended. ​
7. Can lifestyle changes help manage kidney disease?
Yes, lifestyle modifications like maintaining a healthy diet, regular exercise, quitting smoking, and controlling blood pressure and blood sugar levels can significantly slow the progression of kidney disease. ​
8. What is the success rate of kidney transplants in Goregaon, Mumbai?
Kidney transplant success rates in Goregaon, Mumbai are approximately 85% to 90% for the first year, depending on factors like donor compatibility and post-transplant care.
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