Referral Guidelines for Kidney & Kidney-Pancreas Transplant Assessment

If you are a physician and feel that your patient has end-stage organ disease and could benefit from an additional assessment, you may refer him or her for a consultation with London Health Science Centre's Multi-Organ Transplant Program (MOTP). Patients may be referred from the London region, the province of Ontario, or from across Canada.

Please review the provided referral guidelines for the specific organ type (heart, kidney and kidney-pancreas, liver) before contacting the MOTP about your patient.

Please note: As a result of the ongoing shortage of donated organs, the Multi-Organ Transplant Program can only offer transplantation services to patients who are full-time residents of Canada (Canadian citizens or those with landed immigrant status) who have current coverage with the provincial health insurance plan (OHIP).

Physicians can refer patients to the London Health Sciences Centre (LHSC) Kidney Transplant Program for kidney or kidney-pancreas transplantation. Patients may be assessed when they are approaching end-stage kidney disease, either before they have started dialysis or once they have initiated dialysis. Both living and deceased donors are used for kidney transplants that are performed at LHSC. Patients can also be referred for pancreas alone transplantation.

The process for work-up assessment is similar for all our kidney, kidney-pancreas, and pancreas patients.

High BMI can pose a surgical risk to a patient undergoing kidney or combined kidney-pancreas transplantation: see BMI Guidelines.

Smoking is not an absolute contraindication to transplant, except in conditions of PVD, CAD, or pulmonary disease in which smoking is linked to increased mortality and can affect survival of the transplant: see Smoking Cessation Guidelines.

Please review this Kidney Transplant Referral Form as well as the Appendix, which outlines the investigations and specific documentation required by the LHSC Kidney Transplant Program to assess your patient for transplant.

Once the transplant referral package has been received, the team will contact the patient directly to schedule an outpatient assessment, which will be done over a two-day period. A copy of the patient’s assessment schedule will be faxed to your office and/or the patient's dialysis unit.