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Increasing Transplant Waitlists
Quality Improvement Activity (QIA)

Network Task Lead: Kou Kha-Moua

Kidney transplantation offers advantages over dialysis for most End-Stage Renal Disease (ESRD) patients in both quality of life and survival. In spite of the benefits of kidney transplantation, according to the United States Renal Data System (USRDS), in 2015, 87.3 percent of all incident cases began renal replacement therapy with hemodialysis, 9.6 percent started with peritoneal dialysis, and just 2.5 percent received a preemptive kidney transplant. In addition, 63.0 percent of all prevalent ESRD cases were receiving hemodialysis therapy, 7.0 percent were being treated with peritoneal dialysis, and 29.6 percent had a functioning kidney transplant.

Quality Insights Renal Network 4 will assist participating facilities as they guide eligible patients through the 7-step transplant process leading to getting patients on the transplant waitlist:2
  1. Patient suitability for transplant (defined as absence of absolute contraindication identified in the medical records) 
  2. Patient interest in transplant
  3. Referral call to transplant center
  4. First visit to transplant center
  5. Transplant center work up
  6. Successful transplant candidate
  7. On waiting list or evaluate potential living donor

Monthly Reporting Tool


ESRD NCC Transplant QIA Learning and Action Network (LAN) Calls​



  1. United States Renal Data System. 2017 USRDS annual data report: Epidemiology of kidney disease in the United States. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2017

  2. Sullivan C, Leon JB, Sayre SS, Marbury M, Ivers M, Pencak JA, Bodziak KA, Hricik DE, Morrison EJ, Albert JM, Navaneethan SD, Reyes CM, Sehgal AR. Impact of navigators on completion of steps in the kidney transplant process: a randomized, controlled trial.


Page last updated: 08/28/18