Haw. Code R. § 17-1737-94

Current through September, 2024

Section 17-1737-94 - Kidney transplant

(a) Indications are irreversible kidney failure that has progressed to a point that a useful, comfortable life can no longer be sustained by conventional medical treatment. The following conditions may deteriorate to the point when kidney transplant may be required:

(1) Glomerulonephritis:

(A) Proliferative;

(B) Membranous;

(C) Mesangio-capilliary;

(2) Chronic pyelonephritis;

(3) Hereditary:

(A) Polycystic disease;

(B) Medullary cystic disease;

(C) Nephritis (including Alport's syndrome);

(4) Hypertensive nephrosclerosis;

(5) Metabolic:

(A) Cystinosis;

(B) Amyloid;

(C) Gout;

(6) Congenital:

(A) Hyperplasia;

(B) Horseshoe kidney;

(7) Toxic:

(A) Analgesic nephropathy;

(B) Heavy metal poisoning;

(8) Irreversible acute renal failure:

(A) Cortical necrosis;

(B) Acute tubular necrosis; and

(9) Trauma.

(b) Conditions and limitations affecting kidney transplant include:

(1) A living, related donor with major blood group (ABO) and human leukocyte group A (HLA) histocompatibility, or an appropriate cadaveric kidney with major blood group (ABO) and human leukocyte group A (HLA) histocompatibility shall be available;

(2) Patient shall be in a stable emotional state;

(3) There is no active infection at the time of transplant;

(4) There are no general medical contraindications to major surgery and anesthesia;

(5) Patient has a normal lower urinary tract;

(6) There are no other major systemic disease which would preclude successful recovery potential (such as cancer, polyarteritis, systemic lupus erythematosis or heart, lung or liver disease);

(7) Patient is evaluated by a qualified authority in Hawaii and renal transplant is recommended;

(8) Informed consent shall be obtained from the patient or the patient's representative; and

(9) Age limits five through fifty.

Haw. Code R. § 17-1737-94

[Eff 08/01/94] (Auth: HRS § 346-14; 42 C.F.R. §431.10 ) (Imp: 42 C.F.R. §440.230; 42 U.S.C. §1396 b(i) )