The first kidney transplantation in California was performed at
Stanford in 1960. The Stanford Kidney Transplant Program started in
1991. Since its inception, Stanford doctors within the program have
performed more than 1,200 kidney transplants. From the outset, our
goal has not only been to deliver the finest care possible, but to
also pioneer new treatment methods that improve patient outcomes both
short- and long-term.
Kidney and Pancreas Transplant Program at Boswell Building
300 Pasteur Drive
1st Floor, Suite A160
Stanford, CA 94305
Getting Here »
The kidney transplant program at Stanford is currently directed by
Dr. Stephan Busque and Dr. John Scandling. The transplant team
includes a full range of clinicians to ensure that you get the best,
most thorough care possible.
Our team includes surgeons, nephrologists, nurse coordinators,
social workers, financial coordinators, patient care coordinators,
transplant psychiatrists and a variety of other caregivers and support staff.
Living donor team
As a member of a multi-disciplinary team, we, provide care
coordination and advocacy for the prospective living organ donor. We
coordinate the full continuum of the living donor process, obtain a
medical history, provide education to the potential donors and their
family members, assess the potential donors' needs, and arrange living
donor kidney transplants. We continue providing care and support to
our donors even after donation.
Pre transplant patient care coordinators
We are the first point of contact and process all incoming
referrals. We arrange for evaluation appointments with the nurse
educators and physician, medical studies, consultations, and outside
services to complete the transplant/donor evaluation process as
efficiently as possible. We support our patients throughout the
evaluation process by providing education, instructions and directing
them to resources available.
Post transplant patient care coordinators
We help our transplanted patients obtain services in a timely manner
and assure efficient utilization of the nurses and physicians'
appointment schedule. We arrange for medical studies, track results
and manage medication refill requests. We inform our patients about
their appointments, how to prepare for a study and where to go. As a
member of the multidisciplinary team, we support our patients as they
transition to their new life style after transplantation/donation.
Pre transplant coordinators
We coordinate the evaluation of pre-transplant patients referred to
our program for adult kidney or pancreas transplantation. The process
begins at the time of the initial referral and continues through
transplantation. We educate our patients in regards to physical and
psychosocial implications of transplant, obtain medical history,
inform patients about further consultations/studies required to
complete the evaluation process and list patients with UNOS when
appropriate. We monitor our patients' health status during the waiting
time prior to their transplant surgery.
Post transplant and inpatient coordinators
As a member of a multi-disciplinary team and along with the rest of
the team, we educate and support our patients as they transition and
adjust to their new life style after their surgery. We ensure that
recipients of a kidney or pancreas transplant are informed about how
to best care for themselves after transplantation, are educated about
signs and symptoms of infection and rejection, and how to comply with
medication regimen prescribed to them. We educate our patients in post
operative management and arrange for their follow up appointments.
Independent donor advocate
An Independent Donor Advocate (IDA) is responsible for making
certain that the rights of a potential organ donor are fully
represented. IDAs serve as living donor resources and advocates from
the time that a potential living donor contacts the transplant program
as well as after donation.
Transplant social work
We are responsible for assessing the psychological, social, and
cultural needs that impact transplant recipients/living donors prior
to as well as after surgery. We educate our patients regarding
resources available in the community, help problem solve at the time
of crisis, and assist in seeking therapeutic interventions when
needed. Our goal is to make the transition as smooth as possible for
all our patients.
I help transplant patients and their families learn about a
healthful, enjoyable diet to speed recovery after surgery and maintain
health throughout life. I also provide education and care to pre- and
post-organ transplant patients with Diabetes through the Transplant
As member of a multidisciplinary team, the transplant pharmacist
makes rounds with the transplant team and offer services such as
therapeutic drug monitoring and providing drug information about
potential side effects and drug interactions. The pharmacist,
alongside other transplant team members, helps to counsel kidney and
pancreas transplant recipients on their individualized drug regimens.
Diabetes education team
We address diabetes through a multidisciplinary approach. Transplant
physicians, diabetes educators, endocrinologists, nurse transplant
coordinators, registered dietitians and pharmacists work together to
coordinate comprehensive quality care that is accessible to the
patient. We believe that the person with diabetes and their family are
the most important members of the diabetes team. Diabetes affects each
person differently and we help create individualized treatment
programs that accommodate a patient's needs and optimize their health.
The financial coordinator's work begins at the time of referral,
verifying coverage and ensuring all approvals are in place for
services. All patients will receive a financial packet with
personalized benefit information. We are available to assist patients
in all aspects of their insurance needs including counseling,
assistance with Medicare/Medi-cal application process, additional
coverage needs, or coverage changes.
The data coordinator is an integral part of the transplant team
ensuring accurate data collection, data entry, verification and
reporting. The data coordinator ensures timely completion of registry
forms required by UNOS and other regulatory agencies. Working closely
with the clinical staff and physicians, the coordinator ensures
integrity of the data for each patient.
Two sisters joined a small clinical trial at Stanford with the goal of training Meg Aldruino's body to accept her sister's donated kidney as if it were her own.
Clinical trials are research studies that evaluate a new medical approach, device, drug, or other treatment. As a Stanford Health Care patient, you may have access to the latest, advanced clinical trials.
Open trials refer to studies currently accepting participants. Closed trials are not currently enrolling, but may open in the future.
As you explore kidney transplantation, please make sure you have a
dedicated caregiver, commit to following your transplant team's
instructions, and secure health insurance to cover treatment and
follow-up care. Call us to speak with a transplant recipient or living
donor mentor. We can also connect you with local support groups.
Potential donors can begin the evaluation process by contacting our
living donor coordinator at 1-650-736-0795.
PREPARE FOR YOUR APPOINTMENT
Your first appointment will include a group education session
and routine medical tests such as chest x-ray, EKG, and blood
At your second appointment, you will meet with a
transplant nephrologist, transplant coordinator, and social worker.
This appointment will last 2-4 hours.
You may bring a
family member or friend to one or both of your appointments.
You may bring potential donors to your second appointment.
Bring a complete list of medications you are taking and dates of
any hospitalizations or blood transfusions to both
Stanford Health Care (formerly Stanford Hospital & Clinics)
provides comprehensive services to refer and track patients, as well
as provides the latest information and news for physicians and office
staff. For help with all referral needs and questions visit Referring Physicians.
We want to assure you that we'll provide your patient with the same
level of personal care you give them. Because of the seriousness of
the condition, we do everything we can to give your patients rapid
access to our program. Throughout the patient evaluation process we
keep an open line of communication between you and our team to keep
you informed of your patient's status, ongoing care and progress
toward finding a donor.
HOW TO REFER
Fax a referral
form with supporting documentation to 650-723-3997.
Once we receive your Referral Form, one of our patient care
coordinators will fax a confirmation of receipt to your office. Your
patient will be contacted and scheduled for a group teaching session
and the first evaluation appointment upon insurance clearance. You and
your patient will be informed in writing about our selection
FOLLOW UP ON A PATIENT
As your patient's case progresses, we'll provide you with regular
status updates, and you're always welcome to call your patient's
Stanford physician to discuss the case.
Track your patients' progress and communicate with Stanford providers