HAR §17-1737-94
HAR §17-1737-94. Kidney transplant
Cite as Haw. Code R. § 17-1737-94
(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:
UNOFFICIAL
1737-108
(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.
[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. §1396b(i))
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