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Video

What type of tests are performed to determine eligibility for transplant?

Posted by
HealthTree Logo HealthTree
• May 1, 2023

Description

Learn about type of tests that are performed to determine eligibility for transplant in this HealthTree University lesson by a cancer specialist.

On this video

Healthtree contact Nelli Bejanyan, MD

Nelli Bejanyan, MD

Transcript

What types of tests are performed to determine eligibility for transplant?

So patients undergo vital organ testing prior to transplant to determine how safe that procedure can be for them. And that vital organ testing includes bone marrow biopsy first to make sure disease is in good remission. That helps actually determine what would be the risk of recurrence after transplantation. We also perform testing such as heart echocardiogram, lung function tests, computer tomography of the chest to make sure they don't have pneumonia. Laboratory testing for kidney function as well as liver function assessment and multiple, very extensive infectious workup that also includes HIV testing and hepatitis testing. And we have all this assessment in place. We can best determine who can be a better candidate for transplant in terms of not having major complications that can result through a mortality transplant procedure.

Does frailty or fitness status affect transplant eligibility?

Actually, that in multiple status has been determined to be important in terms of complications that can happen after transplant, in terms of morbidity as well as mortality risk. And we generally use that in patients who are 65 or older undergoing allogeneic transplantation as I mentioned, like patients up to age 75 are generally considered for transplant. They also perform transplant in patients who are not frail and are relatively healthy and can be older than 75 up to age 80. Therefore, age alone is not a factor for us to exclude someone from transplant procedure. But that frailty assessment is consistently being done in geriatric population and also in patients wherever we have doubts that they are not fit enough for transplant procedure.

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