Outpatient General Nephrology Clinic is located on the 4th floor of KUMC's new Medical Office Building, a state-of-the-art facility designed for optimal patient comfort and convenience that was built to the highest environmental standards. Here, patients are seen for kidney disorders in continuing care by KUMC faculty nephrologists. In general, each faculty member has one half-day of clinic per week. Our clinic is open Monday - Thursday afternoon and all day Tuesday.
Patients are evaluated and treated for a broad spectrum of outpatient kidney diseases and conditions, including chronic kidney disease and its complications, glomerulonephritis, proteinuria, hematuria, hypertension, nephrolithiasis, electrolyte disorders and acid-base disturbances, and polycystic kidney disease, as well as disorders associated with systemic medical illnesses such as end-stage liver disease, lupus, and multiple myeloma.
The full-service general nephrology clinic facilitates consultation with non-renal subspecialists and other health professionals such as dieticians or social workers, and arranges for procedures such as diagnostic imaging, renal biopsies, intravenous infusions, and, when necessary, the creation of vascular or peritoneal accesses in preparation for chronic dialysis.
To make a referral please click here.
Polycystic Kidney Disease Clinic
KUMC is a world leader in polycystic kidney disease clinical care and research. Pioneering work by Jared Grantham, MD, the recipient of multiple national and international research awards, continues under several world-renowned scientists at KUMC. Patients with polycystic disease are cared for in the Nephrology Clinic by a pair of nephrologists with special expertise in this complex disorder, Franz Winklhofer, MD, and Connie Wang, MD.
KUMC faculty nephrologists provide care for inpatients at the University of Kansas Hospital assigned to other primary services who require specialist management by a nephrologist. Nephrologists see inpatient consultations in the intensive care units, telemetry and progressive care ("step down") units, regular inpatient wards, maternity unit, and the Rehabilitation and Psychiatric Hospitals. Thus, consultations originate from all services hospital-wide.
Patients seen in consultation comprise those needing care for acute or chronic dialysis (hemodialysis, peritoneal dialysis, continuous renal replacement therapy, ultrafiltration, or hemoperfusion), acute renal failure/acute kidney injury, electrolyte disorders, hypertension, proteinuria, hematuria, congenital or acquired renal disorders, or any other nephrologic-associated abnormality. Services provided consist of diagnostic testing for acute and chronic renal conditions; therapeutic interventions; nutritional support; patient education and counseling; and women's health services as they relate to renal issues in pregnancy. When necessary, procedures performed include intermittent and continuous hemodialysis, peritoneal dialysis, hemoperfusion, renal biopsy; interpretation of urinalysis, and insertion of central venous catheters.
MARS 'Liver Dialysis'
MARS (Molecular Adsorbents Recirculation System), colloquially known as 'liver dialysis', is an exciting new technology that may allow for improved survival in patients with liver failure caused by drug overdose or exposure to toxins. KUMC was one of the first centers in the U.S. to initiate the MARS under the direction of James B. Wetmore, MD, following the approval of MARS by the FDA. While not a cure for liver failure, this technology, permit in conjunction with continuous renal replacement therapy, may prolong survival in critically-ill patients awaiting liver transplantation.
Read more about MARS here.
Two outpatient dialysis units, staffed by KUMC nephrologists and directed by Franz Winklhofer, MD, and Ellen McCarthy, MD, treat chronic maintenance dialysis patients as well as patients anticipating recovery from dialysis-requiring acute renal failure. Dialysis patients seen at the KUMC outpatient dialysis centers have end-stage renal disease from typical causes such as diabetes, hypertension, glomerulonephritis, polycystic kidney disease, urologic abnormalities, and other inherited and acquired disorders. A number of patients participate in self-care therapies, such as peritoneal dialysis and home hemodialysis.
In the outpatient dialysis units, complete renal care is rendered, which includes arranging for consultation with other physicians, managing vascular accesses, counseling by dieticians and social workers, and referring to the renal transplantation clinic for exploration of transplantation options. For more information on our outpatient dialysis units click here.
Renal Transplant Clinic
Kidney transplantation efforts at KUMC are coordinated through the Renal Transplant Clinic, directed by Dennis Diederich, MD. Here, the full range of transplantation missions are conducted, beginning with the evaluation of potential transplant recipients and living donors, continuing with the listing and the monitoring of patients as they accrue time on the wait-list, and culminating in the transplanting of patients when prospective kidney matches arise. Determination of kidney transplant eligibility and suitability is made by a multidisciplinary group of transplant nephrologists, transplant surgeons, nurses, social workers, and others.
Patients seen in clinic are both first-time organ recipients as well as those who have had retransplants or multiple-organ transplants (such as a kidney plus a pancreas or a kidney plus a liver). Post-transplant continuing care is rendered here, focusing on the health of the transplanted organ and the monitoring of immunosuppressive therapy and its potential complications and side effects. Through the Renal Transplant Clinic, interaction with other divisions and departments, such as transplant surgery, cardiology, radiology, and the tissue-typing department of the local organ procurement organization (the Midwest Transplantation Network) is coordinated.
KUMC nephrologists staff an inpatient nephrology service at the University of Kansas Hospital that focuses on end-stage renal disease. Patients on this service typically consist of kidney transplant patients in the pre-, peri- and post-transplant periods and chronic dialysis patients who have been admitted to the hospital for a variety of renal and non-renal medical illnesses. In addition to the faculty nephrologist, the multidisciplinary team consists of trainees (medical students, internal medicine residents, and nephrology fellows), transplant surgeons, pharmacists, and case managers/social workers.
Comprehensive care is rendered to all patients. The full resources of the hospital, such as access to subspecialty consultants and diagnostic procedures, are available at all times. For newly-transplant patients, the function of the transplanted kidney in the postoperative period and the appropriate prescribing of immunosuppressive therapy are carefully monitored. For the longer-term transplant recipients experiencing illnesses or complications, careful diagnostic workups, including renal biopsies when necessary, are performed. Dialysis, when required, is performed in a new, 10-bed, state-of-the-art dialysis unit completed in 2011.
Kidney Transplant Program
The kidney transplant program at KUMC is led by Dennis Diederich, MD, Medical Director, and by Timothy Schmitt, MD, Director of Transplant Surgery. More than 100 kidney transplants per year are performed, including pancreas-kidney and liver-kidney dual-organ transplants. KUMC has one of the shortest waiting list times in the nation (median time,18.5 months), and many patients are transplanted before they require chronic dialysis. The program has excellent patient outcomes, with 97.1% one-year patient survival.
To make a referral click here.