Why Are Re-Transplantation Protocols Critical?
| Challenge | Neftaly Protocol Response |
|---|---|
| Higher immunologic risk | Enhanced immunologic screening + desensitization protocols |
| Limited organ availability | Ethical review + standardized listing criteria |
| Complex psychosocial dynamics | Structured psychosocial re-assessment and support |
| Risk of repeat non-adherence | Behavioral risk scoring + adherence history audit |
| Increased mortality risk | Tighter selection criteria and intensive post-op care plans |
✅ 1. Eligibility Assessment Protocol
Neftaly applies a tiered re-evaluation of candidates based on clinical, psychosocial, and ethical dimensions.
???? Clinical Criteria
| Factor | Neftaly Requirement |
|---|---|
| Graft loss cause | Clearly documented; must assess avoidable vs. non-avoidable causes |
| Performance status | Karnofsky or ECOG score ≥ 60 |
| Infection or malignancy | No uncontrolled infections or untreated malignancy |
| Comorbidities | Must be medically optimized for second transplant |
???? Psychosocial Criteria
| Factor | Neftaly Requirement |
|---|---|
| Previous non-adherence | Full behavioral review with root cause analysis |
| Caregiver/support changes | New or improved support structure must be in place |
| Substance use | Minimum 6–12 months documented abstinence (organ-dependent) |
???? Neftaly Action: All re-transplant evaluations undergo Multidisciplinary Case Conference (MDCC) review.
???? 2. Pre-Re-Transplant Workup Protocol
| Category | Neftaly Evaluation Standard |
|---|
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