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Tagged field notes

Filtered field notes — kidney-transplant.

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All kidney-transplant posts.

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Kidney Transplant

Post-Transplant Mental Health Cliff

Immunosuppression nonadherence runs 23 per 100 patients a year, peaking at month six -- when active monitoring stops. Why this is a graft-survival problem.

May 06, 2026 Matthew Sexton, LCSW
SDOH

SDOH Inpatient Rollback: CMS's Outpatient Mandate Gap

Fewer than 20% of ESRD patients ever reach transplant evaluation (UNOS) — CMS's SDOH rollback just widened the inpatient-outpatient gap they fall through.

Apr 06, 2026 Matthew Sexton, LCSW
kidney-transplant

IOTA Model: Dialysis Centers Are Missing Transplant Patients

80% of dialysis patients never get evaluated for a kidney transplant. CMS's new IOTA Model fixes transplant centers, but misses the referral gap upstream.

Mar 30, 2026 Matthew Sexton, LCSW
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