Transplant Readiness and Anticipatory Care (TRAC) Program

The TRAC program at Lucile Packard Children’s Hospital Stanford provides specialized comprehensive care to children with stage 3-5 chronic kidney disease (CKD). The team provides patients and families with the tools to make educated decisions about their own healthcare to empower them to make well informed medical decisions, to facilitate self-care and self-efficacy, and to keep them on track for a successful kidney transplant.

TRAC Program Goals

Transplant readiness

  • Educate and discuss options for living, deceased, and National Kidney Registry exchange kidney donor transplantation
  • Prepare individualized pre-transplant roadmap to guide smooth transition from CKD to transplant

Dialysis readiness

  • Introduction to dialysis
  • Education on dialysis modality months before dialysis starts
  • Interdisciplinary team approach to providing dialysis modality education
  • Advance dialysis access planning
  • Tour our Dialysis Center and meet the dialysis team
  • Prepare an individualized dialysis roadmap to guide a smooth transition from CKD to dialysis

Our Care Team

Our care team is made up of a variety of specialists, including:

  • Pediatric nephrologists
  • Pediatric kidney transplant surgeons
  • Pre-transplant nurse coordinator
  • Post-transplant nurse coordinator
  • Physician assistants
  • Nurse practitioner
  • Dialysis and nephrology nurse coordinators
  • Kidney dietician
  • Kidney social worker
  • Psychologist
  • Child life therapist

Innovation & Research

The TRAC team has been a leader in nephrology and kidney transplant research for decades. They are currently involved in the following clinical trials and studies:

  • Clinical Trials in Transplantation in Children (CTOTC): Multi-center study to evaluate immune development and alloimmunity in pediatric kidney transplant recipients
  • Raptor study: Multi-center study to evaluate twice-daily formulation of drug cysteamine in patients with nephropathic cystinosis
  • North American pediatric renal trials and collaborative studies
  • Randomized double blind study evaluating effect of aminophylline on GFR post deceased donor renal transplant
  • Belatacept use in kidney transplant patients
  • Cytokine profiling and viral infection and PTLD

Referring Patients

Physicians may refer patients to our pediatric nephrology department by calling (650) 721-5807 and asking for the TRAC clinic. Medical records can be faxed to: (650) 721-2884.