“Roxadustat for my CKD anaemia is not approved in the US. Came to Beijing for a proper workup at PKU First — full iron studies, eGFR, cardiac clearance — left with a prescription, monthly cost is $120 vs darbepoetin at $900+.”
肾内科 · 肾移植 · 2026
Nephrology & Kidney Transplant,
Tongji · Zhongshan.
CKD multi-disciplinary optimisation, haemodialysis, peritoneal dialysis, kidney transplant, and oral HIF-PHI (roxadustat) for renal anaemia at China’s reference nephrology centres.
$90–160
Roxadustat / month
Oral alternative to ESA injections
Hospital pharmacy
LDKT
Living-donor transplant
Mature programme at Tongji, Zhongshan
Centre-published
FibroGen
China-first HIF-PHI
NMPA before US/EU
NMPA registry
MDT
Diabetes + cardio + nephro
Standard for diabetic CKD
Class A standard
Procedures & pathways
What this specialty
covers in China.
Roxadustat HIF-PHI therapy
Read pathway →
Haemodialysis programme
Peritoneal dialysis (CAPD / APD)
Living-donor kidney transplant
Deceased-donor kidney transplant
Diabetic nephropathy MDT
Glomerulonephritis workup
AV fistula creation
Top centres
Reference and
Class A teaching hospitals.
Tongji Hospital, Tongji Medical College 同济医院肾内科
Class A · national reference nephrology centre · large transplant volume
Class A teaching
Zhongshan Hospital, Fudan 复旦中山肾内科
Class A · large dialysis service · transplant programme · MDT
Class A teaching
Peking University First Hospital, Renal Division 北大第一医院肾内科
Class A · National nephrology reference centre · CKD trial site
Class A teaching
Peking Union Medical College Hospital 北京协和医院
Class A · diagnostic excellence · atypical and rare nephrology phenotyping
Class A teaching
Centre comparison
At a glance.
Indicative starting price for this specialty: $2,500–55,000 all-in international-patient package, depending on procedure complexity and centre.
| Hospital | City | Tier | NHC | JCI | Strength |
|---|---|---|---|---|---|
| Tongji Hospital, Tongji Medical College 同济医院肾内科 | Wuhan | Class A teaching | ✓ | — | Class A · national reference nephrology centre · large transplant volume |
| Zhongshan Hospital, Fudan 复旦中山肾内科 | Shanghai | Class A teaching | — | — | Class A · large dialysis service · transplant programme · MDT |
| Peking University First Hospital, Renal Division 北大第一医院肾内科 | Beijing | Class A teaching | ✓ | — | Class A · National nephrology reference centre · CKD trial site |
| Peking Union Medical College Hospital 北京协和医院 | Beijing | Class A teaching | — | — | Class A · diagnostic excellence · atypical and rare nephrology phenotyping |
NHC = National Health Commission designation as National Clinical Research Centre / National Medical Centre / National Clinical Key Specialty. JCI = Joint Commission International accreditation. Class A teaching = 三级甲等, China’s top hospital tier.
Patient reviews
What patients say about nephrology & kidney transplant in China.
FAQ
Nephrology & Kidney Transplant in China — answered.
- Why China for nephrology?
- Three reasons: (1) NHC-designated national nephrology reference centres (PKU First, Tongji) run very high-volume CKD and dialysis services with deep complications expertise; (2) China was first globally to approve roxadustat (December 2018) — an oral HIF-PHI alternative to ESA injections, available at $90–160/month vs ESAs at $700–1,400/month US; (3) living-donor kidney transplant programmes have substantial published volume at $35,000–55,000 all-in vs $250,000–400,000 US.
- Living-donor kidney transplant: pathway?
- Standard pathway: pre-arrival full case review (recipient eGFR, comorbidity, immunological profile; donor eligibility, ABO and HLA match); on-arrival 7–10 day workup including donor and recipient assessment, cross-match, infection screen, cardiac clearance; surgery (laparoscopic donor nephrectomy + open or laparoscopic recipient); 14–21 day inpatient stay; immunosuppression initiation; structured discharge with bilingual report and home-nephrologist handover document.
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