Annual Dialysis
Program

Friday, March 8, 2024

8:00 to 10:00 am

8:00-10:00 am

8:00     Welcome – Richard Barohn, MD. Vice Chancellor for Health Affairs/Hugh E. and Sarah D Stephenson Dean, School of Medicine, University of Missouri

Ramesh Khanna, MD – ADC Co-Chair; Professor of Medicine, UMC School of Medicine

Anjay Rastogi, MD, PhD – ADC Co-Chair; Professor and Clinical Chief of Nephrology, The David Geffen School of Medicine at UCLA

Leonor Ponferrada, BSN, RN, CNN

8:30     Tribute to Todd Ing – Madhukar Misra, MD, FRCP (UK), FACP, FASN

8:40     Kidney Care in 2024: A Population Health Perspective – Naveen Raja, DO, MBA

9:20     Novel Therapies for the Dialysis Patient: A Future Full of Hope and Promise – William Fissel, MD

10:00    Break

10:00 to 10:45 am

Break

10:45 to 12:00 pm

10:45-12:00 pm 

Moderator:  Anjay Rastogi, MD, PhD

10:45     Dialysis Nutrition Guidelines – TBD

11:15    The Impacts of Plant-based Proteins on CKD and Dialysis Patients – Srinivasan Beddhu, MD

11:45    Discussion

12:00    Lunch

10:45-12:00 

Home Hemodialysis prescription is more than just adjusting treatments to achieve target Urea Kt/V.  Home HD prescription should include goals to achieve adequate small and middle solute clearances, optimum volume management and residual renal function.  The prescription must also be patient-centric considering timing of the therapy and logistical concerns that addresses maintaining a quality of life that minimizes major disruptions to the patient’s lifestyle.

Attend this workshop to learn more about factors to consider in writing and modifying Home HD prescription and to improve your skills in this area of practice.

Speakers:         Brent Miller, MD and Cheryl Cress, RN, CNN

10:45-12:00 pm

Moderator:  Madhukar Misra, MD, FRCP (UK), FACP, FASN

10:45    Ultrafiltration Pearls- What Does Emerging Data Tell Us? – John Daugirdas, MD, FASN

11:15    The Fluid Overloaded Patient with Hypotension – Shweta Bansal, MD

11:45    Discussion

12:00    Break

10:45-12:00 pm

This session will discuss optimal decision-making process for patients with advanced kidney disease in the choice of treatment.  Topics will address the benefits of CKD education, shared decision-making, conservative management, incremental treatments as a bridge to transplantation and dialysis (in-center or home dialysis) and modality transitions.

Moderator:  Lisa Koester, MSN, RN

10:45    Overview – Edwina Brown, MD

11:00    Panel Discussion

Panelists: Kamyar Kalantar-Zadeh, MD, PhD; LaVonne Burrows, MSN, RN; Edwina Brown, MD, TBD Patient

12:00    Lunch

12:00 to 2:00 pm

Lunch – Exhibits – 

2:00 to 4:00 pm

2:00-4:00 pm 

Moderator:  Osama El Shamy, MD

2:00     Surgical PD Catheter Placement Offers Optimal Outcomes – John Stefan Moldovan, MD

2:30     Peritoneoscopic PD Catheter Insertion Is Safe and Has Comparable Outcomes – TBD

2:50     Indications for Choice of PD Catheters (Abdominal, Pre-sternal, Buried Catheters) – John Crabtree, MD

3:20     Pre-op, Post-op and Chronic Access Care: The Role of the Home Dialysis Team – Joanna Neumann, RN

3:50     Discussion

4:00     Break

2:00-4:00 pm   

Moderator: Preethi Yerram, MD, FASN

2:00-2:40 Optimum Access for Home HD

2:00     AV Fistula Is the Best Access for Home HD – Brent Miller, MD

2:15     Dialysis Catheters Can Be Used Safely for Long Term Home HD – Bernie del Rosario, MD

2:30     Discussion

2:40-3:20 Controversies in Cannulation Technique

2:40     Buttonhole Is the Best Cannulation Technique for Home HD – Maria Camilla Bermudez, MD

2:55     Buttonhole Technique May Only Be Used Under Certain Conditions – Tom Golper, MD

3:10     Discussion

3:20     Vascular Access Surveillance: When to Refer to an Interventional Nephrologist/Radiologist? –  Vandana Dua-Niyyar, MD; Celine D’Gama, BHScN, RN, C-Neph-C

3:50     Discussion

4:00      Break

2:00-4:00 pm 

Moderator: Kunal Malhotra, MD

2:00     The Role of HIF Inhibitors In the Management of ESA Hypo Responsiveness – Steven Fishbane, MD

2:40     Target Weight Assessment- Techniques, Monitoring, and Adjustment – John Daugirdas, MD, FASN

3:20     Patient Reported Outcomes. Report Card 2024 – Mark Unruh, MD, MS

3:50     Discussion

4:00     Break

2:00-4:00 pm  

Description: This session will present a historical perspective of AI including the fundamentals of artificial neural networks, data requirements for AI/Ml applications and point out strengths and weaknesses of the application.  Additionally, the session will address AI application development process, the necessary skills sets needed and common methods used in medicine.  Recent advances in the field will be discussed showing practical examples of AI application followed by an interactive discussion with the audience.

Moderator: Eric Weinhandl, PhD

2:00     Historical Perspective and Fundamentals of Artificial Intelligence (AI) – Peter Kotanko, MD

2:35     AI Application Development Process – Hanjie ZHANG, PhD

3:10     Large Language Model (LLM) and Recent Advances – Roxanne (LinChun) Wang, MSc

3:45     Discussion

4:00     Break

4:00 to 4:15 pm

Break

4:15 to 5:30 pm

4:15-5:30 pm  

Moderator: Anjali Saxena, MD

4:15     Infectious Complications – Mark Shapiro, MD

4:50     Non-Infectious Complications – Graham Abra, MD

5:20     Discussion

5:30     Adjourn

4:15-5:30 pm 

Moderator: Osama El Shamy, MD

4:15     Causes of Technique Failure – Christopher Chan, MD, FRCPC

4:45     Technical and Safety Concerns – Nupur Gupta, MD

5:10     Long Term Psychosocial Effects of Home Hemodialysis – Bernie del Rosario, MD

5:30     Adjourn

4:15-5:30 pm 

Moderator: Sagar Nigwekar, MD

4:15     A New Paradigm in the Management of Hyperphosphatemia in ESKD – Kamyar Kalantar-Zadeh, MD, PhD, MPH

4:50     HDF and Beta 2 Microglobulin Removal – John Daugirdas, MD, FASN

5:20     Discussion

5:30     Adjourn

4:15-5:30 pm   

Moderator:  Brent Miller, MD

·       Home Hemodialysis:

·       PD Cyclers

5:30 to 7:30 pm

Exhibitors and Posters

Saturday, March 9, 2024

8:00 to 10:00 am

8:00-10:00 am 

Moderator: Thomas Golper, MD

8:00     Impact of Dialysis Modality – Madhukar Misra, MD, FRCP (UK), FACP, FASN

8:30     RKF and Incremental Dialysis – Kamyar Kalantar-Zadeh, MD, PhD, MPH

9:15     Could SGLT-2 inhibitors Help Preserve Residual Renal Function?  Andrew Davenport, MD, FRCP

9:45     Discussion

10:00    Break

8:00-10:00 am 

Panel members consisting of RN, RD, MD, and administrative personnel will address common problems encountered in home program clinic operations.

Moderator:       Prayus Tailor, MD

Panelists: Lisa Koester Wiedemann, MSN, RN; Diane Ruddell, MSW LCSW: Alisha Thiel, MSN, RN, CDN, Nupur Gupta, MD, MPH, TBD Administrator

8:00-10:00 am 

Moderator: TBD

8:00     Models of Care – TBD

8:30     Transplantation: Optimal Management for Frail and Older Adults? – Ewina Brown, MD

9:00     Staff Assisted Dialysis – Wael Hussein, MD

9:20     Supportive and Palliative Care – Edwina Brown, MD

9:45     Discussion

10:00    Break

8:00-10:00 am  

Peritoneal dialysis prescription involves more than just adjusting prescription to meet target KT/V urea or creatinine clearances.  This session will focus on indices that should be included in prescription writing and adequacy monitoring.  Additionally, the session will address how to assess the peritoneal membrane function, address the pitfalls of the standard PET and explain how to interpret test results and use it as a tool to prescribe the best PD treatment for the patient.

Speakers: Anjali Saxena, MD and Joanna Neumann, RN, CNN

8:00-10:00 am 

Moderator: TBD

8:00      A Review of Vit K2 Trials – Why Did They Fail? – Sagar Nigwekar, MD

8:30      Modern Management of Calciphylaxis – Preethi Yerram, MD

9:15      Importance of Phosphate Control and How to Balance It with Nutritional Targets – TBD

9:45     Discussion

10:00    Break

10:00 to 10:45 am

Break – Exhibits

10:45 to 12:00 pm

10:45-12:00 pm

Moderator: Mark Unruh, MD

10:45    What Is New in Therapeutics? – Steven Fishbane, MD

11:15    Protocolized Anemia Management Should Be Standard of Care – TBD

11:45    Discussion

12:00    Lunch

10:45-12:00 pm  

Moderator: Lisa Koester Wiedemann, MSN, RN

10:45    Expanding Education for Care Providers – Christopher Chan, MD FRCPC

11:05    Can We Train Patients in Group Settings? Rose Faratro, BHScN, RN, C-Neph-C

11:25    Education for Care Partners: Home Alone – Nupur Gupta, MD, MPH

11:45    Discussion

12:00    Lunch

10:45-12:00 pm

Discussion during this session will focus on strategies to overcome problems faced by home dialysis team such as what to do when patients do not adhere to their prescribed treatment, what alternatives to implement when a particular prescription is not working, volume management, machine problems, supplies issues and financial issues that patients face.

Moderator:      LaVonne, Burrows, MSN, RN

Panelists:         Cheryl Cress, RN; Donna Calinisan, BSN, RN; Celine D’Gama, BHScN, RN, C-Neph-C; Joanna Neumann, RN, Alisha Thiel, MSN, RN, CDN

10:45-12:00 pm  

Moderator: Vikram Aggarwal, MD

Speaker:           Ramesh Khanna, MD

12:00 to 2:00 pm

Lunch – Exhibits – Posters

2:00 to 4:00 pm

2:00-4:00 pm

Moderator: Preethi Yerram, MD, FASN

2:00     Impact of Value-based Care on Transplantation Rate – Bijal Patel, MD

2:30     Role of the Dialysis Team in Facilitating Transplantation – Diane Ruddell, LCSW

3:00     Challenges of Transplant Referrals and Waitlisting – Preethi Yerram, MD, FASN

3:30     Dialysis after Failed Transplants – Anjay Rastogi, MD, PhD

4:00       Break

2:00-4:00 pm  

Moderator: Rob Quinn, MD

2:00     AKINow and AI – TBD

2:45     Kidney Transplantation – Amit Govil, MD

3:15     Discussion

4:00     Break

2:00-4:00 pm  

Discussion will emphasize how we can improve the patient experience on home dialysis particularly the first 90 days of treatment which is a critical period of adjustment.  Additionally, the session will address trouble-shooting strategies focusing on patient’s recognition of problems that require staff attention, creative prescription management, nocturnal dialysis, solo and assisted dialysis.  Panelists will discuss tips on how travel on dialysis can be hassle-free.

Moderator: Michael Kraus, MD

2:00    Keynote – Jeffrey Perl, MD

2:20    Panel Discussion

Panelists: Jeffrey Perl, MD;  MSN-Ed, RN, CPDN, PCCN; Celine D’Gama, BHScN, RN, C-Neph-C; Vikram Aggarwal, MD; Shweta Bansal, MD; Patient

2:00 pm- 4:00 pm 

Moderator:  Ramy Hanna, MD

4:00 to 4:45 pm

Break – Exhibits

4:45 to 6:00 pm

4:45What You Need to Know About COVID in 2024
5:15Vaccinations and Boosters for Kidney Patients
545Discussion

4:45Septic AKI in 2024- Any Lessons Learnt?
5:10Are There Any Predictors for Dialysis Dependence in AKI?
5:35Management of Hepatorenal Failure
5:55Discussion

A group of experienced nurses and faculty will lead the discussion on significant issues affecting the day-to-day operation and activities in the home dialysis workplace. Topics will include but not limited to:
•Training Guidelines (PD and HHD)
•Training Patients with Special Needs (deaf, blind)
•Impact of Health Literacy on Dialysis Outcomes
•Enhancing Competence and Confidence of Home Dialysis Nurses
•Utilization of Dialysis Technicians in Home Dialysis Programs
•Scheduling/Time Management with Staff Shortages

4:45-6:00 pm

Moderator: Jenny Shen, MD

4:45     What You Need to Know About COVID in 2024 – TBD

5:15     Lessons Learned and Future Directions – Jeffrey Perl, MD

545      Discussion

6:00     Adjourn

4:45-6:00 pm

Moderator: Wael Hussein, MD

4:45     Septic AKI in 2024- Any Lessons Learnt? – TBD

5:10     Clinical and Biomarker Monitoring for AKI Recovery – Anitha Vijayan, MD

5:40     DGF and Dialysis Care in Post-transplant Patients – Amit Govil, MD

6:00     Adjourn

4:45-6:00 pm  

A group of experienced nurses and faculty will lead the discussion on significant issues affecting the day-to-day operation and activities in the home dialysis workplace. Topics will include but not limited to:

·       Training Guidelines (PD and HHD)

·       Training Patients with Special Needs (deaf, blind)

·       Impact of Health Literacy on Dialysis Outcomes

·       Enhancing Competence and Confidence of Home Dialysis Nurses

·       Utilization of Dialysis Technicians in Home Dialysis Programs

·       Scheduling/Time Management with Staff Shortage

Moderator:      Lisa Koester Wiedemann

Discussants:     Cheryl Cress, RN; Joanna Neumann, RN; Rose Faratro, BHScN, RN, C-Neph-C;  Alisha Thiel, MSN, RN, CDN

4:45 pm           

Moderators: Kunal Malhotra, MD and Maria Camilla Bermudez, MD

4:45–6:00 pm

Moderator:  Osama El Shamy, MD

4:45     Pro – Prayus Tailor, MD

5:05     Con – Graham Abra, MD

5:25     Rebuttal

5:30     Rebuttal

5:35     Home to Home Transitions – Prayus Tailor, MD

6:00     Adjourn

6:00 to 7:00 pm

Exhibits – Posters

Sunday, March 10, 2024

8:00 to 10:00 am

8:00-10:00 am  

Moderator: Thomas Golper, MD

8:00     Presidential Address – Robert Quinn, MD

8:15     PD Catheter-related Infections – Jeffrey Perl, MD

8:45     Peritoneal Membrane Dysfunction – Thomas Golper, MD

9:15     Exercise in PD – Jenny Shen, MD

9:45      Q and A

10:00    Break

8:00-10:00 am 

Moderator:  Mark Shapiro, MD

8:00     Overview- Mark Shapiro, MD

8:15     Dialyzing the Patient with AKI in the Out-patient Dialysis Unit: Interdisciplinary Approach

Panelists:  Anitha Vijayan, MD; LaVonne Burrows, APRN, RD, SW; Administrator

Special Session

8:00-12:00 pm

Attendance will be limited and additional fee is required for this session.Objective:  The dialysis access is a cornerstone for the patients to continue both Home and Incenter Dialysis. A deeper understanding of AV access and PD catheter is essential for physicians and the interdisciplinary team to care for patients and triage in the event of complications. This course will focus on physical examination and point of care evaluation of both PD catheters and AV access along with techniques to train Home HD patients and care partner on cannulation. The participants will have the opportunity to practice on both human and synthetic models using high-quality ultrasound machines supervised by experienced faculty.  Training sessions give you practical, hands-on experience.

Total duration 3 hours and 15 minutes.  The course will start with a brief didactic presentation followed by a hands-on learning experience.  This course will focus on:

  1. Techniques to Train Home HD Patients – Michelle Carver, BSN, RN
  2. Physical Examination of AV access – Vandana Dua-Niyyar, MD
  3. US Examination and Cannulation of AV Access – Nupur Gupta. MD
  4. US Evaluation of PD Catheter – TBD

Attendance will be limited, an additional fee is required for this course.

8:00-10:00 am 

Moderator: Madhukar Misra, MD, FRCP (UK), FACP, FASN

8:00     Home Dialysis Technology – Christopher Chan, MD

8:30     Patient Management Tools on HD – Bernard Canaud, MD, PhD

9:00     Symptom Management Tools with the Help of Technology (TACcare) – Mark Unruh, MD, MS

9:30     Discussion

10:00    Break

Presented in Cooperation with the Renal Health Administrators (RHA)

8:00-10:00 am 

From capturing data from your electronic medical record to utilizing key tools available in the industry. How does in-center, home, or special populations like acute or pediatrics impact the data collection for quality metrics?  In this session, panelists will share their own experiences and help participants identify the ways to slice and dice data to drive performance improvement. The team will demonstrate samples of creating pathways for looking at data and using it on the front-line.  From root cause analysis tools to action plans the key responsibilities of all members of the interdisciplinary team will be highlighted so you can move QAPI from a form to a functional tool in your facility.

Moderator:  Becky Berg, MBA, BSN, CDN

Presenters:  Becky Berg, MBA, BSN, CDN; Pam Heise, MSN, RN, CNN, CPN; Sharon Thomas; Lynn Riesenberg MBA, RN, MS

10:00 to 10:45 am

Break – Exhibits

10:45 to 12:00 pm

10:45–12:00 pm          

Moderator: Jenny Shen, MD

10:45    Peritoneal Dialysis in Cirrhosis & Heart Failure – Anjali Saxena, MD

11:15    Peritoneal Dialysis in Obesity & Diabetes – Shweta Bansal, MD

11:45    Q&A on Challenges of Managing Patients with Comorbid Conditions

12:00    Lunch

10:45-12:00 pm  

This session will briefly review the concept, purpose and procedure and interpretation of the standard procedure of the peritoneal equilibration test.  The primary focus of the session will illustrate how PET results can be obtained without expending the traditional nursing time to do the standard procedure.

Moderator: Leonor Ponferrada, BSN, RN, CNN

Speaker: Ramesh Khanna, MD

10:45–12:00 pm

Moderator: Kunal Malhotra, MD

10:45    HDF is Ready for Primetime – Andrew Davenport, MD

11:15    HDF in USA: Challenges and Opportunities – Kamyar Kalantar-Zadeh, MD, PhD, MPH

11:45    Discussion

12:00    Lunch

12:00 to 2:00 pm 

Lunch – Exhibits

2:00 to 4:00 pm

2:00–4:00 pm 

Moderator: Rob Quinn, MD

2:00     Zellerman Award Presentation – Joanne Bargman, MD

Recipient Address – Top 10 Things Nephrologists Should Know about PD Catheters: A Surgeon’s Perspective – John Crabtree, MD

2:30     My Patient on PD Is Going for Surgery: What Do I Do?  – Osama El Shamy, MD

3:00      My Patient on PD Is Hospitalized: What Do I Do? – Joanne Bargman, MD

3:30      Top 10 Things I Wish I’d Known When I Was Starting My PD Practice - Edwina Brown, MD

4:00      Adjourn

2:00–4:00 pm 

Moderator:  Anjay Rastogi, MD, PhD

2:00     Best of Home Dialysis Literature – Graham Abra, MD

2:40     Best of Dialysis Literature in HD – TBD

3:10     Best of Clinical Trials – Eric Weinhandl, PhD

4:00     Adjourn

2:00–4:00 pm  

Moderator: Andrew Davenport, MD

2:00     Does age impact management of CKD MBD in CKD/Dialysis patients? – Wajeh Y Qunibi, MD

2:45     Drug and Dialysate Options to Mitigate Osteopenia Risk in Dialysis Patients – Bernard Canaud, MD, PhD

3:30     Discussion

4:00     Break

Conference Adjourns

Symposium on
Pediatric Dialysis

Friday, March 8, 2024

8:00 to 10:00 am

8:00Physiology of Blood Purification
8:30Peritoneal Dialysis Prescription & Adequacy Monitoring
9:00Hemodialysis Prescription & Adequacy Monitoring
9:30Dialysis Access-The Basics

10:00 to 10:45 am

Break – Exhibits

10:45 to 12:00 pm

Physiology, PET (procedure, problems, and interpretation) Initial Prescription and Modification Adequacy Monitoring …

12:00 to 2:00 pm

Lunch – Exhibits

12:30 to 2:00 pm

12:30HD access (Catheters/AVFs)
12:50Crit Line/Fluid removal
1:10PD Access
1:30Discussion

2:00 to 4:00 pm

2:00Major Infectious Complications
2:40Renal Anemia: The Basics
3:20Non-infectious Complications

2:00Major Infectious Complications
2:40Renal Anemia: The Basics
3:20Non-infectious Complications

4:00 to 4:15 pm

Break – Exhibits

4:15 to 5:30 pm

Faculty-Guided Tours of Posters

5:30 to 7:30 pm

Exhibitors and Posters

Saturday, March 9, 2024

8:00 to 10:00 am

8:00Pediatric Keynote

8:45Best Abstract 1
9:00Best Abstract 2
9:15Best Abstract 3
9:30 Best Abstract 4
9:45Best Abstract 5

10:00 to 10:45 am

Break – Exhibits

10:45 to 12:00 pm

12:00 to 2:00 pm 

Lunch – Exhibits

12:30 to 2:00 pm

2:00 to 3:00 pm

3:00 to 4:00 pm

4:00 to 4:45 pm

Break – Exhibits

4:45 to 6:00 pm

6:00 to 7:00 pm

Exhibits and Posters

Sunday, March 10, 2024

8:00 to 9:00 am

9:00 to 10:00 am

10:00 to 10:45 am

Break – Exhibits

10:45 to 12:00 pm

10:30Nursing
10:45Child Life
11:00Nutrition
11:15Clinical Dialysis
11:30APP in Dialysis

12:00 to 2:00 pm

Lunch – Exhibits

2:00 to 4:00 pm

4:00 to 4:15 pm

4:15 to 5:30 pm

No posts found.

5:30 pm

Adjourn