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Friday, March 3, 2023

7:55 am Welcome – Steven Alexander, MD 

Session 1

8:00 am-10:00 am

Moderator(s):

8:00 Peritoneal and Vascular Access
8:30 Physiology of Blood Purification
9:00 PD Prescription & Adequacy Monitoring
9:30 HD Prescription & Adequacy Monitoring
10:00 Break

Session 2

10:30-12:00 pm

Moderator(s): 

10:30 Cardiovascular Complications  

11:00 Pediatric Dialysis Nutrition Guidelines  

11:30 Bone Talk  

12:00 Break 

Session 3:  Breakout Sessions I

1:00-2:45 pm 

Fellows Case Conference – Stump the Consultants

Moderator(s):

Nursing Breakout I

Round Table: What Nurses Need to Know

1:00-2:45 pm

Moderator(s): 

      • HD Catheters 
      • AVF/AVGs/Vein Preservation 
      • PD Catheters 

RD’s Breakout I

1:30-2:45 pm

Moderator(s): 

 

Session 4

3:00-4:30 pm

Moderators(s): 

3:00 Major Infectious Complications  

3:30 Renal Anemia: The Basics  

4:00 Non-infectious Complications  

4:30 Adjourn 

Friday, March 3, 2023

HD Fundamentals

HD Fundamentals Pre-conference 

8:30-5:00 pm 

Moderator(s): 

  • Understanding Flux in Dialysis 
  • Intradialytic Hypotension 
  • Bridge to Nowhere – Crossing Occluded Central Veins 
  • Management of Anemia 
  • Managing Hyperkalemia 
  • Incremental Dialysis 
  • How to Add Residual Renal Function to Dialysis Dose 
  • Management of High Flow AVF 

Friday, March 3, 2023

Home Dialysis

Home Dialysis Pre-conference  

8:30 am-5:00 pm 

  • Value-based Home Dialysis Care 
  • The Best Initial Home Dialysis Therapy: PD or Home Hemodialysis?- A Debate 
    • PD  
    • Home HD
  • Growing a Home Program: Adding Value for Patients, Care Partners, and Providers 
  • Changing Candidacy for Home Dialysis 
  • Prescribing the Optimal Individualized Home Dialysis Treatment 
  • Common Reasons for Dropout and How to Overcome 
    • PD 
    • Home HD 
  • Easing the Burden of Therapy to Prevent Dropout in Home HD 
  • Best of the Home Dialysis Literature  

Friday, March 3, 2023

Online Only

Special Session: To the Hospital and Beyond: A Special Program on Child Life and Dialysis

To The Hospital and Beyond: A Special Program on Child Life and Dialysis

Program Description:  Child Life Specialists (CLS) are members of the health care team who provide support for patients and their family members throughout their hospital journey. Their services and support vary depending on the needs of each individual patient and family that they encounter. CLS have special expertise to educate and work alongside the interdisciplinary team.  Some of their activities include utilizing therapeutic play to allow the child to understand their time in the hospital system,  preparing patients for what they are going to experience in the hospital to promote positive coping, assisting with pain management techniques and how to empower a patient to do difficult tasks in addition to supporting the family throughout this journey.  All these interactions are guided by the CLS’s knowledge of child development.

The goal of this special program is to provide a forum to share information of the roles of Child Life Specialists (CLS) in Nephrology with fellow Nephrology Practitioners and foster an exchange of ideas on how this group of professionals can best support and serve the unique patient population they care for.

8:00-5:00 pm 

Topics and Presentations 

  • Hope for Henry: Empowering Children to be Actively Engaged in their Care 
  • Professional Collaboration in Managing Psychosocial Issues in Chronically Ill Children 
    • Psychology 
    • Social Services 
    • Child Life Specialists 
  • Patient Panel:  The Patients’ Stories 
  • Strategies to Improve Medication Adherence 
  • Integrating the Roles of a CLS in Nephrology Care 

Saturday, March 4, 2023

General Session – Keynote Presentations

8:00 am-10:00 am

Welcome – Ramesh Khanna, MD, ADC Conference Chair
Awards  

    • Tribute to Chris Blagg  
    • Awards Presentation 

Keynote Presentations:  

    • Understanding and Effectively Addressing Inequities in Health        
    • Kidney Disease: The Disconnect Between Kidney Injury and Kidney Function  

Mini symposium on CKD MBD in Hemodialysis patients  

10:30-12:00pm

Moderator(s): 

  • Iron Based Phosphate Binders- an Update 
  • An Evidence-based Approach to the Use of Calcimimetics in the Hemodialysis Unit  
  • Management of Osteoporosis in Dialysis: Diagnosis and Management  

PD Fundamentals

10:30-12:00pm

Moderator(s): 

  • Is PET Still Relevant in Current Clinical Practice? The Case For and Against PET 
  • Pathophysiology of PD Membrane Fibrosis and Best Practices for Membrane Preservation 
  • Diagnosis and Management of Encapsulating Sclerosing Peritonitis 
  • PD Adequacy and Beyond: What to Measure? 

Innovations in PD  

10:30-12:00pm

Moderator(s): 

  • Use of PD in COVID-associated AKI – NY/UK Experience 
  • Precision Medicine in PD   
  • AWAK-PD System: What Do We Know So Far? 
  • Artificial Intelligence and Predictive Modeling 
  • Does Bioimpedance Have a Role in Managing Volume in PD? 
  • Early Detection of PD Peritonitis: Update 

Nuts and Bolts of Urgent Start PD  

10:30-12:00pm

Moderator(s): 

  • Coordination of Care Among Providers
  • Urgent Catheter Placement 
  • Urgent Initiation of PD (manual vs cycler) 
  • Procedures and Protocols
  • Discussion 

Implementing Evidence-based Clinical Practice

Presented in Cooperation with Kidney Disease: Improving Global Outcomes (KDIGO)  

2:00-4:00pm

Moderator(s): 

 

Workshop: Case-based Applied Peritoneal Physiology

2:00-4:00pm

Moderator(s): 

 

PD Fundamentals – PD access

2:00-4:00pm

Moderator(s): 

  • Is There an Ideal PD Catheter?    
  • What’s the Best PD Catheter Insertion Technique: Surgical Laparoscopy vs Percutaneous Insertion and Patient Selection 
  • Practical Approach to Trouble Shooting a Malfunctioning PD Catheter  
  • PD Catheter Exit Site Care: Best Practices 
  • The Embedded PD Catheter: Why and When? 

 

Value-Based Care in Nephrology Part 1 

2:00-4:00pm

Moderator(s): 

  • What is Value-based Care?  
  • New CMS Payment Models  
  • Strategies to Improve Uptake of Home Dialysis  

 

Tools of Trade: Impact of HD Technology on Patient Outcomes

2:00-4:00pm

Moderator(s): 

  • Monitoring Lung Congestion: What Can We Learn from the CHF Model? 
  • Clinical Significance of Achievable Reductions in B2 M levels – Are We Making a Difference? 
  • Expanded Hemodialysis and Clinical Outcomes  
  • An Update on iHemo 

 


Sunday, March 5, 2023

Patient Reported Outcomes in HD  

8:00-10:00am

Moderator(s): 

  • Evolution of Patient-reported Outcomes and HD Practice (cramps, washed out feeling, recovery time, risk of falls, hypoglycemic, electrolyte abnormalities/arrhythmias) 
  • Depression, Insomnia, and Pain: Are We Managing Them Better? 
  • Conservative Care: Perceptions and Barriers 

 

Improving the Opportunities for Patient Success in Home Dialysis

8:00-10:00am

Moderator(s): 

  • Are We Making Appropriate Assessment of the Potential Home Patient? 
  • Are Patients and Care Partners Provided with Appropriate Tools for Shared Decision-Making Regarding Choice of Renal Replacement Therapy? 
  • Are We Providing Optimum Learning and Retention During Training? 
  • Are Patients Receiving Adequate Support on Home Dialysis?

 

ICU Dialysis 

10:30-12:00pm

Moderator(s): 

  • CRRT Fundamentals: An Evidence Based Journey-When, What, How Much (Timing, Modality, Dose)  
  • Sepsis and AKI 
  • Dialysis Induced Systemic Stress: Pathogenesis and Risk Mitigation  

Value-based Care Part 2

10:30-12:00pm

Moderator(s):

  • Addressing the Gap between Academic and Private Practice in Nephrology 
  • Value-based Care: Why Not in Academic Institutions? 
  • Got Value? Addressing Kidney Care in Academic and Private Settings 

Vascular Access

2:00-4:00pm

Moderator(s):

  • Are Buttonholes Making a Comeback? 
  • Can I Cannulate this Access?  
  • Understanding Machine Access Flow Studies – When Do You Refer for Further Workup? 
  • Embracing, Tolerating, or Forbidding Central Venous Catheters on Home HD 

Fellows Forum

2:00-4:00pm

Moderator(s):

Dealing with Challenges Non-traditional Patients Present

2:00-4:00pm

Moderator(s):

  • Case Presentation: Patient Challenges in Dialysis
  • Understanding the Patient Perspective  
  • Social Worker Role
  • Provider Perspective – Quality Metrics Facilities are Measured for Reimbursement, Safety of Staff 

Home Hemodialysis Machine Session

2:00-4:00pm

Moderator(s):

  • NxStage System One 
  • Physidia 
  • Tableau 
  • Quanta    

Session on HDF 

4:30-5:45pm

Moderator(s):

  • Unrecognized Benefits of HDF (Increased urea, creatinine, and phosphate removal; reduced need for IV saline for rinsing, etc.) 
  • Why is Adoption of HDF Lagging in the US? 

Panel Discussion: Overcoming Staffing and Personnel Issues in Home Dialysis

4:30-5:45pm

Moderator(s):

  • Effects of Staff Shortage and Rapid Turnover  
  • Strategies to Overcome Staffing Issues: 
    • Time Management 
    • Utilizing Non-nursing Staff in Home Programs 
    • Updating Patient Education Strategies 

Acute Kidney Injury 

4:30-5:45pm

Moderator(s):

  • Dialysis Dependent AKI: Conveyor Belt vs Personalized Care? 
  • Delivery and Triaging of Dialysis for AKI in Satellite Dialysis Centers 

Fellows Forum  

4:30-5:45pm

Moderator(s):


Monday, March 6, 2023

Professional Empowerment Through Leadership  

Joint Session with Renal Healthcare Association (RHA)  

8:00-10:00am

Moderator(s):

  • Professional Networking and Mentorship 
  • Key Elements in Leadership Development 
  • Delegation: Is This an Essential Skill in Leadership 
  • Interactive Discussion 

PD Fundamentals: Case-based Presentations 

8:00-10:00am

Moderator(s):

  • How to Prescribe Incremental PD? 
  • Management of the Patient with UF Failure 
  • Personalizing PD Prescription: Use of Shared Decision Making and SONG-PD Outcomes

Peritonitis Management: Case-based Presentations 

8:00-10:00am

Moderator(s):

  • Prevention of Peritonitis: Best Practices  
  • Treatment of Peritonitis: CAPD vs APD Patients 
  • Treatment of Relapsing and Recurring Peritonitis 
  • When Should We Remove the PD Catheter

HD in Special Situations 

8:00-10:00am

Moderator(s):

  • Hyponatremia in Dialysis: New Findings 
  • A Patient with Intradialytic Hypertension 
  • A Pregnant Patient 

Managing Clinical Challenges in Dialysis: Case-based Presentations

8:00-10:00am

Moderator(s):

  • How to Start the Difficult Conversation:  When the PD Patient Is Failing to Thrive 
  • PD Without Residual Renal Function: Should We Keep Going? 

Plenary Session

10:30-12:00pm

Moderator(s):

Sunday, March 5, 2023

NAC-ISPD Program

Presented in Cooperation with the North American Chapter of ISPD (NAC) 

8:00-10:00am

Moderator:  

8:00     Presidential Address 

8:20     ISPD Peritonitis, 2022 Update on Prevention andTreatment 

9:00     Standardizing Outcomes in Peritoneal Dialysis: What Does It All Mean? 

9:30     Q&A Panel Discussion 

10:00   Break 

Session 2

10:30-12:00 PM

Moderator(s): 

10:30    Supporting Home Dialysis Patients: What Can We Do Better?  

11:00    Perceptions of the Renal Team Members Towards Home Dialysis  

11:30    Q&A Panel Discussion 

12:00    Lunch  

Session 3

2:00-4:00 PM

Moderator(s): 

2:00     Progress in Tackling Barriers to Home Dialysis in the United States  

2:30     Racial and Ethnic Disparities in Home Dialysis  

3:00     Early Nephrologist Performance in the Merit-Based Incentive Payment System 

4:00     Break 

Session 4

4:30-5:45 PM

Moderator(s): 

4:30      ISPD Business meeting 

5:00      Zellerman Award Presentation and Talk – Mortality Trends After Transfer from Home Dialysis: Can We Do Better?  

5:45      Adjourn 

Saturday, March 4, 2023

General Session – Keynote Presentations

8:00 am-10:00 am

Welcome – Ramesh Khanna, MD, ADC Conference Chair
Awards  

    • Tribute to Chris Blagg  
    • Awards Presentation 

Keynote Presentations:  

    • Understanding and Effectively Addressing Inequities in Health        
    • Kidney Disease: The Disconnect Between Kidney Injury and Kidney Function  

Session 5 – Symposium on Neurocognitive Impact of Kidney Disease 

10:30-12:00 pm 

Moderators(s):  Alicia Neu, MD and Brandy Begin, BSN, MBAc. RN, CNN

Neurocognition of the Child with CKD – Pet Scans, MRI (Lyndsey Harshman, Rebecca Johnson, Steve Hooper, School Teacher (Patricia Oaks), Kelly Scott (social worker) 

Manifestations 

Impact on Communication. Etc. 

Session 6: Breakout Sessions II

2:00-4:00 pm

Best Abstracts

Moderator(s): 

 

Nursing Breakout II (RN and APPs)  
2:00 – 4:00 pm 

Surviving in Today’s World
Moderator(s): 

    • Lean Methodology/Human Factors  
    • Case Study: Navigating Supply Chain Issues  
    • Case Study: Staffing Shortages (creating staffing solutions, removing barriers, time management, etc) 

RD Breakout II

2:00-4:00 pm

Moderator(s):  

 


Sunday, March 5, 2023

Pediatric Keynote Presentations

8:30-10:00 am 

Moderators(s): 

8:30      Towards Racial Justice in Pediatric Kidney Care

9:15      What Matters Most: Goals of Care Discussions

10:00    Break

Session 7 – Hot Topics 

10:30 am-12:00 pm

Moderator(s): 

10:30 Peritoneal Physiology  

11:00 Blood Pressure Assessment with a Patch  

11:30 TBA  

12:00 Break

Nursing Breakout Ill (RN and APPs)

10:30-12:00 pm

Moderator(s): 

Nursing Breakout III- Psychosocial Support for Dialysis Patients 

  • Therapy dogs, Developmental Support  
  • Motivational Interviewing   

RD Breakout III

10:30-12:00 pm

Moderator(s):  

 

Session 8: – Updated Peritonitis Guidelines

2:00-4:00pm

Moderator(s):

Session 9 – Fundamentals for Families

Transition to Adult Care

4:30-5:45 pm

Moderator(s): 

 


Monday, March 6, 2023

Session 10 – Symposium on Managing Obese Patients on Dialysis 

8:00 – 10:00 am  

Moderator(s):

  • Prescription 
  • Balancing Nutritional Needs 
  • Transplant Readiness 
  • Bariatric Surgery 

Session 11 – My Favorite Paper 

10:30-12:00 pm 

Moderator(s):