Treatments for individuals with kidney failure are rapidly evolving and increasingly complex. Clinicians must have expertise in preparing patients for dialysis, so they can provide the full range of maintenance dialysis options, particularly home-based therapies, and help patients transition to transplantation or end-of-life care if appropriate. Clinicians must also treat comorbid conditions while addressing symptom management and aligning care with patient priorities. During this program, international experts review the key challenges that clinicians face today in maintenance dialysis care. On-demand presentations summarize and critique the latest research, provide useful approaches to common problems, and deliver key messages applicable to daily practice. Two interactive sessions focus on challenging vascular access cases and evaluating the quality of in-home dialysis options.

Course Objective(s)

Upon completion of the program, the participant will be able to:

1) describe evidence-based practice for maintenance dialysis with a focus on transitioning to home-based modalities, including assessing the quality of home dialysis programs

2) provide management strategies for common and important comorbid conditions and symptoms that affect people treated with maintenance dialysis

3) discuss updated strategies for managing challenges in vascular access

4) explain symptom management and ways to put goal-directed therapy into practice.

Content 

On Demand 

Presentations

• Dialysis Initiation: When and How
  Jeffrey Perl, MD
  
• The Hemodialysis Prescription: A Focus on the Bath
  Connie Rhee, MD, MS
  
• Itch and Restless Legs: Vexing Hemodialysis Symptoms
  Jennifer S. Scherer, MD
  
• Pain and Insomnia: Vexing Hemodialysis Symptoms
  Rajnish Mehrotra, MD, MS, FASN
  
• Antihypertensive Agents in Hemodialysis: When to Use and Which Agents
  Jennifer E. Flythe, MD, MPH, FASN
  
• Update on Calcium, Phosphate, PTH, and Calciphylaxis Management
  Sagar U. Nigwekar, MD
  
• Bells and Whistles: What Is New in Remote Monitoring, Telehealth, and Big Data
  Gregory L. Hundemer, MD, MPH
  
• Goal-Directed Dialysis Care
  Jennifer S. Scherer, MD
  
• Dialysis Emergencies for a Medical Director
  Matthew B. Rivara, MD, FASN
  
• Uremic Toxins: New Research and Developments
  Tammy L. Sirich, MD, FASN
  
• Transplant Workup for Dialysis Patients: New Strategies
  Darin Treleaven, MD, MS
  
• Patient Selection for Home Dialysis or Home Dialysis in Select Patients?
  Harold E. Giles, MD
  
• Infectious Complications of PD
  Jeffrey Perl, MD
  
• Noninfectious Complications of PD
  Joanne M. Bargman, MD
  
• Home Therapies: Education for Patients and Clinicians
  Graham E. Abra, MD
  
• Urgent-Start PD and Bedside PD Insertion
  Arsh Jain, MD, MS, MSc
  
• Home Dialysis in Underserved Communities
  Jenny I. Shen, MD, MS, FASN
  
• Preventing Cardiovascular Events in Dialysis Patients
  Connie Rhee, MD, MS
  
• Modern Hemodialysis Catheter Management
  Matthew J. Oliver, MD, MS

Livestream 1

Presentations

• Welcome and Introduction – Co-Chairs
  04:30 PM EDT – 04:35 PM EDT
  
• Home Therapy Program Management
  04:35 PM EDT – 05:45 PM EDT
  Matthew J. Oliver, MD, MS
  Jenny I. Shen, MD, MS, FASN
  Harold E. Giles, MD
  Suzanne Watnick, MD, FASN
  Jeffrey Perl, MD
  Joanna Neumann, CNN, RN
  
• Panel Discussion and Q&A
  05:45 PM EDT – 06:00 PM EDT

Livestream 2

Presentations

• Welcome and Introduction – Co-Chairs
  10:00 AM EDT – 10:05 AM EDT
  
• Tough Cases in Dialysis Access
  10:05 AM EDT – 11:15 AM EDT
  Jennifer E. Flythe, MD, MPH, FASN
  Vandana Dua Niyyar, MD, FASN
  Peter Reynolds Bream, MD
  Elisa Greco, MD
  
• Panel Discussion and Q&A
  11:15 AM EDT – 11:30 AM EDT