Conference Brochure 2.4 - ERA-EDTAweb.era-edta.org/uploads/adc-2014-brochure.pdfOutstanding...

ATLANTA • 2014

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DIALYSISCONFERENCE

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ATLANTA • 2014

3 4 T H A N N U A L

DIALYSISCONFERENCE

Designed for health professionals: physicians, fellows, nurses,

dietitians and social workers

THE CONFERENCEwill be held Saturday, February 8

through Tuesday, February 11, 2014 at the Georgia World Congress Center in Atlanta, Georgia.

CONTENTS General Information ................................................................. 5

Course Description/Objectives ................................................ 6

Planning Committee ................................................................. 7

Exhibitor List, Booth Numbers and Location ................... 8, 9

Pre-Conference Sessions Saturday, February 8The Fundamentals of Dialysis in Children ............................... 10Peritoneal Dialysis in North America ........................................ 11A Comprehensive Course in Hemodialysis .............................. 12Home Hemodialysis Fundamentals and Symposium ............. 13ADC Technician Program .......................................................... 14

Welcome and Awards .............................................................. 15

ProgramSunday, February 9 • Day 1General Session ........................................................................ 16Integrated Sessions ...................................................... 16, 17, 18HD Fundamentals and Advances Sessions ....................... 18, 19PD Fundamentals and Advances Sessions ........................ 19, 2025th Annual Symposium on Pediatric Dialysis ................. 20, 21

Monday, February 10 • Day 2Fellows Forum .......................................................................... 22Nursing Keynote Presentation ................................................. 22Integrated Sessions ............................................................ 23, 24HD Fundamentals and Advances Sessions ................. 24, 25, 26PD Fundamentals and Advances Sessions ........................ 26, 2725th Annual Symposium on Pediatric Dialysis ....................... 28

Tuesday, February 11 • Day 3Integrated Sessions ............................................................ 29, 30HD Fundamentals and Advances Sessions ............................. 30PD Fundamentals and Advances Sessions ........................ 30, 3125th Annual Symposium on Pediatric Dialysis ....................... 31

Slide Forums ...................................................................... 32, 33

Poster Forums .........................................................33, 34, 35, 36

Speaker Index .................................................................... 37, 38

In an effort to ‘go green’, our primary source of publicity will be via email correspondence with the most current information

available on our website: medicine.missouri.edu/dialysis. Therefore, it is critical for us to have a current email address

for our participants. Please update your email by sending a message to: [email protected].

Sponsored by

University of Missouri Health System

SinclairSchool of Nursing

UNIVERSITY OF MISSOURI

University of Missouri Health System

Schoolof Medicine

Announcing a Clinical Trial for Pediatric Patients with Stage 5 Chronic Kidney Disease (CKD)Refer Stage 5 pediatric patients on peritoneal dialysisor hemodialysis with Secondary Hyperparathyroidismto a clinical research studyResearchers are evaluating the safety of an investigational medication in pediatric subjects—ages 10 to 16 years old—with Stage 5 CKD receiving peritoneal dialysis or hemodialysis, and who have been diagnosed with or are being treated for Secondary Hyperparathyroidism. Participants will receive study medication and very close monitoring, including frequent tests to evaluate both kidney and general health.

PARTICIPANTS MUST:

� Be receiving peritoneal dialysis or hemodialysis for at least 3 months� Be currently diagnosed with and/or being treated for Secondary

Hyperparathyroidism� Meet the following laboratory criteria prior to enrollment:� A corrected calcium value between 8.4 mg/dL and 10.2 mg/dL� A phosphorous value less than or equal to 6.5 mg/dL� An intact parathyroid hormone value between 300 pg/mL

and 2000 pg/mL

For more information, including eligibility requirements,visit www.clinicaltrials.gov/ct2/show/NCT01382212

If you have a study candidate, contact:

[email protected] refer him/her to thenearest enrolling site

A1640570

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ACCREDITATIONPHYSICIANS

The Office of Continuing Education, School of Medicine, University of Missouri is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Office of Continuing Education, School of Medicine, University of Missouri designates these live educational activities the following hours of AMA PRA Category 1 Credit(s)™:

• 34th Annual Dialysis Conference (Feb. 9-11) up to 19.25 hours• Fundamentals of Dialysis in Children (Feb. 8) up to 8 hours• Comprehensive Course in Hemodialysis (Feb. 8) up to 7.75 hours• Home Hemodialysis Fundamentals & Symposium (Feb. 8) up to

7.75 hours• Peritoneal Dialysis in North America (Feb. 8) up to 6.5Physicians should only claim credit commensurate with the extent

of their participation in the activity.

NURSESUniversity of Missouri Sinclair School of Nursing is an approved

provider of continuing nursing education by the Missouri Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Contact Hours will be awarded for the following offerings:• 34th Annual Dialysis Conference (Feb. 9-11) up to 19.33 hours• Fundamentals of Dialysis in Children (Feb. 8) up to 7.83 hours• Comprehensive Course in Hemodialysis (Feb. 8) up to 7.75 hours• Home Hemodialysis Fundamentals and Symposium (Feb. 8) up

to 7.75 hours• Peritoneal Dialysis in North America (Feb. 8) up to 6.33 hours• Technician Program (Feb. 8) up to 7.75 hours

MONA Provider Approval Number 716-VII.

SOCIAL WORKERS:The University of Missouri School of Social Work has approved

social work credits for the following offerings:• 34th Annual Dialysis Conference (Feb. 9-11) up to 16 hours• Fundamentals of Dialysis in Children (Feb. 8) up to 7.5 hours• Comprehensive Course in Hemodialysis (Feb. 8) up to 7.5 hours• Home Hemodialysis Fundamentals & Symposium (Feb. 8) up to

9 hours• Peritoneal Dialysis in North America (Feb. 8) up to 6.5

DIETITIANS:Dietitians can receive CPEU’s for this meeting from the

Commission on Dietetic Registration. CPEUs are based on 1 credit per hour attended. They must keep a copy of the final program and conference certificate in their portfolio.

PHARMACOLOGY CREDITS:Pharmacology credits are available; sessions are marked with

the symbol Rx. Please pick up a form to track these credits at the registration desk

Certificates: A certificate of completion can be downloaded and printed at the time you do your online evaluation.

AWARDSOutstanding PD & Nursing Awards - The first author of the outstanding PD abstract and PD nursing abstract submitted to the Annual Dialysis Conference will each receive a plaque and a travel grant from the International Society for Peritoneal Dialysis. The awards will be presented on Saturday, February 8, 2014, during the Awards Ceremony.

Outstanding Hemodialysis & Nursing Awards - The first author of the outstanding HD abstract and HD nursing abstract submitted to the Annual Dialysis Conference will each receive a plaque and a travel grant from the International Society for Hemodialysis. The awards will be presented on Saturday, February 8, 2014, during the Awards Ceremony.

Pediatric Dialysis Awards - We invited abstracts describing new research on any aspects of dialysis in pediatric patients. Pediatric abstracts that were not selected for the Pediatric Symposium were considered for presentation during Free Communications or Poster Sessions. Travel grants were awarded to the best pediatric abstract first-authored and presented by a physician; and to the best pediatric abstract first-authored and presented by a non-physician.

ABSTRACT & MANUSCRIPT PUBLICATIONSAll fully paid registrants will receive a copy of the journal Peritoneal Dialysis International, containing the peritoneal dialysis related abstracts from the conference; A copy of Advances in Peritoneal Dialysis, containing peer reviewed selected papers on peritoneal dialysis from the conference; and copies of Hemodialysis International, containing the hemodialysis abstracts from the conference and the proceeding issue, containing peer reviewed selected papers on hemodialysis.

Detailed descriptions of Advances in Peritoneal Dialysis and Hemodialysis International including editor information and how to order previous volumes can be found on our website: medicine.missouri.edu/dialysis

Equal opportunity is and shall be provided to all participants in Extension programs and activities, and for all employees and applicants for employment on the basis of their demonstrated abilityand competence without discrimination on the basis of their race, color, religion, sex, sexual orientation, national origin, age, disability or status as a Vietnam-era veteran. This policy shall not be interpreted in such a manner as to violate the legal rights of religious organizations or militaryorganizations associated with the armed forces of the United States of America.

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The Annual Dialysis Conference has been endorsed by the following organizations:

National Renal Administrators Association

International Society for Hemodialysis

COURSE DESCRIPTIONThe Annual Dialysis Conference: the Thirty-fourth Annual

Conference on Dialysis, and Twenty-fi�h Annual Symposium on Pediatric Dialysis are presented by the University of Missouri School of Medicine, Department of Internal Medicine, Division of Nephrology; Continuing Medical Education; the University of Missouri Sinclair School of Nursing; and the Academy for Postgraduate Health Care Education.

This conference convenes an international group of practitioners and researchers to discuss current developments in the field of dialysis. The conference is designed for health professionals involved in established dialysis programs, as well as those working in new and developing programs. Both researchers and clinicians will find sessions of interest to them. Extensive commercial exhibits give participants a chance to see for themselves what is new in PD and HD products and services.

CONFERENCE OBJECTIVESParticipants will be able to:1. Review appropriate dialysis therapies to meet the medical and psychosocial needs of CKD patients and their families.2. Describe current trends and established strategies in the management of the full range of services required by adult and pediatric dialysis patients.3. Compare and contrast research findings related to improving the quality of care for dialysis patients.4. Evaluate the latest evidence concerning the prevention and management of complications of CKD and dialysis.5. Discuss major controversies and new developments in PD, HD, and pediatric dialysis.6. Review fundamental knowledge of dialysis.

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ATLANTA • 2014

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We are very grateful for educational grants

from the following companies who make it possible

to invite leading speakers from throughout the world to the Dialysis Conference.

We appreciate the full cooperation of these companies

in observing the standards of the Accreditation Council

for Continuing Medical Education (ACCME) regarding commercial

support for CME conferences.

The ACCME standards require that companies providing financial support may not

determine the content of the conference. The Dialysis Chairs

and Planning Committee make speaker and topic

selections independently of commercial supporters.

American Society of Pediatric Nephrology

Baxter

International Pediatric Nephrology Association

Shire

CONFERENCE CHAIRKarl D. Nolph, MD, University of

Missouri Board of Curators’ Professor Emeritus of Medicine, Division of Nephrology, University of Missouri School of Medicine, Columbia, Missouri

PERITONEAL DIALYSIS CO-CHAIRS Kunal Chaudhary, MD, Professor,

Division of Nephrology, University of Missouri School of Medicine, Columbia, Missouri

Ramesh Khanna, MD, Karl D. Nolph, MD, Chair in Nephrology, Director, Division of Nephrology, University of Missouri School of Medicine, Columbia, Missouri

HEMODIALYSIS CO-CHAIRSZbylut J. Twardowski, MD, PhD,

Professor Emeritus of Medicine, Division of Nephrology, University of Missouri School of Medicine, Columbia, Missouri

Madhukar Misra, MD, FRCP (UK), Professor, Division of Nephrology, University of Missouri School of Medicine, Columbia, Missouri

NURSING & HEALTH RELATED PROGRAMS CHAIRLeonor Ponferrada, BSN, BSHM, RN,

CNN, Education Coordinator, Division of Nephrology, University of Missouri School of Medicine, Columbia, Missouri

PEDIATRIC CO-CHAIRSSteven R. Alexander, MD, Professor of

Pediatrics, Chief, Pediatric Nephrology, Stanford University School of Medicine, Stanford, California

Helen Currier, BSN, RN, CNN, CENP Director, Renal Services, Pheresis, and Vascular Access team, Texas Children’s Hospital, Houston, Texas

Bradley Warady, MD, Professor of Pediatrics, University of Missouri-Kansas City School of Medicine; Director, Division of Pediatric Nephrology, Children’s Mercy Hospital, Kansas City, Missouri

PLANNING COMMITTEEChristopher Blagg, MDJoshua Botdorf, DONatalie CarterMichelle Carver, BSN, RNShirley Farrah, PhD, RN-BCJessica Geer, NPLisa Koester, MSN, RN, CS, ANPMaria Luongo, MSN, RNLinda McCann, RDTheresa Mottes, RNAmy Nau, MSN, RN, MBA, CNNAlicia Neu, MDJoanna Neumann, RN, CNNKathy Oliver, BSN, RNClaire OserLeanne Peace, MSW, LCSWNonnie Polderman, RDAllison Rentfro, PhDFranz Schaefer, MDRoberta Simons, BSN, RNKurtis Tarwater, MDHelen Takaki, BSN, RNWeldon D. WebbSuzanne White, BSN, RNKaren Wiesen, MS, RDRosanne Woloschuk, RDPreethi Yerram, MD

EXTERNAL ADVISORY GROUPSuhail Ahmad, MDRichard Amerling, MDJoanne M. Bargman, MDBernard Canaud, MD, PhDAndrew Davenport, MDFredric Finkelstein, MDMichael Flessner, MDEli Friedman, MDThomas Golper, MDRodney Kenley, MSCarl Kjellstrand, MDAleksandra Kukla, MDRobert Lockridge, MDRajnish Mehrotra, MDJack Moncrief, MDMitchell Rosner, MDIsaac Teitelbaum, MDRajiv Saran, MDJohn Van Stone, MD

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American Nephrology Nurses’ Association (ANNA) .......... 701Angelini Pharma Inc. ...................................................402/401Asahi Kasei Medical America ............................................. 118Ascend Clinical ................................................................... 128B. Braun Medical Inc. ...................................................420/422Baxter Healthcare .......................................................209/219CryoLife ............................................................................... 519Cybernius Medical Ltd ........................................................ 721DaVita Healthcare Partners, Inc. .................................520/522DCRX Infusion ..................................................................... 521Dialysis Clinic, Inc (DCI) ...................................................... 114Diasol Inc ............................................................................ 130Fortus Healthcare Resources ............................................. 120Fresenius Medical Care ...................................................... 510Fresenius Medical Care/Renal Solutions .......................... 620Fresenius Medical Services ................................................ 510Gideons International, The ................................................ 622ICU Medical, Inc. ................................................................. 201ISPD c/o Multimed Inc ........................................................ 502JMS North America Corp. ............................................144/146Medcomp ............................................................................ 419Medical Education Institute ............................................... 320Merit Medical ...................................................................... 116National Kidney Foundation (NKF) ................................... 619National Renal Administrators Association ..................... 600Nephrology Nursing Certification Commission (NNCC) ... 700Nipro .................................................................................. 421NovaBay Pharmaceuticals, Inc. ......................................... 322NxStage Medical ................................................................. 411

Be sure to visit the Exhibit Hall while you are at the Dialysis Conference

The Exhibit Hall offers the latest technology and products that make home dialysis possible.

Companies are listed in alphabetical order, followed by booth number.You may also refer to the following page for a labeled diagram of the Exhibit Hall.

NxStage Kidney Care .......................................................... 400Renal Billing ........................................................................ 300Satellite Healthcare/WellBound .................................110/112Shire Pharmaceuticals ....................................................... 132Sol-Millennium Medical Inc. .............................................. 140Spectra Laboratories ......................................................... 500TNT Moborg International LTD .......................................... 719Vital Access Corporation .................................................... 621

Exhibit Hall HoursSunday, February 9

9:30 - 11:00 am3:30 - 5:00 pm

Monday, February 109:30 - 11:00 am3:30 - 5:00 pm

Tuesday, February 119:30 - 11:00am

YOU’RE INVITEDSaturday, February 8, 2014

5:30 pm • Exhibit Hall A

A light reception will be held in the Exhibit Hall immediately following the Awards Ceremony.

Conference attendees will have a chance to view exhibits and visit with exhibitors.

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Exhibit Hall HoursSunday, February 9

9:30 - 11:00 am3:30 - 5:00 pm

Monday, February 109:30 - 11:00 am3:30 - 5:00 pm

Tuesday, February 119:30 - 11:00am

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10Saturday • February 8

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The care of children receiving chronic dialysis is a challenging, multi-disciplinary enterprise. The Fundamentals of Dialysis in Children is a day-long course designed to provide a complete review of the major issues involved in the management of pediatric hemodialysis and peritoneal dialysis patients. Taught by a faculty of international experts in pediatric dialysis care, The Fundamentals of Dialysis in Children is the only course of its kind currently available. While the course is presented at the level of the beginning pediatric dialysis physician-in-training, it will be of value to pediatric and adult nephrology fellows, pediatric and adult nephrologists, pediatric and adult dialysis nurses, allied personnel and all others who care for children in dialysis facilities.

8:00 Welcome - Steven Alexander, MD

Session IBradley Warady, MD; Helen Currier, BSN, RN, Presiding8:10-10:20am 8:10 Peritoneal and Vascular Access: The Basics Mary L. Brandt, MD8:50 The Physiology of Dialysis - Jordan Symons, MD9:20 PD Prescription and Adequacy - Steven Alexander, MD9:50 HD Prescription and Adequacy - Stuart Goldstein, MD10:20 Break

Session IIFranz Schaefer, MD; Nonnie Polderman, RD, Presiding10:40-11:50am10:40 Nutrition Guidelines for Children on Dialysis: A Case-based Approach - Rosanne Woloschuk, RD11:20 Growth and Growth Hormone Therapy John Mahan, MD [Rx]11:50 Luncheon

Session III – Simultaneous Luncheon SessionsFellows’ Case Conference: Stump the Consultants John Mahan, MD, Presiding12:00-1:30pm • Room: 302The Consultants: Stuart Goldstein, MD; Joanne Bargman, MD; Dan Feig, MD, PhD; Jordan Symons, MD; Mark Joseph, MD

Pediatric Dietitians’ Breakout SessionNonnie Polderman, RD; Rosanne Woloschuk, RD, Presiding 12:00-1:30pm • Room: 303Three Case Studies

• Infant- Janice Jones, RD• Child- Jamie Murfee, RD• Adolescent- Sara Erickson, RD

Pediatric Nursing Breakout SessionTheresa Mottes, RN, Presiding12:30-1:30pm • Room: 301 12:30 Hypertension - Eileen Brewer, MD [Rx]1:30 Break

Session IVAlicia Neu, MD; Linda Jones, MHA, BSN, Presiding1:45-3:15pm1:45 Quality Assessment Performance Improvement (QAPI) in the Pediatric Dialysis Program Amy Nau, MSN, MBA, RN2:15 Diagnosis and Treatment of Renal Anemia Bradley Warady, MD [Rx]2:45 Renal Bone Disease - Kate Wesseling-Perry, MD [Rx]3:15 Break

Session VSteven Alexander, MD; Jessica Geer, MSN, C-PNP, Presiding3:30-5:00pm3:30 Major Infectious Complications Seen in Children on Dialysis - Alicia Neu, MD [Rx]4:00 Cardiovascular Complications in Dialyzed Children Franz Schaefer, MD [Rx]4:30 Continuous Renal Replacement Therapy: The Basics Jordan Symons, MD5:00 Adjourn5:15 Awards Ceremony - Room: 3055:30 Reception begins in Exhibit Hall A

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8:00am-5:00pm • Room 302 • (M=8, N=7.83)

Presented in Cooperation with the American Society of Pediatric Nephrology

Registration opens at 6:30am Saturday, February 8 – Georgia World Congress CenterA Light Continental Breakfast will be available before ALL Pre-Conference Sessions

11 February 8 • Saturday

The second annual symposium presented by the North American Chapter (NAC) of the ISPD will present four different issues related to the practice of PD in the United States and Canada. The first session, “Peritonitis – Still With Us” will focus on the management of difficult cases of peritonitis. This session will be followed by three lectures related to peritoneal membrane failure, including encapsulating peritoneal sclerosis. A�er lunch we will discuss whether the metabolic risk of PD is overblown and will have a debate about whether systemic glucose loading in PD leads to harmful downstream events. The final session will be an open-ended discussion about the state of practice of home dialysis in Canada and the United States and whether the current models of incentives really work.

Greetings from the ISPD8:30 Welcome by the current president of NAC Peter Blake, MD8:35 Welcome by the current president of ISPD Joanne Bargman, MD

Session I: Peritonitis - Still With UsJoanne Bargman, MD, Presiding8:40-10:00am8:40 Relapse, Recurrent and Repeat Peritonitis: What Do They Mean and How Do We Manage Them? Eric Wallace, MD [Rx]9:00 Enteric and Fungal Peritonitis Thomas Golper, MD [Rx]9:20 Immediate and Long-Term Systemic Risk of PD Peritonitis - Rajnish Mehrotra, MD9:40 Best Demonstrated Practices to Reduce the Incidence of Peritonitis - Joanne Bargman, MD [Rx]10:00 Break

Session II: Peritoneal Membrane Failure10:15am-12:00pm10:15 Pathobiology of Peritoneal Membrane Failure Michael Flessner, MD, PhD10:50 Can We Predict Those at Risk of Developing EPS? Raymond Krediet, MD, PhD11:25 Management of Membrane Failure and EPS Isaac Teitelbaum, MD12:00 Luncheon

Session III: The Metabolic Risk of Peritoneal Dialysis - What is the Evidence?1:00-3:00pm

Debate: Systemic Glucose Loading Leads to Harmful Downstream Events 1:00-2:00pm• PRO: Peter Blake, MD • CON: John Burkart, MD Glucose-Sparing Regimens a�er IMPENDIA 2:00-3:00pm • Do the Risks Outweigh the Benefits? - Anjali Saxena, MD• Do Statins Reduce CV Risk in PD Patients? Rob Quinn, MD, PhD3:00 Break

Session IV: Dialysis Care Models in Canada and the US: How Will These Affect HD Practice Today and in the Future? Rajnish Mehrotra, MD; Peter Blake, MD, Presiding3:15-4:30pmSpeakers: Matthew Oliver, MD, MHS; Fredric Finkelstein, MD; Suzanne Watnick

In Canada, Renal Networks have set specific targets for percentages of patients on home dialysis at 6 months. Certain interventions have been attempted, some of which have been more successful than others.

4:30 Adjourn5:15 Awards Ceremony - Room: 3055:30 Reception begins in Exhibit Hall A

8:30am-4:30pm • Room 305 • (M=6.5, N=6.33)

Presented in Cooperation with the North American Chapter of International Society of Peritoneal Dialysis (ISPD)


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This unique, full day session is specifically designed to cover practical aspects of extracorporeal therapies for those who care for patients in dialysis facilities. The fundamentals are intended for nephrologists in training, practicing nephrologists, and advanced practice nurses. Internationally renowned speakers will provide theoretical background for practical aspects of extracorporeal therapies.

Basic Mechanisms and Emerging Technologies, Essentials of Anticoagulation Madhukar Misra, MD, Presiding8:00-11:30am8:00 Essentials of Dialyzer and Non-Dialyzer Components of Hemodialysis Systems - Madhukar Misra, MD

Influence of capillary (hollow fiber) dialyzer design on clearances, ultrafiltration and backfiltration; types of membranes (cellulosic, substituted cellulosic, synthetic) and their properties; permeability to water and molecules of various sizes; Delivery of blood to the dialyzer: inflow tubing, pump, negative pressure monitor, infusion line; outflow tubing, bubble trap, positive pressure monitor; proportioning dialysis solution delivery (proportioning pump systems, heater and temperature control, negative effluent pump, negative pressure control, mixing vessel and de-aerator, blood leak detector).

9:00 Modes of Extracorporeal Therapies for the ESRD Patient: What a Nephrologist Needs to Know Paul Cockwell, PhD

The lecture will include alternatives techniques to conventional maintenance HD: Hemodiafiltration (HDF) and Hemofiltration (HF), reviewing the techniques and setup for HDF and HF. What differences are between pre-dilution and post dilution fluid replacement methods? What size molecules are efficiently removed with each modality? How to choose ‘filters’for these therapies? What is the evidence behind the use of HDF over HD?

9:45 Discussion10:00 Break10:15 Available Anticoagulants: Their Optimal Use On and Off Hemodialysis - Andrew Davenport, MD [Rx]

Brief history of anticoagulation during hemodialysis, heparins (unfractionated, low molecular weight), systemic and local anticoagulation, direct thrombin inhibitors (hirudins, argatroban), citrate (in-line and in dialysate), Citrasate, fibrinolytics, warfarin, and others.

11:15 Discussion11:30 Luncheon

Adequacy and AnemiaZbylut Twardowski, MD, PhD, Presiding12:15-3:00pm12:15 Nephroquiz - John Daugirdas, MD

An interactive Q & A session highlighting practical aspects of hemodialysis with a special focus on adequacy.

1:00 Differences in Prescription Between Conventional and Alternative Hemodialysis Schedules: The Basics John Agar, MBBS

Alternative regimens include short-daily HD and nocturnal HD. Both regimens can be performed at home or in the hospital setting. A prescription for alternative dialysis is very different when compared with conventional HD. This talk will address differences in dialysate concentrations, blood and dialysate flow rates, ultrafiltration rates, vascular access issues and adequacy of HD between these different HD schedules.

1:45 Discussion2:00 Anemia Management in Hemodialysis: A Practical and Evidence Based Approach - Daniel Coyne, MD [Rx]

Management of anemia in maintenance HD is complex. Besides making sense of available evidence and various guidelines, the practitioner has to be conversant with several other variables. These include complexities involved in the management of iron balance, erythropoiesis stimulating agents administration as well as avoiding transfusions. More importantly all this has to be done in a rigorous environment of cost containment. This talk will drill down all these aspects to basics from the perspective of an experienced nephrologist.

2:45 Discussion3:00 Break

Mineral Bone Disease and Water Treatment Kurtis Tarwater, MD, Presiding3:15-5:00pm3:15 Managing Mineral Bone Disease in HD Patients Myles Wolf, MD [Rx]

This talk will review the rationale behind the optimal use of phosphorus binders, prescribing the right dialysate Ca and Mg, use of Vitamin D analogues vs. calcimimetics, role of ergocalciferol in management of BMD etc.

4:00 Essentials of Water Treatment - Suhail Ahmad, MD Importance of water quality and standards; contaminants: inorganic, organic, micro-organisms; general classes of water treatment: particulate filters, so�eners and deionizers, activated charcoal filters, reverse osmosis; latest AAMI standards, water quality monitoring, pipe-loop distribution, sanitizing the system; ultrapure dialysate.

4:45 Discussion5:00 Adjourn5:15 Awards Ceremony - Room: 3055:30 Reception begins in Exhibit Hall A

8:00am-5:00pm • Room 412a • (M=7.75, N=7.75)

Presented in Cooperation with the International Society for Hemodialysis (ISHD)


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13 February 8 • Saturday

Home Hemodialysis patients and facilities continue to grow, both worldwide and in the USA. This program brings together representatives of successful Home Hemodialysis programs to discuss elements of effective Home Hemodialysis.

This full day pre-session will provide an overview of the fundamental elements essential to successfully develop and maintain a home hemodialysis program for new, as well as for existing or expanding programs. The session will also allow interactive discussion with speakers and experts in the field.

This program is intended for physicians, nurses, fellows, administrators and other members of the healthcare team providing home dialysis therapy, as well as patients and the dialysis industry and manufacturers who support home hemodialysis.

8:00 Welcome - Christopher Blagg, MD; Leonor Ponferrada, BSN, RN

Session IChristopher Blagg, MD, Presiding8:05-10:30am8:05 When and Where It All Began - Christopher Blagg, MD8:15 The Role of Patient Education in Promoting Home Dialysis - Thomas Golper, MD8:45 Optimal Time and Frequency of Home Hemodialysis John Agar, MBBS9:15 Home Hemodialysis Prescriptions and Dialysis Adequacy- Joel Glickman, MD9:45 Vascular Access for Home Hemodialysis Surendra Shenoy, MD10:15 Discussion10:30 Break

Session II Michelle Carver, BSN, RN, Presiding10:45am-12:00pm10:45 Management of Anemia - Christopher Chan, MD [Rx]11:15 Renal Bone Disease Management Brent Miller, MD [Rx] 11:45 Discussion 12:00 Luncheon

Session III Simultaneous Session: Physicians Breakout SessionThomas Golper, MD, Presiding12:30-2:00pm • Room: 404Panelists: Robert Pauly, MD; Joel Glickman, MD, Andreas Pierratos, MD, Brent Miller, MD, Surendra Shenoy, MD Topics of Discussion: • Home HD Prescription Dilemmas• Managing Access Complications Preventing Drop-out• Severe Adverse Events in Home Hemodialysis2:00 Break

Simultaneous Session: Nursing Breakout SessionLisa Koester, MSN, RN, Presiding12:30-2:00pm • Room: 411Panelists: Michelle Carver, BSN, RN; Gordon Fullmer, BS; Dori Schatell, MS; Sylvia Donato-Moore, BSN, RNTopics of Discussion: • Optimal Home Dialysis Training • Care Partner Role • Training Patients to Self-cannulate• Patient Follow-up2:00 Break

Session IV Improving Retention and Preventing DropoutRobert Lockridge, MD, Presiding2:15-3:45pm2:15 Preventing Clinical Complications Robert Lockridge, MD 2:45 Alleviating the Caregiver Burden - Gordon Fullmer, BS 3:15 Providing Respite Care - Lisa Koester, MSN, RN 3:45 Break

Session V Brent Miller, MD, Presiding4:00-5:00pm4:00 Implementing Clinical Practice Guidelines for Home Hemodialysis - Robert Pauly, MD4:30 Looking Forward: The Future of Home Hemodialysis Christopher Chan, MD 5:00 Adjourn5:15 Awards Ceremony - Room: 3055:30 Reception begins in Exhibit Hall A

8:00am-5:00pm • Room 411 • (M=7.75, N=7.75)

Presented in Cooperation with the International Society for Hemodialysis (ISHD)


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Dialysis Technicians comprise a major portion of the workforce in dialysis facilities. They are essential members of the interdisciplinary team who interact with other healthcare providers and patients. This program is designed for dialysis technicians and other healthcare providers who participate in providing care for patients receiving dialysis therapy.

8:00 Welcome - Shirley Farrah, PhD, RN-BC

Session ILillian Pryor, MS, RN, Presiding8:05-10:00am8:05 The Certified Dialysis Technician: Performing at a Higher Level of Accountability in the Workplace Danilo Concepcion, CBNT, CCHT-A 8:50 Frequently Asked Questions about Certification Forest Rawls, Jr., BS, CCHT-A, CHT9:20 Water Standards for Hemodialysis - James Davis9:50 Discussion10:00 Break

Session IIRoberta Simons, BSN, RN, Presiding10:15am-12:15pm10:15 Chlorine and Chloramine: A Matter of Life and Death Mikki Ward, RN10:45 Infection Control in Dialysis: Exposure Risks and Isolation Practices - Matt Arduino, MS, DrPH11:45 Fluid Management in Dialysis Patients Lisa Koester, MSN, RN12:15 Luncheon

8:00am-5:00pm • Room 407 • (N=7.75)

Presented in cooperation with the Dogwood Chapter of the American Nephrology Nurses Association (ANNA)


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Session IIIForest Rawls, Jr., BS, CCHT-A, CHT, Presiding1:00-2:30pm1:00 Vascular Access: Back to Basics - Lesley Dinwiddie, MSN, RN2:00 Vascular Access: Management and Prevention of Problems - Karen Kelley, BSN, RN, MHA2:30 Break

Session IVErma Boykin, MSN, MBA, HCM, RN, Presiding2:45-5:00pm2:45 Observation and Physical Measurements: Why Is this Important During Dialysis Treatments? Gail Wick, BSN, RN3:15 Patient Centered Care: Your Role in Dialysis Glenda Payne, MSN, RN4:15 Effective Communication and Respect of Professional Boundaries in the Workplace - Leanne Peace, MSW4:45 Summary, Discussion and Evaluations Leonor Ponferrada, BSN, RN5:00 Adjourn5:15 Awards Ceremony - Room: 3055:30 Reception begins in Exhibit Hall A

��Deadline for completing

online evaluations:April 4, 2014

medicine.missouri.edu/dialysisLogin and password will be provided at registration.

15

Saturday, February 8, 2014

5:15-6:15pm • Room: 305 Light Reception to follow

Karl D. Nolph, MD; Leonor Ponferrada, BSN, RN, Presiding

5:15 Welcome - Karl Nolph, MD

5:20 Lifetime Achievement Award in HD for Eli Friedman, MD Presented by Madhukar Misra, MD

5:25 2014 ISHD Belding H. Scribner Trail Blazer Award in HD - Carl Kjellstrand, MD, PhD, FACP, FRCP(c) Presented by Madhukar Misra, MD

5:30 Lifetime Achievement Award in PD for John Burkart, MD Presented by Ramesh Khanna, MD

5:35 Barbara Prowant Lifetime Achievement Award in Nephrology Nursing for Ana Elizabeth Figueiredo, MSc, PhD, RN Presented by Leonor Ponferrada, BSN, RN

5:40 Award Presentation from Dialyzors United Presented by Denise Eilers, BSN, RN

5:42 Special Award 1 - presented by Karl Nolph, MD

5:45 Special Award 2 - presented by Karl Nolph, MD

5:50 Best PD Abstract Presented by Joanne Bargman, MD

Best HD Abstract Presented by Madhukar Misra, MD

Best PD Nursing Abstract Presented by Gillian Brunier, RN (EC), MScN, CNeph(c)

Best HD Nursing Abstract Presented by Leonor Ponferrada, BSN, RN

Best Pediatric Abstract Presented by Steven Alexander, MD

6:00 Update on next ISPD Congress Joanne Bargman, MD; Rafael Selgas, MD, PhD

6:10 Update on next ISHD Congress Madhukar Misra, MD

6:20 Light Reception following the ceremony located in the Exhibit Hall A

��Home Hemodialysis Symposium

and Evening ReceptionSunday, February 9, 20146:15-8:15pm • Room: 411

Madhukar Misra, MD, PresidingTopic: Implementing Hemodialysis in the Home: A Global Perspective

6:15 Introduction - Madhukar Misra, MD6:20 Overview of Implementing Hemodialysis in the Home - Christopher Chan, MD; Mark Marshall, MBChB, MPH6:40 Ensuring Patient Safety - Robert Pauly, MD6:55 Vascular Access - Rose Faratro, RN7:10 Closing Remarks - Christopher Chan, MD; Mark Marshall, MBChB, MPH7:15 Reception

Based upon published data, an estimated 40-60% of patients with end stage renal disease are medically capable of performing home hemodialysis (Home HD). However, Home HD adoption is challenged by numerous barriers, and current penetration remains low despite evidence demonstrating its clinical and humanistic benefits.

Endorsed by the International Society for Hemodialysis, a multidisciplinary group of 30 researchers and clinicians was convened to develop practical tools to help improve the global uptake of Home HD. Co-led by Christopher Chan, MD, and Mark Marshall, MBChB, MPH, this expert group is developing a practice manual that addresses barriers and challenges to Home HD adoption, outlines the basics of providing Home HD, and includes best practices where possible. Both patient- and provider-related topics are addressed, including Machines and Water Treatment, Patient Selection and Training, Prescription of Home HD, Psychosocial Issues and Support, Vascular Access, Funding and Planning, Emergency Care Planning, Patient Referrals/Recruitment/Networking, Workforce Development and Models of Care, and Clinical Governance Structure/Localities and Infrastructure.

This symposium will introduce the content of the Home HD practice manual and provide an overview of the group’s progress to date. For this introduction, an emphasis will be placed on vascular access and ensuring patient safety. These efforts will help enable the development of Home HD programs and increase the global practice of Home HD.

Attendance is limited to the first 350 participants. (No CME credit will be awarded for this program.)

16

Registration opens at 8am Coffee and Tea service available

GENERAL SESSIONKarl Nolph, MD; Leonor Ponferrada, BSN, RN, Presiding 9:00-10:00am • Sydney Marcus Auditorium • (M=1, N=1)9:00 Welcome - Karl Nolph, MD; Leonor Ponferrada, BSN, RN9:10 Keynote Address: Starting Dialysis; When, How and Whether - John Agar, MBBS 9:35 Keynote Address: Stephen Vas Memorial Lectureship: Have Guidelines Made Nephrologists Redundant in Dialysis Units? - John Burkart, MD 10:00 Break

MAIN LUNCH12:00-1:00pm • Exhibit Hall A3

POSTER FORUM - DAY 11:00-2:00pm • Exhibit Hall A3 • (M=1, N=1) See pages 33-36 for a detailed list of posters and presenters. ALL Posters will be on display Sunday and Monday

• INTEGRATED SESSION PROGRAMLate Morning Sessions 10:45am-12:15pm

Patient Survival Issues [10A]Christopher Blagg, MD, Presiding10:45am-12:15pm • Room: 405 • (M=1.5, N=1.5) 10:45 “Can Health Care Systems Afford Dialysis for Those Disabled and/or Older Than 85?” - Eli Friedman, MD11:30 Should Patients Be Told About Survival and Quality of Life Expectations for All Choices of Dialysis Therapy? - Joanne Bargman, MD12:15 Luncheon

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ATLANTA • 2014

3 4 T H A N N U A L

DIALYSISCONFERENCE

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Quality Improvement for ESRD: Challenges, Methods and Solutions [11A](Presented in Cooperation with The University of Michigan Kidney Epidemiology and Cost Center (UM KECC))Rajiv Saran, MD, MS, MBBS, Presiding10:45am-12:15pm • Room: 314 • (M=1.5, N=1.5)10:45 Whodunnit? Should Patient Outcomes Be Attributed to the Nephrologist, Facility or Chain? Richard Hirth, PhD11:10 Statistical Challenges and Approaches for the Dialysis “Quality Measure” Development - Yi Li, PhD11:35 It Is Time to Choose “Time” for Real Quality Improvement - Rajiv Saran, MD, MS, MBBS12:00 Discussion12:15 Luncheon

Nursing and Health-related Program: Clinical Topics I [12A]Karen Schardin, BSN, RN, Presiding10:45am-12:15pm • Room: 402 (M=1.5, N=1.5)10:45 How Patients May Be Utilized to Support Other Patients: The Life Plan - Vanessa Evans, BA, MA 11:15 Transition Planning for the Next Modality - Dana Clay11:30 The Spectrum of Care Giver Responsibilities Gordon Fullmer, BS 12:00 Discussion12:15 Luncheon

A�ernoon Sessions 2:00-4:00pmBasic Science Frontiers in PD and HD [20A]Rafael Selgas, MD, PhD; Raymond Krediet, MD, PhD, Presiding2:00-4:00pm • Room: 305 • (M=2, N=2)2:00 New and Comprehensive View of the Peritoneal Response to Dialysis and Dialysis Components Rafael Selgas, MD, PhD2:30 Update on Clinical Studies of the Endothelial Glycocalyx in PD and HD Patients Raymond Krediet, MD, PhD 3:00 Results with Tamoxifen in Preventing Encapsulating Peritoneal Sclerosis - Rafael Selgas, MD, PhD [Rx]3:30 What Do Serum Albumin and Hemoglobin Really Tell Us in HD and PD Patients? How Do We Correct for Volume Control? - Raymond Krediet, MD, PhD [Rx]4:00 Break

Program Key:[#] = Session NumberM= Physician credit for attending sessionN= Nursing credit for attending sessionRx= Pharmacology credit available for that session

17 February 9 • Sunday

Special Workshop: Managing Dialysis Patients in Remote Areas via Telemedicine; Personal Experiences with a Demonstration [21A]2:00-4:00pm • Room: 313 • (M=2, N=2)Jack Moncrief, MD

Special Workshop: Meet the Expert - An Opportunity for Conversation with Zbylut Twardowski, MD, PhD Who Has over 50 Years of Personal Experience with Dialysis [22A]2:00-4:00pm • Room: 314 • (M=2, N=2)Zbylut Twardowski, MD, PhD

Nursing and Health-related Program: Clinical Topics II [23A] Linda McCann, RD, Presiding 2:00-4:00pm • Room: 402 • (M=2, N=2)2:00 Health-related Quality-It’s Not Just for Social Workers Any More: How Every Member of the Interdisciplinary Team Can Use HRQOL Scores to Impact Patient Care Michelle Richardson, PharmD2:45 Bundling Medications: Implications for Dietitians and Social Workers - Linda McCann, RD; Meghan Hoefs, MSW 3:15 Disaster/Emergency Preparedness: Emphasizing the Nutrition Component - Karen Wiesen, MS, RD 3:45 Discussion4:00 Break

Late A�ernoon Sessions 4:45-6:00pmClinical Topics [40A]Rajnish Mehrotra, MD; Joanne Bargman, MD, Presiding4:45-6:00pm • Room: 405 • (M=1.25, N=1.3)4:45 Control of Chronic Metabolic Acidosis in Chronic Dialysis Patients – Comparison of PD and HD Rajnish Mehrotra, MD [Rx]5:15 The Use of Diuretics in Dialysis Patients - Indications, Risks, Best Drug Choices and Proper Doses Joanne Bargman, MD [Rx] 5:45 Discussion6:00 Adjourn

CKD and ESRD: Emerging Concepts [41A]Chris McIntyre, MD, MBBS, Presiding4:45-6:00pm • Room: 314 • (M=1.25, N=1.3)4:45 Risk Prediction in CKD: The Essentials Carmine Zoccali, MD5:15 To Start (Dialysis) or Not: Balancing the Risks Versus Benefits - Chris McIntyre, MD, MBBS5:45 Discussion6:00 Adjourn

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18Sunday • February 9

Nursing and Health-related Program: Professional Issues in Nephrology [42A](Presented in Collaboration with the American Nephrology Nurses Association (ANNA))Lillian Pryor, MSN, RN, Presiding4:45-6:00pm • Room: 407 • (M=1.25, N=1.3)The overall goal for this session is to use baseball to illustrate that all nurses can be All-Star players on the healthcare team. Like baseball, we never know what outfield the ball may be batted to. Like baseball, we know that if we are fit for the task we are better able to catch the ball and/or bat the ball for a homerun and help our team achieve success. Perhaps opening with the question: If you were choosing team members for your team in your organization, who would the best team players? Assuming that people have the right technical skills for the work to be done, what other factors would you use to select your team members?4:45 Transcending Healthcare Chaos by Playing Ball Loretta Jackson Brown, PhD(c), RN5:15 Making Your Nursing Career Anything But Routine Loretta Jackson Brown, PhD(c), RN6:00 Adjourn

• HD FUNDAMENTALS & ADVANCES PROGRAMLate Morning Sessions 10:45am-12:15pm

Mini-session on Vascular Access: Joint Session for Physicians and Nurses Part I [10B] Surendra Shenoy, MD; Diana Luckhart, MSN, APRN, ANP-C, Presiding 10:45am-12:15pm • Room: 312 • (M=1.5, N=1.5) 10:45 Catheter Designs and Indications - Aris Urbanes, MD 11:15 Dialysis Catheter Insertion Technique and Catheter Dysfunction - Surendra Shenoy, MD 11:45 Review of Available Locking Solutions for IV Catheters - Aris Urbanes, MD [Rx] 12:15 Luncheon

Nursing and Health-related Program: HD Clinical Topics I [11B]Mary Schira, PhD, RN, Presiding10:45am-12:15pm • Room: 407 • (M=1.5, N=1.5)10:45 Really Changing Patients’ Lives: Moving Beyond Kt/V and Other Metrics - Thomas Parker lll, MD11:30 Quality Incentive Program (QIP): Have We Identified the Right Clinical Measures? - Glenda Payne, MSN, RN12:00 Discussion12:15 Luncheon

State of the Art in Hemodialysis [12B]Madhukar Misra, MD, Presiding10:45am-12:00pm • Room: 311 • (M=1.5, N=1.5)10:45 Hemodialysis Adequacy in 2014 Bernard Canaud, MD, PhD11:10 Benefits of Cooled Dialysate: An Objective Look Chris McIntyre, MD, MBBS [Rx]11:35 Pulmonary Congestion and CV Mortality in ESRD Carmine Zoccali, MD [Rx]12:00 Luncheon

A�ernoon Sessions 2:00-4:00pmFeatures and Results with Home Hemodialysis Machines [20B]Robert Lockridge, MD, Presiding 2:00-4:00pm • Room: 3112:00 2008K@Home (Fresenius) - Mary Showers, BSN, RN2:20 NxStage Therapy System - Daniel Call2:40 Quanta Self Care - Peter Hoyer, MBA, RN 3:00 Portable Sorbent Machine (Fresenius) - David Updyke3:20 Physidia - Roula Galland3:40 Summary by Robert Lockridge, MD3:50 Quanta Self Cre Machine - Peter Hoyer, MBA, RN4:00 Break

Mini-session on Vascular Access: Joint Session for Physicians and Nurses Part II [21B] Arif Asif, MD; Lesley Dinwiddie, MS, RN, Presiding 2:00-4:00pm • Room: 312 • (M=2, N=2) 2:00 Prevention and Management of Steal Syndrome in Patients with AV Fistula - W. Kirt Nichols, MD, MHA2:25 High AVF Flow: How Should it be Managed? Arif Asif, MD2:50 Buttonholes: Friend or Foe? History and Benefits and Technique Tony Goovaerts, RN Problems, Management and Prevention Diana Luckhart, MSN, APRN, ANP-C3:50 Discussion4:00 Break

Nursing and Health-related Program: HD Clinical Topics II [22B]Roberta Simons, BSN, RN, Presiding2:00-4:00pm • Room: 407 • (M=2, N=2)2:00 Sodium Prescription in In-center HD and How it Affects the IDWG - Brigitte Schiller, MD2:45 Why a Fluid Manager Makes Sense in Your Dialysis Clinic - Sheila Deziel, BSN, RN3:15 Can Motivational Interviewing Affect IDWG? Cynthia Russell, PhD, RN3:45 Discussion4:00 Break

Late A�ernoon Sessions 4:45-6:00pmDemonstrations: Features and Results with Home Hemodialysis Machines [40B]Cancelled - lack of machine availability

Optimizing Dialysis Practice for Improving Patient Survival on HD [41B]Suhail Ahmad, MD; Bernard Canaud, MD, PhD, Presiding4:45-6:00pm • Room:4024:45 The Case for Novel Membranes - Andrew Davenport, MD5:05 Ultrapure Water is Key in Determining Outcomes Suhail Ahmad, MD5:25 Hemodiafiltration is the Future - Paul Cockwell, MD, PhD6:00 Adjourn


Mini-session on Vascular Access: Demonstration of Physical Assessment and Evaluation of the Hemodialysis Access Part III [42B] Arif Asif, MD; Judith Greene, MS, RN, Presiding 4:45-6:00pm • Room: 312 • (M=1.25, N=1.3) Panel: Surendra Shenoy, MD; Arif Asif, MD; Aris Urbanes, MDThis session will feature live demonstration with patient models covering the following topics:• Physical Examination for Access Planning• Preparing for Access Placement: Vessel Mapping• Physical Examination of an Existing Dialysis Access• Use of Ultrasound in Evaluating a Functioning Dialysis Access

Nursing and Health-related Program: Panel PresentationBasic Cardiovascular Assessment and Fluid Management [43B]Richard Amerling, MD, Presiding4:45-6:00pm • Room: 403 • (M=1.25, N=1.3)Panel: Lisa Koester, MSN, RN; Karen Wiesen, MS, RD; Richard Amerling, MD

Cardiovascular disease is the leading killer for both men and women among all racial and ethnic groups in the U.S. In dialysis patients, hypertension and fluid overload are believed to be significant factors contributing to their cardiovascular problems.

This session will help you develop skills in gaining a thorough understanding of your dialysis patient’s cardiovascular condition which will be a significant help in the dialysis Interdisciplinary team efforts in adjusting fluid status and cardiac management.

• PD FUNDAMENTALS & ADVANCES PROGRAMLate Morning Sessions 10:45am-12:15pm

PD in Special Circumstances [10C]Michael Flessner, MD, PhD, Presiding 10:45am-12:15pm • Room: 411 • (M=1.5, N=1.5) 10:45 Urgent Start PD - Anjali Saxena, MD11:15 PD in the Post-surgical Patient - Pranay Kathuria, MD 11:45 Role of Intra-abdominal Pressure on PD Clearances and Ultrafiltration; Clinical Implications Mike Flessner, MD, PhD12:15 Luncheon

Nursing and Health-related Program: PD Nursing Fundamentals I [11C]Donna Maaz, BSN, RN10:45am-12:15pm • Room: 412a • (M=1.5, N=1.5)10:45 Basic and Advanced Peritoneal Membrane Physiology - Steven Guest, MD11:30 PET and Membrane Classification - Maria Luongo, MSN, RN11:55 What is the Right Prescription? Case Presentations and Interactive Discussion - Maria Luongo, MSN, RN; Steven Guest, MD 12:15 Luncheon

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20Sunday • February 9

Nursing and Health-related Program: PD Nursing Clinical Topics I [12C]Judith Bernardini, BSN, RN, Presiding10:45am-12:15pm • Room: 404 • (M=1.5, N=1.5)10:45 Assessment of Body Volume and Body Composition in PD Patients - Ana Elizabeth Figuerido, MSc, PhD, RN 11:15 PD Adequacy: Clinical Pearls - Gillian Brunier, RN (EC), MScN, CNeph(c) [Rx]11:45 Discussion12:15 Luncheon

A�ernoon Sessions 2:00-4:00pmPeritonitis [20C]William Salzer, MD, Presiding2:00-4:00pm • Room: 411 • (M=2, N=2)2:00 Peritonitis as a Cause of Technique Failure: Prevention Strategies - Kunal Chaudhary, MD2:30 Peritonitis from Atypical Organisms William Salzer, MD [Rx]3:00 Exit-site and Tunnel Infections: Prevention and Treatment - Preethi Yerram, MD [Rx]3:30 Indications and Timing of Catheter Removal William Salzer, MD4:00 Break

Nursing and Health-related Program: PD Nursing Fundamentals II PD Catheters and Catheter Care [21C]Kathy Oliver, BSN, RN, Presiding2:00-4:00pm • Room: 412a • (M=2, N=2)2:00 Choosing the Most Appropriate PD Catheter and Exit Site: Stencil-based Pre-operative Mapping John Crabtree, MD2:45 Care of the PD Catheter: Post Implantation Period Debra Appleton, RN, MN, CNeph(c) 3:15 Chronic Catheter and Exit-site Care Joanna Neumann, RN 3:45 Discussion 4:00 Break

Nursing and Health-related Program: PD Nursing Clinical Topics II Unplanned Dialysis Initiation: Urgent Start PD [22C]Cheryl Groenhoff, MSN, MBA, RN, Presiding2:00-4:00pm • Room: 404 • (M=2, N=2)2:00 Urgent PD vs. IPD - Gabriel Valle 2:45 How to Develop a Program - Cassandra Denney, RN3:15 Education and Support of Patients Who Had Urgent Start PD - Barbara Valle, BSN, RN 3:45 Discussion4:00 Break

Late A�ernoon Sessions 4:45-6:00pmPeritoneal Dialysis: Clinical Issues I [40C]Fredric Finkelstein, MD, Presiding4:45-6:00pm • Room: 411 • (M=1.25, N=1.3)4:45 PD Outcomes with Biocompatible Compared with Standard PD Solutions - Isaac Teitelbaum, MD5:15 Recruiting and Retaining PD: What is the Nephrologist’s Role? - Fred Finkelstein, MD 5:45 Discussion6:00 Adjourn

Nursing and Health-related Program: PD Nursing Fundamentals III [41C]Sherry Chinnock, BSN, RN, Presiding4:45-6:00pm • Room: 412a • (M=1.25, N=1.3)4:45 PD Catheter Dysfunction: Early Recognition and Management - Lisa Ales, MSN, NP-C, FNP-BC [Rx]5:15 Preventing Catheter-related Infections Judith Bernardini, BSN, RN [Rx]5:45 Discussion6:00 Adjourn

Nursing and Health-related Program: PD Nursing Clinical Topics III [42C]Barbara Valle, BSN, RN, Presiding4:45-6:00pm • Room: 404 • (M=1.25, N=1.3)4:45 Measuring and Improving Patient Experience in Dialysis - Michelle Richardson, PharmD5:30 How to Develop and Implement QAPI in a PD Program - Peggy DePascal, RN 6:00 Adjourn

• 25TH ANNUAL PEDIATRIC DIALYSIS SYMPOSIUMLate Morning Sessions 10:45am-12:15pm

Session I [10D] Bradley Warady, MD; Helen Currier, BSN, RN, Presiding10:45am-12:15pm • Room: 302 • (M=1.5, N=1.5)10:45 Welcome - Steven Alexander, MD10:50 Keynote - The Bone, Kidney, & Cardiovascular Triangle - Myles Wolf, MD11:45 Free Communication I: PD Access Revision, Management and Outcome Findings from the International Pediatric Peritoneal Dialysis Network Dagmara Borzych-Duzalka, MD [Rx]12:00 Free Communication II: Nursing Practice Influences Central Line Associated Blood Stream Infection Rate in PD Unit - Farzana Hasan, BSN [Rx]12:15 Luncheon

Pediatric Luncheon Breakout Sessions 12:15-1:30pm • (M=1.25, N=1.3) Please refer to Special luncheon tickets for location

Faculty Guided Tours of the Pediatric Posters 1:30-2:00pm • Hall A3 • (M=.5, N=.5) All Pediatric posters will be displayed Sunday, February 9 through Monday, February 10.


A�ernoon Session 2:00-4:00pmSymposium on Acute Kidney Injury in Children [20D] Steven Alexander, MD; Jessica Geer, MSN, C-PNP, Presiding 2:00-4:00pm • Room: 302 • (M=2, N=2) 2:00 AKI in the Newborn: Challenges in Diagnosis and Management - David Askenazi, MD [Rx] 2:35 State of the Art; Renal Angina: The Case for Biomarkers in the Diagnosis of AKI in Adults and Children Stuart Goldstein, MD 3:10 Challenges in the Management of the Pediatric AKI Patient: A Simulation Exercise - Theresa Mottes, RN Presenting the Video Simulations (Videos of simulations depicting difficult MD, RN and RD decisions in AKI management using CRRT, IHD and PD) Panelists: Suzanne White, BSN, RN; Stuart Goldstein, MD; David Askenazi, MD; Jamie Murfee, MS, RD, LD 4:00 Break

Pediatric Nutrition Symposium Session I [21D] 2:00-4:00pm • Room: 304 • (M=2, N=2) Mary Ann Nightingale, RD; Jacob Taylor, MS, RD, LD Hot Topics: nPNA and Assessing Nutritional Adequacy in PD; Dietary Acid Load

Late A�ernoon Sessions 4:45-6:00pmHot Topics I [40D] Franz Schaefer, MD, Presiding 4:45-6:00pm • Room: 302 • (M=1.25, N=1.3) 4:45 Adaptive PD - Michel Fischbach, MD, PhD 5:10 Morphology and Physiology of the Interstitium Michael Flessner, MD, PhD 5:35 “Omics” of the Peritoneum - Christoph Aufricht, MD 6:00 Adjourn

Pediatric Nursing Symposium Session I [41D] Suzanne White, BSN, RN, Presiding 4:45-6:00pm • Room: 301 • (M=1.25, N=1.3) 4:45 Getting to Bucket Lists - Shari Neul 5:15 A Patient’s Perspective - Leslie Meigs 5:35 Caregiver Wellness - Lou Lacey, LPC 6:00 Adjourn

Pediatric Nutrition Symposium Session II [42D] 4:45-6:00pm • Room: 304 • (M=1.25, N=1.3) Eileen Brewer, MD Got a Diagnosis?…What’s the Nutrition Care Plan?

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Deadline for completing online evaluations:

March ??, 2014medicine.missouri.edu/dialysis

Password: UMADC2014

Home Hemodialysis Symposium and Evening Reception

Sunday, February 9, 20146:15-8:15pm • Room: 411

See page 15 for details

22Monday • February 10

Coffee and Tea service available

MAIN LUNCH12:00-1:00pm • Exhibit Hall A3

POSTER FORUM - DAY 21:00-2:00pm • Exhibit Hall A3 • (M=1, N=1) See pages 33-36 for a detailed list of posters and presenters. ALL Posters will be on display Sunday and Monday

NURSING KEYNOTEBarbara Prowant Lectureship [10E]

Igniting Evidence-Based Practice in Nursing and Healthcare: Key Strategies for Success Speaker: Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN 10:45am-12:15pm Sydney Marcus Auditorium • (M=1.5, N=1.5)

Health care organizations as well as federal agencies and policy-making bodies are now emphasizing the importance of evidence-based practice (EBP). Health care that is evidence-based and conducted in a caring context as well as an organizational culture and ecosystem leads to better clinical decisions and patient outcomes. Join Dr. Bernadette Melnyk in her keynote presentation and gain knowledge and skills in the EBP process that goes beyond the status quo.

Dr. Melnyk is the Dean of the College of Nursing and Associate Vice President for Health Promotion and Chief Wellness Officer at The Ohio State University. She is a Fellow in the American Academy of Nursing, The American Academy of Nurse Practitioners and she is a distinguished practitioner in the National Academies of Practice. She is a nationally/internationally recognized expert in evidence-based practice and she has worked with numerous healthcare systems throughout the nation and globe to advance and sustain evidence-based practice.

FELLOWS FORUM [01F]Jack Moncrief, MD, Presiding 8:00am-12:00pm • Room: 405 • (M=3.25, N=3.3) 8:00 Status of Interventional Nephrology in Nephrology Training - Arif Asif, MD 9:00 Vascular Access and Steal - Sid Anwar, MD 9:30 Eyeing the Complications of Hemodialysis in the Eye Nidhi Jindal, MD 10:00 Break 10:45 Dialysis for AKI with Concurrent Hypernatremia Sid Anwar, MD 11:15 PD Peritonitis: Common Presentation by an Uncommon Organism - Prashant Kolar, MD 12:00 Luncheon

INFECTION PREVENTION AND SAFETY IN DIALYSIS SYMPOSIUM Joint Symposium for Physicians & Nurses (Developed in Collaboration with the Centers for Disease Control and Prevention (CDC))

Infection Prevention and Safety in Dialysis [01E] Loretta Jackson-Brown, PhD(c), RN, Presiding 8:00-10:00am • Room: 312 • (M=2, N=2) 8:00 National Healthcare Safety Network Update: Vascular Access Infections - Priti Patel, MD 8:40 Strategies to Prevent Vascular Access Infections Virginia Bren, MPH, RN, CIC; Karen Kelley, MHA, BSN, RN 9:50 Discussion 10:00 BreakKurtis Tarwater, MD, Presiding [20E] 2:00-4:00pm • Room: 312 • (M=2, N=2) 2:00 Antimicrobial Use in Dialysis - Erika D’Agata, MD, MPH [Rx] 2:40 Pneumococcal Vaccine Recommendations for High Risk Adults - Tamara Pilishvili, MPH [Rx] 3:20 Role of the Environment in Disease Transmission Matt Arduino, MS, DrPH 3:50 Discussion 4:00 BreakHepatitis C Virus Infection: Outbreaks, Screening, and Prevention [40E] Glenda Payne, MSN, RN, Presiding 4:45-6:00pm • Room: 312 • (M=1.25, N=1.3) [Rx] Speakers: Nicola Thompson, PhD; Duc Nguyen, MD

This session will describe problems identified during HCV infection outbreaks in US dialysis centers. Speakers will present screening programs, outline current infection control and prevention recommendations and discuss management strategies.

SLIDE FORUM I [02F]Improving Patient Care and Quality of Life 8:00-10:00am • Room: 412a • (M=2, N=2)See page 32 for a detailed schedule

SLIDE FORUM II [03F]Applied & Laboratory Research, Part A 8:00-10:00am • Room: 407 • (M=2, N=2)See page 32 for a detailed schedule

SLIDE FORUM II [04F]Applied & Laboratory Research, Part B 10:45am-12:15pm • Room: 407 • (M=1.5, N=1.5)See page 32 for a detailed schedule

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23 February 10 • Monday

SLIDE FORUM III [05F]Clinical Studies, Part A 8:00-10:00am • Room: 403 • (M=2, N=2)See page 33 for a detailed schedule

SLIDE FORUM III [06F]Clinical Studies, Part B 10:45am-12:15pm • Room: 403 • (M=1.5, N=1.5)See page 33 for a detailed schedule

SLIDE FORUM IV [07F]Clinical Studies, Part C 10:45am-12:15pm • Room: 402 • (M=1.5, N=1.5)See page 33 for a detailed schedule

• INTEGRATED SESSION PROGRAMEarly Morning Sessions 8:00am-10:00am

Nursing and Health-related Program: Patient Education [01A]Leanne Peace, MSW, Presiding8:00-10:00am • Room: 404 • (M=2, N=2)8:00 Patient Education in CKD and ESRD: Merging the Le� and Right Brain - Andreas Pierratos, MD8:30 New Online Modality Choice Decision Aid for Stages 4-5 CKD - Dori Schatell, MS9:15 The Role of Health Literacy as a Potential Barrier to Self-Management - Kerri Cavanaugh, MD, MHS9:45 Discussion10:00 Break

Nursing and Health-related Program: Clinical Topics III [02A]Roberta Simons, BSN, RN, Presiding 8:00-10:00am • Room: 402 • (M=2, N=2)8:00 Chronic Kidney Disease: 2012 KDIGO Definition and Classification and Clinical Care Implications Mary Schira, PhD, RN [Rx]8:45 Deciphering CKD – MBD - Alicia Neu, MD9:15 Who’s Managing Who: Anemia Management in Today’s Dialysis Environment Sheila Doss-McQuitty, MBA, BSN, RN [Rx]9:45 Discussion10:00 Break

Late Morning Sessions 10:45am-12:15pmThe Future of RRT [15A]Zbylut Twardowski, MD, PhD, Presiding10:45am-12:15pm • Room: 412a • (M=1.5, N=1.5)10:45 Where Are We with the Implantable Artificial Kidney? William Fissell, MD11:15 Status of the Wearable Artificial Kidney - Victor Gura, MD11:45 Bio Artificial Kidney: Current Status and Future Promise - David Humes, MD12:15 Adjourn

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A�ernoon Sessions 2:00-4:00pmNursing and Health-related Program: Abstract Boot Camp [25A]2:00-4:00pm • Room: 407 • (M=2, N=2)Speaker: Cynthia Russell, PhD, RNPanelists: Mary Schira, PhD, RN; Lesley Dinwiddie, MS, RN; Jeannine Farina, MSN, RN; Helen Currier, BSN, RN

When you listen to a presentation, do you sometimes think “I could do a presentation like that! I wish I had submitted an abstract to this conference!” This is your opportunity to make that dream into reality for next year’s conference. We will provide background information on developing an ab-stract. Come with ideas and an early dra� of an abstract and experts will then guide you through the process of writing your abstract. You will leave this session with an abstract dra� that will be nearly ready for submission to ADC or other professional meetings in 2015.

Late A�ernoon Sessions 4:45-6:00pmClinical Topics [45A]John Burkart, MD; Peter Blake, MD, Presiding4:45-6:00pm • Room: 305 • (M=1.25, N=1.3)4:45 “PD First” has Been Widely Encouraged, Why isn’t PD Growing Faster? - John Burkart, MD5:15 The Risks Associated with Permcaths are Overblown Peter Blake, MD5:45 Discussion6:00 Adjourn

Special Workshop: Sharing a Moment in History (The Birth of CAPD) [46A]4:45-6:00pm • Room: 403 • (M=1.25, N=1.3)Jack Moncrief, MD

Extracorporeal Therapy for Non-renal Indications [47A]Rod Kenley, MS, Presiding4:45-6:00pm • Room: 412a • (M=1.25, N=1.3)4:45 Extracorporeal Blood Purification (EBP) for Treating Infectious Diseases, Sepsis, Bioterror Attacks and Cancer - Aethlon - Rod Kenley, MS 5:20 Use of Extracorporeal Blood Purification (EBP) in the Military for Burn Victims - Kevin Chung, MD6:00 Adjourn

Workshop on Assessment of Nutrition Status: Subjective Global Assessment (SGA) Joint Session for Nurses and Dietitians [48A]Lisa Gutekunst, MSEd, RD, Presiding4:45-6:00pm • Room: 402 • (M=1.25, N=1.3)Speaker: Linda McCann, RD

Subjective Global Assessment is a simple bedside method of assessing the risk of malnutrition and identifying those who would benefit from nutritional support. “Its validity for this purpose has been demonstrated in a variety of conditions including surgical patients, those with cancer, on renal dialysis and in the ICU.”- Dr. Khursheed Jeejeebhoy

This session will review the principles and practical aspects of SGA. A hands-on workshop will provide

instruction and practice for performing the physical exam as part of the SGA.

Nursing and Health-related Program: Abstract Boot Camp, continued [49A] 4:45 - 6:00pm • Room: 407 • (M=1.25, N=1.3)(This is a continuation of session [25A] and you must be present for the first half to attend this session. Speaker: Cynthia Russell, PhD, RNPanelists: Mary Schira, PhD, RN; Lesley Dinwiddie, MS, RN

• HD FUNDAMENTALS & ADVANCES PROGRAMEarly Morning Sessions 8:00am-10:00am

Home Hemodialysis I: Joint Session for Physicians and Nurses [01B]Christopher Blagg, MD, Presiding 8:00-10:00am • Room: 411 • (M=2, N=2)8:00 40 Years of Home Hemodialysis Experience in Belgium: What Can We Learn From Them? - Tony Goovaerts, RN8:30 Home Hemodialysis in Rural Communities Les Spry, MD9:00 Dialysis At Home: A Virtual Hemodialysis Satellite Andreas Pierratos, MD9:40 Discussion 10:00 Break

Late Morning Sessions 10:45am-12:15pmHome Hemodialysis II: Joint Session for Physicians and Nurses [15B]Andreas Pierratos, MD, Presiding10:45am-12:15pm • Room: 411 • (M=1.5, N=1.5)10:45 Dancing with Dialysis: One Step Forward, Two Steps Back - John Agar, MBBS11:30 Severe Adverse Events in Home HD: Incorporating a Quality Management Plan - Robert Pauly, MD12:00 Discussion12:15 Luncheon





A�ernoon Sessions 2:00-4:00pmThe Dialysis Outcomes and Practice Patterns Study (DOPPS) Program: Recent Findings and Next Steps [25B]Francesca Tentori, MD, MS; Rajiv Saran, MD, MS, MBBS, Presiding2:00-4:00pm • Room: 305 • (M=2, N=2)2:00 Introduction and DOPPS Overview Francesca Tentori, MD, MS2:10 DOPPS Practice Monitor: Trends in US Dialysis and International Comparisons - Rachel Fissell, MD 2:35 HD Session Length and Ultrafiltration Rate: Should DOPPS Findings Influence US Practice? Rajiv Saran, MD, MS, MBBS3:00 A Novel Collaboration with ISPD to Improve PD Research and Outcomes - Roger Greenwood, MD3:25 Empowering Patients on Choices for Renal Replacement Therapy: A New Study of Patient Reported Outcomes Related to Modality Choice Francesca Tentori, MD, MS3:50 Discussion4:00 Break

A Clinical Forum on AKI (Basics and Advances) [26B]Andrew Davenport, MD, Presiding2:00-4:00pm • Room: 412a • (M=2, N=2)2:00 The AKI to CKD and Transition and Implications for Care - Edward Siew, MD2:25 Managing Acid Base Disorders on CRRT Bernard Canaud, MD, PhD2:50 AKI and Myeloma: Do High Cut Off Membranes Really Help? - Paul Cockwell, MD, PhD3:15 Dialysis Dosing in AKI: What Is Important to Know? John Daugirdas, MD3:40 Discussion4:00 Break

AV Fistula Complications [27B]Zbylut Twardowski, MD, PhD, Presiding2:00-4:00pm • Room: 314 • (M=2, N=2)2:00 Fistula Related Heart Failure in Dialysis and Transplant Patients: Case Report - Kunal Malhotra, MD2:25 High Fistula Blood Flow is Toxic; Why Do We Create Toxic Fistulas? - Richard Amerling, MD2:50 Various Methods of Toxic Fistula Treatment W. Kirt Nichols, MD, MHA3:20 How to Create AVF to Prevent Fistula Toxicity? Haimont Wasse, MD, MPH3:40 Discussion4:00 Break

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Home Hemodialysis III [28B]Karen Schardin, BSN, RN, Presiding2:00-4:00pm • Room: 411 • (M=2, N=2)2:00 Patient Retention: A Key to a Successful Home Program - Keith Lester, BA, MA2:30 Making the Most of Home Visits: Key Elements Sylvia Donato-Moore, BSN, RN 3:00 Overcoming the Biggest Barrier to Home Hemodialysis: Self-cannulation - Lisa Koester, MSN, RN3:25 Utilizing Technology to Monitor Patient Outcomes Michelle Carver, BSN, RN3:50 Discussion4:00 Break

Late A�ernoon Sessions 4:45-6:00pmSodium as a Major Uremic Toxin [45B]Richard Amerling, MD, Presiding4:45-6:00pm • Room: 314 • (M=1.25, N=1.3)4:45 Volume Overload Explains Associations Between Low Albumin and Hb with Excess Mortality Richard Amerling, MD [Rx]5:05 Principal Benefit of Daily Dialysis is Better Volume Control - Roger Greenwood, MD 5:25 Short Dialysis is Lethal - Robert Lockridge, MD5:45 Discussion6:00 Adjourn

Home Hemodialysis IV: Joint Session for Physicians and Nurses Panel Discussion: Effective Management of the Home Hemodialysis Program [46B]Brent Miller, MD, Presiding 4:45-6:00pm • Room: 411 • (M=1.25, N=1.3) Panelists: Thomas Golper, MD; Michelle Carver, BSN, RN; Sylvia Donato-Moore, BSN, RN, Wayne Evancoe, MS

This session will address all aspects of a Home Hemodialysis Program clinical operation including design and utilization of physical space, patient training, patient management issues a�er training, staffing, and reimbursement of home HD treatments.

• PD FUNDAMENTALS & ADVANCES PROGRAMEarly Morning Sessions 8:00am-10:00am

Nursing and Health-related Program: PD Nursing Fundamentals IV - Peritonitis [01C]Debra Appleton, RN, MN, CNeph(c), Presiding 8:00-10:00am • Room: 311 • (M=2, N=2)8:00 Peritonitis: A Basic Approach to Pathophysiology, Diagnosis, and Nursing Management Elizabeth Kelman, MEd, ACNP [Rx]8:40 PD Catheter Biofilm: What It Is and How Do You Get Rid of It - Aris Urbanes, MD [Rx] 9:10 Review of Peritonitis Causative Organisms and ISPD Treatment Guidelines - Lisa Ales, MSN, NP-C, FNP-BC [Rx]9:40 Peritonitis Management Challenges: Guidelines and Adaptations - Elizabeth Kelman, M Ed, ACNP [Rx] 10:00 Break

Nursing and Health-related Program: PD Nursing Clinical Topics IV [02C]Kathy Oliver, BSN, RN, Presiding8:00-10:00am • Room: 314 • (M=2, N=2) 8:00 Fluid Management: Maximizing Ultrafiltration in PD Ann Mancini, MSN, FNP, RN [Rx]8:30 Indications for Tidal and Low Reserve Volume PD Jeannine Farina, MSN, RN9:00 Optimizing CCPD Prescription without Increasing the Burden - Nancy Knaus, BSN, RN9:30 Prescription and Patient Management Dilemmas: Real Patient Scenarios - Kathy Oliver, BSN, RN10:00 Break

A�ernoon Sessions 2:00-4:00pmPD Physiology [25C] Bengt Rippe, MD, PhD, Presiding 2:00-4:00pm • Room: 311 • (M=2, N=2) 2:00 Ultrafiltration Characteristics of Glucose Polymers with Low Polydispersity - Bengt Rippe, MD, PhD 2:30 Functional Alterations in PD Membrane over Time Michael Flessner, MD, PhD 3:00 Novel Solutions for PD - Isaac Teitelbaum, MD [Rx] 3:30 Hyper-branched Polyglycerol as an Osmotic Agent in PD - Bengt Rippe, MD, PhD 4:00 Break

Nursing and Health-related Program: PD Nursing Fundamentals VTips for the New PD Nurse [26C]Joanna Neumann, RN, Presiding2:00-4:00pm • Room: 402 • (M=2, N=2)2:00 Effective MD/Nurse Communication Maria Luongo, MSN, RN2:30 Scheduling Effective and Efficient Clinic Visits Joanna Neumann, RN 3:00 Tracking Patient Treatments and Outcomes Eileen Yanchewski 3:30 Managing Your Time Effectively Jennifer O’Connor, BSN, RN4:00 Break

Nursing and Health-related Program: PD Nursing Clinical Topics V [27C]Gillian Brunier, RN (EC), MScN, CNeph(c), Presiding2:00-4:00pm • Room: 404 • (M=2, N=2)2:00 To Do or Not To Do: Catheter Removal in Severe Peritonitis and Exit-site Infections Judith Bernardini, BSN, RN2:30 Encapsulating Peritoneal Sclerosis: Impact on Life on PD - Elizabeth Kelman, M Ed, ACNP3:10 Dilemmas in Calciphylaxis Management in PD Patients - Sagar Nigwekar, MD, MMSc [Rx] 3:50 Discussion4:00 Break


Late A�ernoon Sessions 4:45-6:00pmPD Outcomes [45C]Kunal Chaudhary, MD, Presiding4:45-6:00pm • Room: 311 • (M=1.25, N=1.3)4:45 Is PD in the Pre-transplant Period Associated with Better Outcomes a�er Transplantation Compared to HD? - Aleksandra Kukla, MD5:15 Sodium and Volume Control in PD Patients Fredric Finkelstein, MD 5:45 Discussion6:00 Adjourn

Special Workshop: PD Prescription Writing [46C]4:45-6:00pm • Room: 313 • (M=1.25, N=1.3) Ramesh Khanna, MD

Nursing and Health-related Program: PD Nursing Fundamentals VI [47C]Peggy DePascal, RN, Presiding4:45-6:00pm • Room: 404 • (M=1.25, N=1.3)4:45 Staff Assisted PD Programs - Debra Appleton, RN, MN, CNeph(c)5:15 Key Elements in Developing and Maintaining Skills and Competencies in Acute and Extended Care Facilities - Jeannine Farina, MSN, RN5:45 Discussion6:00 Adjourn

Nursing and Health-related Program: PD Nursing Clinical Topics VI [48C]Learn From Your Colleagues Panel Discussion: Practical Solutions to Practical Problems in PDMichelle Hoffman, BSN, RN, Presiding 4:45-6:00pm • Room: 405 • (M=1.25, N=1.3)Panelists: Joanne Bargman, MD; Maria Luongo, MSN, RN; Karen Wiesen, MS, RD; Joanna Neumann, RN; John Crabtree, MD

Attendees in this session will have the opportunity to network with experienced PD practitioners, hear case presentations and ask questions about PD issues including:

• Diagnosis and Management of Peritonitis• PD Catheter Care and Catheter Problems• Trouble Shooting• Patient Management Issues

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• 25TH ANNUAL PEDIATRIC DIALYSIS SYMPOSIUMEarly Morning Sessions 8:00am-10:00am

Symposium on More Frequent Hemodialysis [01D]Bradley Warady, MD; Linda Jones MHA, BSN, Presiding8:00-10:00am • Room: 302 • (M=2, N=2)8:00 Why 3x Week HD Provides Inadequate Dialysis for Children - Michel Fischbach, MD, PhD 8:25 Current Worldwide Status of More Frequent HD in Children: A Report from the International Pediatric Dialysis Network - Franz Schaefer, MD8:50 Cost Effective Strategies for Implementation of More Frequent HD in a Pediatric Dialysis Program: In-center Days; In-center Nights; HHD - Helen Currier, BSN, RN9:20 Psychological Impact of More Frequent HD on Children with ESRD Trying to Live Normal Lives Rebecca Johnson, PhD9:45 Free Communication III: Using The NxStage System to Deliver Evening and Nocturnal Pediatric HHD Daljit Hothi, MBBS, MD 10:00 Break

Late Morning Sessions 10:45am-12:15pmNursing Keynote [10E]10:45am-12:15pm • Sydney Marcus AuditoriumSee page 14 for more information

Hot Topics II: The Heart During Hemodialysis [15D]Mark Joseph, MD, Presiding10:45am-12:15pm • Room: 302 • (M=1.5, N=1.5)10:45 Myocardial Stunning During HD Christopher McIntyre, MD, MBBS11:10 FGF23 and the Heart - Kate Wesseling-Perry, MD11:35 Volume Management and Dialysis: How Aggressive Should We Be? - Arjun Sinha, MD12:00 Free Communication IV: Total Body Water Estimation by Bioimpedance in Children and Adolescents on Chronic PD: Are Standard Anthropometric Equations Over-Estimating? - Isaac Liu, MD12:15 Luncheon

Pediatric Nutrition Symposium Session III [16D] Phosphorus [Rx] 10:45am-12:15pm • Room: 304 • (M=1.5, N=1.5) Lisa Gutekunst, MS, RD Barriers to Phosphorus Management: It’s Not Always the Patient’s Fault!

Pediatric Luncheon Breakout Sessions 12:15-1:30pm • (M=1.25, N=1.3) Please refer to Special luncheon tickets for location

Faculty Guided Tours of the Pediatric Posters 1:30-2:00pm • Exhibit Hall A3 •(M=.5, N=.5) All Pediatric posters will be displayed Sunday, February 9 through Monday, February 10.

A�ernoon Session 2:00-4:00pmSymposium: Clinical Challenges in Pediatric Dialysis: Case-based Presentations [25D]Alicia Neu, MD; Amy Nau, MSN, MBA, RN, Presiding 2:00-4:00pm • Room: 302 • (M=2, N=2) 2:00 Pulmonary Hypertension: A “Silent” Clinical Challenge in Hemodialysis - Arjun Sinha, MD2:25 Prevention and Management of Catheter Related Bacteremia - Jessica Geer, MSN, C-PNP [Rx]2:50 Ultrafiltration Failure: The Role of the PET Franz Schaefer, MD3:15 Depression: An Under-appreciated Complication of Chronic Dialysis in Children and Their Families Rebecca Johnson, PhD3:45 Free Communication V: Standardizing Care to Improve Outcomes in Pediatric End Stage Renal Disease: Exit-site Infections in a National Pediatric PD Cohort - Amy Skversky, MD, MS 4:00 Break Pediatric Nutrition Symposium Session IV [26D]PD and It’s Nutritional Considerations2:00-4:00pm • Room: 304 • (M=2, N=2)Mark Joseph, MD; Janice Jones, RD

Late A�ernoon Session 4:45-6:00pmPediatric Dialysis Nursing Symposium: Quality Dialysis Care [45D]Bradley Warady, MD; Amy Nau, MSN, MBA, RN, Presiding4:45-6:00pm • Room: 302 • (M=1.25, N=1.3)4:45 An Operational Definition of Quality Dialysis Care Helen Currier, BSN, RN 5:25 What Does Quality Mean to Patients and Their Families - Leslie Meigs 6:00 Adjourn




29 February 11 • Tuesday

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Coffee and Tea service available• INTEGRATED SESSION PROGRAMEarly Morning Sessions 8:00am-10:00am

Debates and Lectures on Clinical Topics [05A]John Van Stone, MD; Rajnish Mehrotra, MD, Presiding8:00-10:00am • Room: 404 • (M=2, N=2)Debate 1: IV Iron Infusion to Reach a Target Saturation of 30-50% is:8:00 Associated with Toxicity in Dialysis Patients John Van Stone, MD [Rx]8:10 Safe and is an Evidence Based Recommendation Thomas Golper, MD [Rx]8:20 DiscussionDebate 2: In Regards to Measuring Serum PTH in Dialysis Patients: 8:30 Why Bother to Measure It? - John Burkart, MD8:40 PTH is a Gold Standard for Assessing Renal Osteodystrophy - Rajnish Mehrotra, MD8:50 Discussion9:00 “Can the Bowel Function as a Kidney?” - Eli Friedman, MD9:30 Prevention of Myocardial Infarction in Dialysis Patients - Kul Aggarwal, MD10:00 Break

Nursing and Health-related Program: Clinical and Administrative Issues [06A]CMS and Provider Collaboration to Improve Patient Outcome Through the Survey Process(Presented in cooperation with the Renal Administrators Association (NRAA))Glenda Payne, MSN, RN, Presiding8:00-10:00am • Room: 405 • (M=2, N=2)8:00 What to Expect During the Survey - Debbie Cote, MSN, RN8:20 The Interdisciplinary Team’s Role in the Survey Process - Katrina Russell, RN8:40 The Medical Director’s Role - Thomas Golper, MD9:00 The Surveyor’s Perspective - Teri Spencer, RN 9:20 Case Presentation and Interactive Discussion10:00 Break

Late Morning Sessions 10:45am-12:15pmTopics Important to the Success and Future of Dialysis [17A]Rajnish Mehrotra, MD, Presiding10:45am-12:15pm • Room: 404 • (M=1.5, N=1.5)10:45 Treatment of Coronary Artery Disease in Dialysis Patients: What We Can Expect in the Future Kul Aggarwal, MD [Rx]11:15 Whither Lab Grown Kidneys and Other Futuristic Approaches to Renal Replacement Therapy Eli Friedman, MD 12:15 Adjourn

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30Tuesday, February 11

Clinical Quandaries in Dialysis [18A]Paul Cockwell, MD, PhD, Presiding10:45am-12:00pm • Room: 412a • (M=1.5, N=1.5)10:45 Is There a Role for Parathyroidectomy in the Current Age of Calcimimetic Therapy for Secondary Hyper parathyroidism in ESRD Patients? - Myles Wolf, MD [Rx]11:05 Hepcidin: Clinical Utility as a Diagnostic Tool and Therapeutic Target - Daniel Coyne, MD [Rx]11:25 Restless Legs Syndrome, Pruritus or Hiccoughs are Markers for Inadequate Dialysis? - Kurtis Tarwater, MD11:45 Discussion12:00 Adjourn

Nursing and Health-related Program: Plenary SessionDoing What You Want to Do with the Rest of Your Life [19A]Leanne Peace, MSW, Presiding10:45am-12:15pm • Room: 403 • (M=1.5, N=1.5)Speaker: Lesley Dinwiddie, MS, RN

As nephrology care givers, we are acutely aware that our work is focused toward maximizing our dialysis patients’ quality and quantity of life and hopefully we are able help them realize important life goals and dreams. BUT WHAT ABOUT US? Do we have a “bucket list” of goals and dreams important to us? If so, do we have a realistic plan to make it happen? Please join Lesley Dinwiddie in this interactive session as she offers subjective experience and objective data on how we, as healthcare professionals, can nurture ourselves to achieve our lifetime goals.

• HD FUNDAMENTALS & ADVANCES PROGRAMEarly Morning Sessions 8:00am-10:00am

Hemodialysis in the Elderly: Challenges and Opportunities [05B]Madhukar Misra, MD, Presiding8:00-10:00am • Room: 412a • (M=2, N=2)8:00 What Are My Options? ‘Educating the Elderly with ESRD’ - Rebecca Schmidt, DO8:25 Hemodialysis in the Elderly: The Pros and Cons Madhukar Misra, MD8:50 Novel Therapeutic Targets in the Treatment of Protein Energy Wasting in the Elderly HD Patients Adriana Hung, MD9:15 Suboptimal Initiation of HD in the Elderly and Transition to the Community - Preethi Yerram, MD9:40 Discussion 10:00 Break

Nursing and Health-related Program: HD Clinical Topics III [06B]Linda McCann, RD, Presiding8:00-10:00am • Room: 407 • (M=2, N=2)8:00 Phosphorus Additives - Lisa Gutekunst, MSEd, RD [Rx]8:30 Challenges for Bone and Mineral Disease in CKD: FGF-23 and More - Daniel Coyne, MD [Rx] 9:20 Calcification + Anaphylaxis ≠ Calciphylaxis Sagar Nigwekar, MD, MMSc [Rx]9:50 Discussion10:00 Break

Late Morning Sessions 10:45am-12:15pmVascular Access Care - What Are Patients Really Doing?: Joint Session for Physicians and Nurses [17B]Alan Collins, MD, Presiding10:45am-12:00pm • Room: 402 • (M=1.5, N=1.5)10:45 Presenting Results of a Multi-center HHD Patient and Clinician VA Survey - Les Spry, MD 11:05 What’s Next: Implications for Clinical Practice Guidelines - Leigh Mortier, RN11:20 Introducing a New VA Surveillance Registry Joel Glickman, MD11:45 Discussion12:00 Adjourn

• PD FUNDAMENTALS & ADVANCES PROGRAMEarly Morning Sessions 8:00am-10:00am

Peritoneal Dialysis: Clinical Issues II [05C]Pranay Kathuria, MD, Presiding8:00-10:00am • Room: 411 • (M=2, N=2)8:00 Factors Related to Lower Mortality with PD Compared to HD in the First 2 Years of Dialysis Therapy Wolfgang Winkelmayer, MD8:30 Preventing PD Dropout - Steven Guest, MD9:00 HTN Control in PD Patients - Pranay Kathuria, MD [Rx] 9:30 Impact of Bundling on PD - John Burkart, MD 10:00 Break

Nursing and Health-related Program: PD Nursing Fundamentals VII Patient Education [06C]Kathy Oliver, BSN, RN, Presiding8:00-10:00am • Room: 402 • (M=2, N=2)8:00 Therapeutic Education Program: Integrating Health Literacy Concepts with the Science of Nosogogy Kim Schroeder, BSN, RN 8:30 Patient Training: Data from BRAZPD Ana Elizabeth Figuerido, MSc, PhD, RN9:00 Patient Training: Developing a Curriculum Judith Bernardini, BSN, RN9:30 Top Ten Tips for Effective Patient Education Materials Dori Schatell, MS10:00 Break

Nursing and Health-related Program: PD Nursing Clinical Topics VIIPreventing Dropout and End of Life Management [07C]Maria Luongo, MSN, RN, Presiding8:00-10:00am • Room: 403 • (M=2, N=2)8:00 Protecting the Peritoneal Membrane: Nursing Roles Gillian Brunier, RN (EC), MScN, CNeph(c) 8:30 Clinical, Patient and System Factors: Prevention Strategies - Kunal Chaudhary, MD9:00 Maintaining Adequate Nutrition Lisa Gutekunst, MSEd, RD9:30 The Palliative Option: A Discussion of End of Life Issues and Management - Elizabeth Kelman, MEd, ACNP10:00 Break

31 February 11 • Tuesday

Late Morning Sessions 10:45am-12:00pmPeritoneal Dialysis: Clinical Issues III [15C]Steven Guest, MD, Presiding 10:45am-12:15pm • Room: 411 • (M=1.5, N=1.5)10:45 Vascular and Arterial Calcification in PD Patients Steven Guest, MD11:15 Improving the Nutritional Status of the PD Patient Joshua Botdorf, DO11:45 PD in Immediate Post Transplant Period Aleksandra Kukla, MD12:15 Adjourn

• 25TH ANNUAL PEDIATRIC DIALYSIS SYMPOSIUMEarly Morning Sessions 8:00am-10:00am

Symposium: Stop Poisoning Our Patients! [05D]Rosanne Woloschuk, RD; Alicia Neu, MD, Presiding8:00-10:00am • Room: 302 • (M=2, N=2) 8:00 The Curse of Hidden Phosphorus Marissa Juarez, MPH, RD, LD [Rx]8:25 Sodium and Fluid: The Assassins! Thomas Parker III, MD [Rx]8:50 Dietary Fructose and Primary Hypertension: The Uric Acid Connection? - Dan Feig, MD, PhD9:15 Health Literacy and Numeracy: What Do They Mean and Why Do They Matter? - Kerri Cavanaugh, MD, MHS9:45 Free Communication VI: The Peritoneal Vasculature in Health and PD Patients - Betti Schaefer, MD 10:00 Break

Late Morning Sessions 10:45-12:00pmMy Favorite Paper of 2013 [17D]Steven Alexander, MD; Linda Jones, MHA, BSN, Presiding10:45am-12:00pm • Room: 302 • (M=1.5, N=1.5)10:45 My Favorite Pediatric Dialysis Nursing Paper Jessica Geer, MSN, C-PNP11:00 My Favorite CRRT Paper - David Askenazi, MD11:15 My Favorite Pediatric Nutrition Paper Nonnie Polderman, RD11:30 My Favorite Basic Science/Physiology Paper Dan Feig, MD, PhD11:45 My Favorite Dialysis Clinical Paper - Mark Joseph, MD12:00 Adjourn

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SPEAKER/SESSION HANDOUTSHandouts will be available as pdf files on our website as they are received. The CME Office is only able to provide handouts that are received from speakers. (Not all speakers submit handouts prior to the conference.)

Note: Speakers and topics are subject to change without notice.

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ATLANTA • 2014

3 4 T H A N N U A L

DIALYSISCONFERENCE

Slide Forum I Improving Patient Care and Quality of Life [02F]8:00-10:00am • Room: 412 • (M=2, N=2)Ana Elizabeth Figueiredo, PhD, RN; Alex Yang, MD, Presiding8:00 Evaluation of Dialysis Modality Education and Barriers in US Dialysis Facilities - Alex Yang, MD 8:15 Factors Influencing the Choice of Dialysis Modality in Elderly Patients - Ana Elizabeth Figueiredo, MSc, PhD, RN8:30 Physician Involvement: Predictor of Patient Outcomes in Dialysis Clinics - Qingqing Xiao, MS 8:45 Health Outcomes in Nursing Home Patients on Dialysis Alex Yang, MD 9:00 A Standardized Algorithm for Peritonitis Surveillance Levi Njord, MSc 9:15 A Systematic Approach to Improving Peritonitis Rates Joan Rifkin, BSN, RN 9:30 Alcavis Protocol Improves Peritonitis Rates by Reducing Touch Contination - Joseph Clere, BS [Rx] 9:45 Economic Evaluation of Urgent-start PD vs. Urgent- start In-center HD - Frank Xiaoqing Liu, PhD 10:00 Break

Slide Forum II Applied & Laboratory Research, Part A [03F]8:00-10:00am • Room: 407 • (M=2, N=2)Raymond Krediet, MD, PhD; Alicja Grzegorzewska, MD, PhD, Presiding8:00 Effect of Hepatocyte Growth Factor for Prevention of Solute Hyper-permeation in Mesothelial Cell Layer Induced by Methylglyoxal - Ryoichi Sakiyama, PhD 8:15 The Mutual Relationship Between Peritonitis and Peritoneal Transport - Anouk T.N. van Diepen, MSc 8:30 Study of Peripheral Blood Natural Killer Cells, T Cell Helper/T Cell Suppressor Ratio and Intercurrent Infection Frequency in Hepatitis C Seropositive Prevalent HD Patients - Mohamed Ibrahim, MD, PhD 8:45 The First Peritonitis Episode Alters the Natural Course of Peritoneal Membrane Characteristics in PD Patients Anouk T.N. van Diepen, MSc

9:00 The Peritoneal Endothelial Glycocalyx in Uremic Rats: the Effect of Dialysis Solutions and Relationships with Peritoneal Transport - Carmen A. Vlahu, MD 9:15 The State of the Systemic Microvascular Endothelial Glycocalyx Influences Peritoneal Transport in PD Patients - Carmen A. Vlahu, MD 9:30 Atorvastatin Influences Plasma Salusin-alpha and Monocyte CD36 Expression In Dyslipidemic HD Patients Alicja E. Grzegorzewska, MD, PhD 9:45 Discussion 10:00 Break

Slide Forum II Applied & Laboratory Research, Part B [04F]10:45am-12:15pm • Room: 407 • (M=1.5, N=1.5)Raymond Krediet, MD, PhD; Alicja Grzegorzewska, MD, PhD, Presiding10:45 The Early Diagnostic Potential of Effluent MMP-2 and PAI-1 in Encapsulating Peritoneal Sclerosis Deirisa Lopes Barreto, MSc 11:00 Evaluation of a Novel Plasma Exchange Using a Selective Plasma Separator - Ken-ichiro Yoto, PhD 11:15 Clinical Applications of Hydration and NT-proBNP Measurement in Patients Undergoing Chronic Hemodialysis - Krzysztof Schwermer, MD 11:30 Effect of HD and HDF on Renalase Levels Jacek Malyszko, MD, PhD 11:45 Evaluation of Filtration and Adsorption Characteristics of Commercial Dialysis Membrane for Albumin and a Drug - Akihiro Yashita, PhD 12:00 Fibroblast Growth Factor-23 and Its Correlation with Carotid Artery Intimal Medial Thickness among Chronic PD Patients: A Cross-sectional Study Sandeep Mahajan, MD 12:15 Luncheon

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Slide Forum III Clinical Studies, Part A [05F]8:00-10:00am • Room: 403 • (M=2, N=2)John Van Stone, MD; Steven Brunelli, MD, MSCE, Presiding8:00 Triferic™ Administered via Dialysate Maintains Hemoglobin and Reduces ESA and IV Iron Requirements in CKD-HD - Raymond Pratt, MD [Rx] 8:15 Iron Status and Functional Iron Deficiency in HD Patients - Jolanta Malyszko, MD, PhD [Rx]8:30 Comparison of Two Iron Dosing Protocols in Chronic HD - John Van Stone, MD [Rx] 8:45 Efficacy and Safety of Long-acting Erythropoietin Receptor Activator in Patients on PD Hidetomo Nakoto, MD [Rx] 9:00 The Associations Between Missed Target Weight and Patient Outcomes - Steven Brunelli, MD, MSCE 9:15 Predictors of Obstetric Outcome in Chronic Dialysis Pregnant Women. A Single-center’s Experience with 96 Cases - Claudio Luders, MD 9:30 Risk of Hospitalization on Daily HHD Patients and Matched, Thrice-weekly In-center HD Patients Eric Weinhandl, MS 9:45 The First Dialysis Modality and the Risk for Dialysis Technique and Non-dialysis Technique Related Infectious Complications - Anouk T.N. van Diepen, MSc 10:00 Break

Slide Forum III Clinical Studies, Part B [06F]10:45am-12:15pm • Room: 403 • (M=1.5, N=1.5)John Van Stone, MD; Steven Brunelli, MD, MSCE, Presiding10:45 Survival and Hospitalization for Intensive HHD Compared to Kidney Transplantation Karthik Tennankore, MD, FRCPC 11:00 Improvement in Nutritional Status in Elderly HD Patients - Joe Chan, MD 11:15 Tidal PD Achieves Equal Uremic Toxin Clearances But Improved Ultrafiltration Efficiency Compared with Standard Automated PD - Ira Davis, MD 11:30 Cardiac Troponin T and Hydration Status - Markers of Hemodialyzed Patients’ Long-Term Survival? Krzysztof Pawlaczyk, MD, PhD 11:45 Fluid Overload as a Risk Factor for Cardiovascular Complications in PD Patients Krzysztof Pawlaczyk, MD, PhD 12:00 Diurnal Variations of Blood Glucose by Chronic Blood Glucose Monitoring in Diabetic PD Patients Takefumi Mori, MD, PhD 12:15 Luncheon

Slide Forum IV Clinical Studies, Part C [07F]10:45am-12:15pm • Room: 402 • (M=1.5, N=1.5)Kurtis Tarwater, MD; Joshua Botdorf, DO, Presiding10:45 Survival A�er Acute Kidney Injury Requiring Dialysis: Long Term Followup - Paula Duran, MD 11:00 Development of Formula to Calculate Phosphate Intake of HD Patient - Takahiro Shinzato, MD, PhD 11:15 Effect of Intra Venous Vitamin E on Oxidative Stress Induced by Iron Sucrose Intravenous Therapy on HD Patients - Magdy El Sharkawy, PhD, MD [Rx] 11:30 Repeated Punctures of Fistular Vessel Walls Using a Sharp Needle is Important to Prevent the Trampoline Effect, but not Repeated Punctures of the Buttonhole Tract - Takahiro Shinzato, MD, PhD 11:45 Choice of Drain Systems and Associated Peritonitis Rates in Automated PD Patients - Brian Steers, BS 12:00 Long-term Clinical Outcomes of PD Patients: A Single Center Experience in Japan - Hiromichi Suzuki, MD 12:15 Luncheon

Poster ForumALL Posters will be on display Sunday and Monday Exhibit Hall A3 • (M=1, N=1)Clinical Studies1. Lanthanum Carbonate: Safety Data A�er 9 Years J Brian Copley, MD2. Compatibility of Antiseptic Agents and Antimicrobial Ointments with HD Catheters - Katelyn A. Coutts, BS3. Duration of Erythropoietin Therapy May Alter HDL- Cholesterol Levels in HD Patients Zorica Dimitrijevic, MD, PhD4. The Effect of Residual Kidney Function on Outcome in HD Patients - Magdy El Sharkawy, PhD, MD5. Influence of Age on Body Composition Parameters in PD Patients - Paul Fein, MD6. Mortality Risk of Lower Serum Magnesium: Relation to Changes in Body Composition in PD Patients Paul Fein, MD7. Study of Fetuin A Level in Hepatitis C Seropositive Prevalent HD Patients - Mohamed Ibrahim, MD, PhD8. Study of Sexual Dysfuction in Prevalent HD Patients Mohamed Ibrahim, MD, PhD9. Association of Dialysis Adequacy Parameters Measured by Urea Kinetic Modeling with Laboratory Findings and Clinical Outcomes - Masud M. Iqbal, MBBS, MD10. Resistance to Erythropoiesis-stimulating Agents May Be Associated with Arterial Micro-calcification in HD Patients - Young Ok Kim, MD11. Arterial Micro-calcification Is Associated with Coronary Artery Calcium Score in HD Patients - Young Ok Kim, MD12. Digital Subtraction Venography Using a Stepping-gantry Technique for Venous Mapping Prior to HD Vascular Access Creation - Young Ok Kim, MD13. Impact of Vascular Access Arterial Micro-calcifacation on Cardiovascular Mortality in HD Patients Young Ok Kim, MD

34

14. V2 Receptor Antagonist Tolvaptan Improves Le� Ventricular Hypertrophy Without Reducing Residual Renal Function in Patients on Peritoneal Dialysis Kenji Koizumi, MD, PhD15. Technique-Related Pneumoperitoneum in PD Cheryl LaVeglia, RN16. Unidentified HBsAg-positive Patient in Acute Dialysis Unit Leena Martola, MD, PhD17. Continuation of PD A�er Hernia Repair Marilyn McClernon, RN, CNN18. Safe and Effective Intravenous Iron Administration in HHD Patients - Abby Meier, RN, BSN19. Volume Status and Residual Renal Function on PD Misaki Moriishi, MD20. Minimally-Invasive Fluoroscopic Percutaneous PD Catheter Salvage - Rajeev Narayan, MD21. Study on Prediction of Post-treatment Period of Shunt Patency in the PTA for Diabetic Patients Tomonari Ogawa, MD, PhD22. Subcutaneous Pathway Diversion for PD Catheter Salvage - Takeshi Okamoto, MD23. Giant Paraesophageal Hernia Presenting as Acute Episodic Dyspnea in an ESRD Patient - A Diagnostic Quagmire - Macaulay Onuigbo, MD, MSc, MBA24. The Rainbow Spectrum of Renal Outcomes Following AKI on CKD: The Need for More Emphasis on Renoprevention - Macaulay Onuigbo, MD, MSc, MBA25. Unexplained Hypotension and Exertional Dyspnea in a Night-cycled PD Patient - A Case of Icodextrin Hypersensitivity - Macaulay Onuigbo, MD, MSc, MBA26. CKD Prediction and Prognostication Is an Inexact Science - A 2008 US CKD Population-Wide ESRD Rates Analysis and a 2011 Cross-sectional Study of CKD Stage Changes in a Mayo Clinic Laboratory Database: The Concept of ‘Progressors’ and ‘Non-progressors’ Macaulay Onuigbo, MD, MSc, MBA27. A Novel Step-Ladder Approach of Safely Managing Severe Symptomatic Chronic Hypernatremia to Prevent Catastrophic Cerebral Events Due to Cerebral Edema Macaulay Onuigbo, MD, MSc, MBA28. “Quadruple Whammy” - A Newly Described Preventable Syndrome of Post-operative AKI in CKD Patients on Combination “Triple Whammy” Medications: A Mayo Clinic Health System Experience Macaulay Onuigbo, MD, MSc, MBA29. Transfer to HD of Elderly PD Patients: Medical and Non- Medical Factors - Dominique Pagniez, MD30. Decline and Fall of the French PD - Dominique Pagniez, MD31. Immediate Initiation of CAPD Exchange Following Catheter Placement Without Break-in Period - A Single Center Indian Study - Balasubramaniyam Raju, MD32. Fournier’s Gangrene with Successful Outcome in a PD Patient - Anil Regmi, MD33. Nutritional Assessment and Functional Capacity in Patients on HD - Belkis Morejón González, MD34. Associated Factors with Hospitalization and Death in Patients on HD - Belkis Morejón González, MD

35. Switching ESA from Maximum Dose of Darbepoetin Alfa to Epoetin Beta Pegol in Anemic PD Patients Ken Sakai, MD36. Anonymous Survey Among Home Hemodialysis Patients and Nursing Staff Regarding Vascular Access Site Use and Care - Leslie A Spry, MD37. The Change of Skin Perfusion Pressure A�er the Creation of Upper Limb Arteriovenous Fistula for Maintenance Hemodialysis Access - Shina Sueki, MD38. Relapsing Peritonitis Due to Kocuria Varians Post Colonoscopy in a Patient on Continuous Cycling Peritoneal Dialysis - Fahd Syed, MD39. HbA1c Reflects Blood Glucose Levels Better Than GA in PD - Yusuke Watanabe, MD, PhD40. Predictable Clinical Markers Affecting Therapeutic Effects of Renal Anemia in Maintenance HD Patients Treated with Recombinant Human Erythropoietin and Intravenous Iron Supplement - Takashi Yokoyama, MD

Poster Forum Improving Patient Care & Quality of Life41. Using the Protein Nutrition Component of Pack-PD™ For Windows® PD Kinetic Modeling So�ware Program to Assist in Improving or Maintaining Serum Albumin Levels - Jessica Braxton, RD, LD42. Active Patient Participation in a Busy HD Unit Solveig Juletta Buer, RN43. Green Mileage - Sustainable Program Towards Eco-friendly Dialysis in Saudi Arabia: Results of Phase One - Evelyn Bunani, BSN, RN44. Implementing a Safe and Effective Management of Anticoagulation Therapy - A Three Center Pattern Study Evelyn Bunani, BSN, RN45. Converting HD Patients to PD: The Challenge Oscar Cairoli, RN, BSN, MA, PHN46. SLED: A Collaborative Model of Nursing Care in the ICU Vanessa Godfrey, MScN, CNeph(c)47. Implementing an Urgent Start PD Program from the Ground Up - Melissa Herman, BSN48. Evaluation of a Single-item Screening Question to Detect Limited Health Literacy in PD Patients - Deepika Jain, MD49. Patient and Physician Characteristics Associated with Appropriate Nephrology Referrals - Stanley Kwan, BS50. Implementation of Education for Everyone: Helping to Grow Home Dialysis by Educating In- Center Dialysis Patients - Brandy Manigo, BSN, MSN51. Rapid PD Starts: Where Are They Now? A Clinical Snapshot of Two Collaborating Units Allison Masseur, BSN52. Reducing Hospitalizations in PD Patients Utilizing Home Monitoring - Lisa Maxwell, RN53. Addressing HHD Partner Burn-out Jonathan Miller, BSN, RN54. Thriving on PD - Mary Jo Miller-Grandfield, RN, BSN55. Telemedicine (Telehealth) The Slow Revolution Jack Moncrief, MD56. Development of Continuous Ambulatory PD Jack Moncrief, MD

35

57. Tucson, Arizona In-Center Self-Care Dialysis, Our Story Lucrecia Perlata, RN58. A Cross Section of Current Primary Health Care Practice Management of Type 2 Diabetes Mellitus in the Province of New Brunswick - Valerie Price, RN, CNeph(c)59. Care Givers in CAPD - Single Center Indian Experience Balasubramaniyam Raju, MD60. One Center’s Quest to Increase HHD Utilization Jennifer Sell, RN61. A Novel Approach to CKD Education:Engaging the High School Student - Laura Troidle, PA62. Technology of Care: Use of Sterile Protective Gloves and Incidence of Infection in the Care of HD Patients Maarit Virta-Helenius, RN, MNSc63. HHD and Conventional In-centre HD in Japan: A Comparison of Health-related Quality of Life Yusuke Watanabe, MD, PhD64. Peritonitis Culturing: Implementing a Change in Protocol Using a Quality Improvement Framework Colleen Wile, RN, BScN, CNeph(c)65. Predictors for Nephrology Outpatient Care and Recurrence of AKI A�er an In-hospital AKI Episode Mingyang Xie

Poster Forum Applied and Laboratory Research66. Alternative Activation of Macrophages (M2) in Human Peritoneum and CCL18 Production: Implications for Peritoneal Fibrosis - Maria Auxiliadora Bajo, MD67. IL-17: A Novel Player in Peritoneal Dialysis Treatment Maria Auxiliadora Bajo, MD68. Oxidative Stress Influences Myocardial Remodeling in Chronic HD Patients - Zorica Dimitrijevic, MD, PhD69. Impact of Hydration and Nutritional Status on Watson Formula in PD Patients - Masahide Furusho, MD70. Fetuin A, Bone Alkaline Phosphatase and Aortic Calcification in Prevalent HD Patients Mohamed Ibrahim, MD, PhD71. Vascular Adhesion Protein-1 and Renalase in RRT Jolanta Malyszko, MD, PhD72. Role of Glyoxalase System on Peritoneal Injury in PD Ikuko Oba, MD73. Index of Bioimpedance Spectroscopy Significantly Correlated with Serum Level of NT-proBNP in CAPD Patients - Hocheol Song, MD74. Evaluation of Permeability of Flat Sheet Dialysis Membrane by Two-chambered Batch Dialyzer System Narumi Tomisawa, PhD75. The Endothelial Glycocalyx and Peritoneal Transport Carmen A. Vlahu, MD76. The Use of a Biocompatible Dialysis Solution Induces Less Damage to the Peritoneal Membrane in Uremic Rats Carmen A. Vlahu, MD

Pediatric Posters77. Pediatric PD Catheter Insertion Practices: Results from the SCOPE Collaborative - Brandy Begin, BSN, RN, CNN78. Emergency Preparedness in the Pediatric HD Unit Brandy Begin, BSN, RN, CNN79. PD During Percutaneous Transluminal Angioplasty Celeste C. Estorco80. Vitamin D Status in Exclusively Formula Fed Young Children on Dialysis - Nadine Benador, MD81. Enhancing Safe Administration of Anticoagulation Therapy in the Philippines - A Challenge in Nursing Practice - Evelyn Bunani, BSN, RN82. Use of Intraperitoneal Carnitine to Treat Carnitine Deficiency in PD - Rahul Chanchlani, MD83. Cooking on Dialysis for Pediatric Patients as an Educational Activity to Reinforce Compliance with Dietary Restrictions - Kirsten Cotten-Sheldon, CCLS, CTRS84. Remote Access Using Facetime/Skype Jennifer Ehrlich, RN85. Risk Factors for Peritonitis in Infants Cynthia Wong, MD86. A Six Sigma Approach to Improve PTH Measurements in Pediatric HD Patients - SA Fathallah-Shaykh, MD87. High-Dose Heparin Lock Decreases Alteplase Use and Improves HD Central Venous Catheter Survival Jessica Geer, MSN88. The Use of Root Cause Analysis to Modify Therapy in Pediatric PD - JoLynn Grimes, RN89. Standardized Heparin Dosing in Pediatric Dialysis Unit Cathy Hansen, RN, CDN90. Use of a Medfusion Pump for Heparin Administration Cathy Hansen, RN, CDN91. Intradialytic Intralipid Therapy in Pediatric HD Patients Cynthia Wong, MD92. Managing a Hypotensive Child with Severe, Symptomatic Heart Failure on Home HD - Daljit Hothi, MD, MBBS93. Use of Low Molecular Weight Heparin During Pediatric Home HD - Daljit Hothi, MBBS, MD94. Improving Outcomes in Surgical Placement of PD Catheters in Pediatric Patients by Educating Nurses: A Single Center Approach - Vickie Kanute, RN95. Establishment of an Epogen Protocol in the Nemours/ AI duPont Hospital for Children HD Unit Susan Kieffner, BSN, RN, CNN, CPN96. “A3” Quality Improvement Project to Decrease Number of CRRT Events - Marlys Ludlow, RN, CNN, MS97. Impact of Tardiness in a Pediatric HD Unit Nancy McAfee, MN, RN, CNN98. Barriers to Medication and Dietary Adherence in Youth on Dialysis and Their Caregivers - Kirtida Mistry, MD99. Enhancing Patient-Centered Care and Health-Related Quality of Life Intervention Planning in the Pediatric Patient with End-stage Renal Disease - Shari Neul, PhD100. An Evaluation of the Effects of Social Issues on Serum Phosphorus Control in Pediatric Dialysis Patients Leah Oladitan, PG Dip., RD, LD101. Warfarin Use to Improve Access Survival in Pediatric Patients on Chronic Hemodialysis - Fabio Paglialonga, MD

36

Be sure to mark your calendarand make plans

to join us in 2015!

January 31 - February 4New Orleans, Louisiana

Abstact Deadline:October 6, 2014

website:http://medicine.missouri.edu/dialysis

facebook.com/AnnualDialysisConference

@AnnualDialysis

102. Single-needle Hemodialysis in Children: Technical and Clinical Issues - Fabio Paglialonga, MD103. Reduction of Catheter Related Infections A�er Switching from Povidone Iodine to Chlorexidine for the Exit-site Care of Tunneled Central Venous Catheters in Children on Hemodialysis - Fabio Paglialonga, MD104. Interdialytic Weight Gain and Cardiovascular Status in Children and Adolescents on Chronic Hemodialysis Fabio Paglialonga, MD105. Pediatric Hemodialysis Summer Camp in 2013: A Single Center Experience - Fabio Paglialonga, MD106. The Changing Face of End-stage Renal Disease in an Italian Pediatric Nephrology Unit: Toward a Multicultural Hemodialysis - Fabio Paglialonga, MD107. Correlation of Reticulocyte Hemoglobin with Erythropoetin and Iron Administration in a Pediatric Hemodilalysis Unit - Raymond Quigley, MD108. Standardized Care to Improve Outcomes in Pediatric ESRD: Epidemiology of Catheter-associated Peritonitis in Children - Christine Sethna, MD109. Utility of Ionic Dialysance in Pediatric Patients Receiving Chronic Hemodialysis - Shweta Shah, MD110. Is “Fistula First” an Appropriate Approach for a Six Year Old? - Meg Shea, RN, PNP-BC111. Infant Home Hemodialysis - Lynsey Stronach, RNC BSc112. Home Hemodialysis Education Package Lynsey Stronach, RNC BSc113. Assisted Home Hemodialysis - Lynsey Stronach, RNC BSc114. The Brazilian Peritoneal Dialysis Multicenter Study: Pediatric Cohort - Lucimary Sylvestre, MD115. Effectiveness of a Multi-disciplinary Chronic Kidney Disease Clinic in Reducing Temporary Dialysis Catheter Placements for Pediatric Patients - Elizabeth Talley, MD116. A Serious Consequence of Head Banging in a Patient on Hemodialysis - Sibylle Tschumi, MD117. Air Displacement Plethysmography vs Bioelectrical Impedance to Determine Body Composition in Pediatric Hemodialysis Patients - Molly Vega, MS, RD118. Use of Intraperitoneal Calcitriol for Treatment of Severe Hyperparathyroidism in a Child with Chronic Kidney Disease - Rahul Chanchlani, MD119. Acute Mental Status Change in a Chronic HD Patient during Routine Dialysis- Stephanie Clark, MD120. Yellow-Green Effluent Fluid in a Post-operative Pediatric Patient Undergoing PD - Meghan Pearl, MD121. Bartonella Henselae Infection Inducing Hemophagocytic Lymphohistiocytosis in a Kidney Transplant Recipient Atul Poudel, MD122. Ghosts of Vascular Access Past: Thrombosis Complicating Dialysis Access and Future Renal Transplantation Mike Semanik, MD123. Myocardial Infarction in Young Adult Dialysis Patient: A Case Report - Shweta Shah, MD124. Gastric Outlet Obstruction in a Hemodialysis Patient: A Case Report - Leyat Tal, MD

37

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AAgar, John .......................................................................... 12, 13, 16, 24Aggarwal, Kul ................................................................................ 29, 29Ahmad, Suhail ........................................................................ 12, 18, 18Ales, Lisa ....................................................................................... 20, 26Alexander, Steve .......................................................... 10, 10, 20, 21, 31Amerling, Richard .............................................................. 19, 25, 26, 26Appleton, Debra ..................................................................... 20, 26, 27Arduino, Matt ................................................................................ 14, 22Asif, Arif ........................................................................ 18, 18, 19, 19, 22Askenazi, David ...................................................................... 21, 21, 31Aufricht, Christoph ............................................................................. 21

BBargman, Joanne ............................................ 10, 11, 11, 16, 17, 17, 27Bernardini, Judith ............................................................. 20, 20, 26, 30Blagg, Christopher ............................................................ 13, 13, 16, 24Blake, Peter ....................................................................... 11, 11, 24, 24Botdorf, Joshua .................................................................................. 31Boykin, Erma ...................................................................................... 14Brandt, Mary ....................................................................................... 10Bren, Virginia ...................................................................................... 22Brewer, Eileen ............................................................................... 10, 21Brunier, Gillian ........................................................................ 20, 26, 30Burkart, John ........................................................ 11, 16, 24, 24, 29, 30

CCall, Daniel .......................................................................................... 18Canaud, Bernard .................................................................... 18, 18, 25Carver, Michelle ................................................................. 13, 13, 26, 26Cavanaugh, Kerri .......................................................................... 23, 31Chan, Christopher ........................................................................ 13, 13Chaudhary, Kunal ................................................................... 20, 27, 30Chinnock, Sherry ................................................................................ 20Chung, Kevin ...................................................................................... 24Clay, Dana ........................................................................................... 16Cockwell, Paul ................................................................... 12, 18, 25, 30Collins, Alan ........................................................................................ 30Concepcion, Danilo ............................................................................ 14Cote, Debbie ....................................................................................... 29Coyne, Daniel ......................................................................... 12, 30, 30Crabtree, John .............................................................................. 20, 27Currier, Helen .............................................................. 10, 20, 24, 28, 28

DD’Agata, Erika ..................................................................................... 22Daugirdas, John ........................................................................... 12, 25Davenport, Andrew ................................................................ 12, 18, 25Davis, James ....................................................................................... 14Denney, Cassandra ............................................................................. 20DePascal, Peggy ........................................................................... 20, 27Deziel, Sheila ...................................................................................... 18

Dinwiddie, Leslie ......................................................... 14, 18, 24, 24, 30Donato- Moore, Sylvia ............................................................ 13, 26, 26Doss-McQuitty, Sheila ........................................................................ 23

EErickson, Sara ..................................................................................... 10Evancoe, Wayne ................................................................................. 26Evans, Vanessa ................................................................................... 16

FFarina, Jeannine .................................................................... 24, 26, 27Farrah, Shirley .................................................................................... 14Feig, Dan ................................................................................. 10, 31, 31Figuerido, Ana E. .......................................................................... 20, 30Finkelstein, Fredric ............................................................ 11, 20, 20, 27Fischbach, Michel ......................................................................... 21, 28Fissell, Rachel ..................................................................................... 25Fissell, William .................................................................................... 23 Flessner, Michael ......................................................... 11, 19, 19, 21, 26Friedman, Eli .......................................................................... 16, 29, 29Fullmer, Gordon ..................................................................... 13, 13, 16

GGalland, Roula .................................................................................... 18Geer, Jessica ...................................................................... 10, 21, 28, 31Glickman, Joel ........................................................................ 13, 13, 30Goldstein, Stuart ............................................................... 10, 10, 21, 21Golper, Thomas ..................................................... 11, 13, 13, 26, 29, 29Goovaerts, Tony ........................................................................... 18, 24Greene, Judith .................................................................................... 19Greenwood, Roger ....................................................................... 25, 26Groenhoff, Cheryl ............................................................................... 20Guest, Steven .............................................................. 19, 19, 30, 31, 31Gura, Victor ......................................................................................... 23Gutekunst, Lisa .................................................................. 24, 28, 30, 30

HHirth, Richard ..................................................................................... 16Hoefs, Meghan .................................................................................... 17Hofman, Michelle ............................................................................... 27Hoyer, Peter ........................................................................................ 18Humes, David ..................................................................................... 23Hung, Adriana .................................................................................... 30

JJackson-Brown, Loretta ......................................................... 18, 18, 22Jones, Janice ................................................................................ 10, 28Jones, Linda ........................................................................... 10, 28, 31Joseph, Mark ..................................................................... 10, 28, 28, 31Johnson, Rebecca ........................................................................ 28, 28Juarez, Marissa ................................................................................... 31

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KKathuria, Pranay .................................................................... 19, 30, 30Kelley, Karen ................................................................................. 14, 22Kelman, Elizabeth ............................................................. 26, 26, 26, 30Kenley, Rod ................................................................................... 24, 24Khanna, Ramesh ................................................................................ 27Knaus, Nancy .......................................................................................26Koester, Lisa .......................................................... 13, 13, 14, 19, 19, 26Kolar, Prashant ....................................................................................22Krediet, Raymond ............................................................. 11, 16, 16, 16Kukla, Aleksandra .......................................................................... 2, 31

LLacey, Lou ........................................................................................... 21Leechik, Jennifer ....................................................................................Lester, Keith ........................................................................................ 26Li, Yi ..................................................................................................... 16Lockridge, Robert .................................................. 13, 13, 18, 18, 18, 26Luckhart, Diana ............................................................................ 18, 18Luongo, Maria .............................................................. 19, 19, 26, 27, 30

MMaaz, Donna ....................................................................................... 19Mahan, John ................................................................................. 10, 10Malhotra, Kunal .................................................................................. 25Mancini, Ann ....................................................................................... 26Mazurek Melnyk, Bernadette ............................................................. 22McCann, Linda ................................................................... 17, 17, 24, 30McIntyre, Chris ................................................................... 17, 18, 28, 17Mehrotra, Rajnish ............................................ 11, 11, 17, 17, 29, 29, 29Meigs, Leslie .................................................................................. 21, 28Miller, Brent ....................................................................... 13, 13, 13, 26Misra, Madhukar .......................................................... 12, 12, 18, 30, 30Moncrief, Jack ........................................................................ 17, 22, 24Mortier, Leigh .......................................................................................30Mottes, Theresa ............................................................................ 10, 21Murfee, Jamie ............................................................................... 10, 21

NNau, Amy ................................................................................ 10, 28, 28Neu, Alicia .................................................................... 10, 10, 23, 28, 31Neul Shari ...........................................................................................21Neumann, Joanna ............................................................. 20, 26, 26, 27Nguyen, Duc ....................................................................................... 22Nichols, W. Kirt ............................................................................. 18, 25Nigwekar, Sagar ........................................................................... 26, 30Nightingale, MaryAnn ........................................................................ 21

OO’Connor, Jennifer ............................................................................. 26Oliver, Kathy ...................................................................... 20, 26, 26, 30Oliver, Matthew .................................................................................. 11

PParker, Tom ................................................................................... 18, 31Patel, Priti ........................................................................................... 22Pauly, Robert .......................................................................... 13, 13, 24Payne, Glenda ................................................................... 14, 18, 22, 29Peace, Leanne ........................................................................ 14, 23, 30Pierratos, Andreas ............................................................. 13, 23, 24, 24Pilishvili, Tamara ................................................................................ 22Polderman, Nonnie ................................................................ 10, 10, 31Ponferrada, Leonor ...................................................................... 14, 16Pryor, Lillian ....................................................................................... 14

QQuinn, Rob .......................................................................................... 11

RRawls, Forest ................................................................................ 14, 14Richardson, Michelle .................................................................... 17, 20Rippe, Bengt ........................................................................... 26, 26, 26Russell, Cynthia ...................................................................... 18, 24, 24Russell, Katrina .................................................................................. 29

SSalzer, William ........................................................................ 20, 20, 20Saran, Rajiv ........................................................................ 16, 16, 25, 25Saxena, Anjali ............................................................................... 11, 19Schaefer, Franz ............................................................ 10, 10, 21, 28, 28Schardin, Karen ............................................................................ 16, 26Schatell, Dori .......................................................................... 13, 23, 30Schiller, Bridgette .............................................................................. 18Schira, Mary ............................................................................ 18, 23, 24Schmidt, Rebecca .............................................................................. 30Schroeder, Kim ................................................................................... 30Selgas, Rafael ......................................................................... 16, 16, 16Shenoy, Surendra ........................................................ 13, 13, 18, 18, 19Showers, Mary .................................................................................... 18Siew, Edward .......................................................................................25Simons, Roberta ..................................................................... 14, 18, 23Sinha, Arjun .................................................................................. 28, 28Spencer, Teri ....................................................................................... 29Spry, Les ........................................................................................ 24, 30Symons, Jordan ..................................................................... 10, 10, 10

TTarwater, Kurtis ...................................................................... 12, 22, 30Taylor, Jacob ...................................................................................... 21Teitelbaum, Isaac ................................................................... 11, 20, 26Tentori, Francesca ....................................................................... 25, 25Thompson, Nicola .............................................................................. 22Twardowski, Zbylut ........................................................... 12, 17, 23, 25

UUpdyke, David .............................................................................. 18, 18Urbanes, Aris .......................................................................... 18, 19, 26

VValle, Barbara ............................................................................... 20, 20Van Stone, John ........................................................................... 29, 29

WWallace, Eric ....................................................................................... 11Warady, Bradley .......................................................... 10, 10, 20, 28, 28Ward, Mikki ......................................................................................... 14Wasse, Haimanot ............................................................................... 25Watnick, Suzanne ............................................................................... 11Wesseling- Perry, Kate ................................................................. 10, 28White, Suzanne ............................................................................. 21, 21Wick, Gail ............................................................................................ 14Wiesen, Karen ......................................................................... 17, 19, 27Winkelmayer, Wolfgang ..................................................................... 30Wolf, Myles .............................................................................. 12, 20, 30Woloschuk, Rosanne .............................................................. 10, 10, 31

YYanchewski, Eileen ............................................................................. 26Yerram, Preethi ............................................................................. 20, 30

ZZoccali, Carmine ........................................................................... 17, 18

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