CONSENSUS WORKSHOP program… · Christophe Bureau - Toulouse, France Vincenza Calvaruso - Palermo,...

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VII Baveno www.baveno7.com CONSENSUS WORKSHOP PERSONALIZED CARE IN PORTAL HYPERTENSION Grand Hotel Dino | Baveno, Lake Maggiore, Italy October 30-31, 2020 PEDIATRIC RESEARCH MEETING Primary prophylaxis of variceal hemorrhage, complexies in the development of evidence-based approaches in pediatrics November 1, 2020 ADVANCED PROGRAMME

Transcript of CONSENSUS WORKSHOP program… · Christophe Bureau - Toulouse, France Vincenza Calvaruso - Palermo,...

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VIIBaveno

www.baveno7.com

CONSENSUS WORKSHOPPERSONALIZED CARE

IN PORTAL HYPERTENSIONGrand Hotel Dino | Baveno, Lake Maggiore, Italy

October 30-31, 2020

PEDIATRIC RESEARCH MEETINGPrimary prophylaxis of variceal hemorrhage, complexities in the development of evidence-based approaches in pediatrics

November 1, 2020

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BAVENO COOPERATION STEERING COMMITTEE

HONORARY PRESIDENT

Roberto de Franchis, Milan (Italy)

CHAIR

Jaime Bosch, Bern (Switzerland)

VICE-CHAIR

Guadalupe Garcia-Tsao, New Haven (USA)

Juan G. Abraldes, Edmonton (UK)

Agustin Albillos, Madrid (Spain)

Annalisa Berzigotti, Bern (Switzerland)

Gennaro D’Amico, Palermo (Italy)

Andrea De Gottardi, Lugano (Switzerland)

Alessandra Dell’Era, Milan (Italy)

Juan Carlos Garcia-Pagàn, Barcelona (Spain)

Joan Genescà, Barcelona (Spain)

Aleksander Krag, Odense (Denmark)

Wim Laleman, Leuven (Belgium)

Vincenzo La Mura, Milan (Italy)

Dominique Thabut, Paris (France)

Jonel Trebicka, Frankfurt (Germany)

Emmanouil Tsochatzis, London (UK)

Dominique Valla, Paris (France)

Candid Villanueva, Barcelona (Spain)

SCIENTIFIC SECRETARIES

Thomas ReibergerMedical University of ViennaDepartment of Internal Medicine IIIDiv. of Gastroenterology & HepatologyVienna Hepatic Experimental Hemodynamic Lab

Cristina RipollMartin Luther University of Halle-WittenbergFirst Department of Internal MedicineHalle (Saale), Germany

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SUPPORTED BY

European Association for the Study of the Liver

American Association for the Study of Liver Diseases

Asian Pacific Association for the Study of the Liver

ENDORSED BY

Associazione Italiana per lo Studio del Fegato

Japanese Society of Hepatology

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FACULTY

Juan G. Abraldes - Edmonton, CanadaAgustin Albillos - Madrid, SpainSalvador Augustin - Barcelona, SpainAnna Baiges - Barcelona, SpainJasmohan Bajaj - Richmond, UsaRafael Bañares - Madrid, SpainMarta Barrufet - Barcelona, SpainAnnalisa Berzigotti - Bern, SwitzerlandJaime Bosch - Bern, SwitzerlandChristophe Bureau - Toulouse, FranceVincenza Calvaruso - Palermo, ItalyAndrés Càrdenas - Barcelona, SpainGennaro D’Amico - Palermo, ItalyRoberto de Franchis - Milan, ItalyAndrea De Gottardi - Lugano, SwitzerlandAlessandra Dell’Era - Milan, ItalyAngels Escorsell - Barcelona, SpainJonathan Fallowfield - Edinburgh, United KingdomHector Ferral - Evanston, UsaSven Francque - Antwerp, BelgiumRon Gaba - Chicago, UsaJuan Carlos Garcia Pagàn - Barcelona, SpainGuadalupe Garcia-Tsao - New Haven, UsaJoan Genescà - Barcelona, SpainSusana Gomes Rodrigues - Bern, SwitzerlandJordi Gracia - Barcelona, SpainGuohong Han - Xi’an, ChinaZiv J. Haskal - Charlotteville, UsaVirginia Hernandez-Gea - Barcelona, SpainJidong Jia - Bejing, ChinaJean Jacques Kiladjian - Paris, FranceAleksander Krag - Odense, DenmarkVincenzo La Mura - Milan, Italy

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FACULTY

Wim Laleman - Leuven, BelgiumSabela Lens - Barcelona, SpainXuefeng Luo - Chengdu, ChinaMattias Mandorfer - Vienna, AustriaSarwa Darwish Murad - Rotterdam, The NetherlandsValerie Paradis - Clichy, FranceDavid Patch - London, United KingdomSalvatore Piano - Padua, ItalyMassimo Pinzani - London, United KingdomAurelie Plessier - Clichy, FranceMassimo Primignani - Milan, ItalyBogdan Procopet - Cluj-Napoca, RomaniaPierre Emmanuel Rautou - Paris, FranceThomas Reiberger - Vienna, AustriaCristina Ripoll - Halle, GermanyMarika Rudler - Paris, FranceShiv K. Sarin - New Delhi, IndiaFilippo Schepis - Modena, ItalyMarco Senzolo - Padua, ItalyVijay Shah - Rochester, UsaPuneeta Tandon - Edmonton, CanadaLuis Tellez - Madrid, SpainDominique Thabut - Paris, FranceMaja Thiele - Odense, DenmarkJonel Trebicka - Frankfurt, GermanyDhiraj Tripathi - Birmingham, United KingdomEmmanouil A. Tsochatzis - London, United KingdomLaura Turco - Modena, ItalyDominique Valla - Clichy, FranceCandid Villanueva - Barcelona, SpainIan Wanless - Halifax, CanadaHitoshi Yoshiji - Kashihara, Japan

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WELCOME ADDRESS

Baveno VII is a sequel of the Baveno I-VI Workshops, which were held every 5 years

from 1990 to 2015. All the previous Workshops were successful, as proven by more

than 3000 citations of the Workshop reports in the medical literature.

After Baveno VI, important advances have been made in understanding the

pathophysiology of portal hypertension, as well as in developing new treatments and

new strategies for the management of advanced cirrhosis and portal hypertension.

For these reasons, we thought that the time had come to organize a seventh Baveno

Workshop.

As for the previous editions, the aim of the Baveno VII Workshop is twofold: first, to

review and put into perspective the changes in diagnostic and therapeutic strategies

that have occurred in the past 5 years in the field of portal hypertension.

Second, to continue the effort - which had begun in Baveno I thirty years ago - of

producing updated definitions and guidelines aimed at improving the management

of patients as well as the quality of our future studies.

The Workshop will begin with a brief introduction, followed by three lectures, the

first one on the new concept of risk stratification, the second one on competing

risks and stages in cirrhosis, and the third on life style and genetic modifiers of

progression of compensated advanced chronic liver disease.

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WELCOME ADDRESS

The structure of the Workshop is similar to that of the previous ones - there will be

4 sessions: each divided into 2-3 parts. The first session will concern the evaluation

and risk stratification of patients with cirrhosis, focusing on the HVPG as a gold

standard and on non-invasive surrogates for the diagnosis of compensated advanced

chronic liver disease, clinically significant portal hypertension and varices. The second

session, dedicated to the new clinical scenarios will be divided into three parts. The

first one will include four introductory lectures on progression and regression of

cirrhosis; the second one will analyze the impact of etiological therapy for cirrhosis,

and the third one will deal with the impact of non-etiological novel therapies in

cirrhosis. The third session will deal with the different clinical settings and will also

be divided into three parts: the first one will be devoted to the prevention of (first)

decompensation, the second one to acute variceal hemorrhage, and the third one to

the prevention of further decompensation.

The fourth session will be devoted to vascular liver diseases in cirrhosis, and will

consist of two parts: the first one on diagnosis and staging, and the second one to

treatment. According to the Baveno tradition, at the end of each session, updated

consensus statements on the topic of the session will be presented and discussed by

the Panels and the Audience.

Roberto de FranchisOn behalf of the Baveno Cooperation Steering Committee

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SCIENTIFIC PROGRAMME

FRIDAY OCTOBER 3008.00 Welcome and introduction

R. de Franchis (Milan)

08.10 LECTURE 1: New concept of risk stratification Speaker: J.G. Abraldes (Edmonton)

08.30 LECTURE 2: Clinical stages and ordinal outcomes in portal hypertension

Speaker: G. D’Amico (Palermo)

08.50 LECTURE 3: Lifestyle and genetic modifiers of progression of Compensated Advanced Chronic Liver Disease (cACLD)

Speaker: A. Berzigotti (Bern)

09.15-13.00 SESSION 1 EVALUATION AND RISK STRATIFICATION

09.15 PART 1: HVPG as a gold standard Chairpersons: J.C. Garcia-Pagàn (Barcelona), Z. Haskal (Charlotteville) Panelists: H. Ferral (Evanston), R. Gaba (Chicago), F. Schepis (Modena)

10.00 Coffee break and poster viewing

10.30 PART 2: Non-invasive surrogates for cACLD, CSPH, Varices

Chairpersons: A. Berzigotti (Bern), J. Genescà (Barcelona) Panelists: J.G. Abraldes (Edmonton), S. Augustin (Barcelona)

J. Fallowfield (Edinburgh), M. Thiele (Odense)

13.00-14.00 Lunch break

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SCIENTIFIC PROGRAMME

FRIDAY OCTOBER 3014.00-18.20 SESSION 2 NEW SCENARIOS

PART 1: Progression and regression of cirrhosis Chairpersons: W. Laleman (Leuven), D. Patch (London)

14.00 PELS in progression. Can they regress? Speaker: I. Wanless (Halifax)

14.20 Fibrogenesis and regression of fibrosis Speaker: M. Pinzani (London)

14.40 Angiogenesis and progression of ACLD Speaker: V. Shah (Rochester)

15.00 Drugs to modify liver fibrosis progression and regression (preclinical and clinical studies)

Speaker: J. Gracia (Barcelona)

15.20 PART 2: Impact of etiological therapy for cirrhosis Chairpersons: M. Mandorfer (Vienna), E. Tsochatzis (London) Panelists: S. Francque (Antwerp), J. Jia (Beijing)

S. Lens (Barcelona), H. Yoshiji (Kashihara)

16.40 Coffee break and poster viewing

17.10 PART 3: Impact of non-etiological novel therapies in cirrhosis

Chairpersons: A. Albillos (Madrid), J. Trebicka (Frankfurt) Panelists: J. Bajaj (Richmond), J. Gracia (Barcelona)

A. Krag (Odense), W. Laleman (Leuven), V. Shah (Rochester)

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SCIENTIFIC PROGRAMME

FRIDAY OCTOBER 3018.20-19.30 SESSION 3 CLINICAL SETTINGS

18.20 PART 1: Preventing decompensation: review of current evidence

Chairpersons: J. Bosch (Bern), C. Ripoll (Halle) Panelists: R. Bañares (Madrid), V. Calvaruso (Palermo), A. Dell’Era (Milan),

S. Gomes Rodrigues (Bern), D. Tripathi (Birmingham), C. Villanueva (Barcelona)

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SCIENTIFIC PROGRAMME

SATURDAY OCTOBER 31

07.30-08.30 Industry Sponsored Breakfast Symposium

SATURDAY OCTOBER 31Baveno VII Workshop (continued)

08.40-13.40 SESSION 3 CLINICAL SETTINGS (CONTINUED)

08.40 PART 2: Acute variceal bleeding Chairpersons: V. Hernandez-Gea (Barcelona), D. Thabut (Paris) Panelists: A. Càrdenas (Barcelona), A. Escorsell (Barcelona)

G. Han (Xi’an), X. Luo (Chengdu), D. Patch (London) B. Procopet (Cluj-Napoca), M. Rudler (Paris)

10.40 Coffee break and poster viewing

11.10 PART 3: Preventing further decompensation Chairpersons: G. Garcia-Tsao (New Haven), T. Reiberger (Vienna) Panelists: C. Bureau (Toulouse), G. D’Amico (Palermo), V. La Mura (Milan)

S. Piano (Padua), P. Tandon (Edmonton), L. Turco (Modena)

13.40-14.40 Lunch Break

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SCIENTIFIC PROGRAMME

SATURDAY OCTOBER 3114.40-17.40 SESSION 4 VASCULAR LIVER DISORDERS

14.40 PART 1: Splanchnic Vein Thrombosis Chairpersons: S. Sarin (New Delhi), D. Valla (Clichy) Panelists: A. Baiges (Barcelona), M. Barrufet (Barcelona), J.J. Kiladjian (Paris)

A. Plessier (Clichy), M. Primignani (Milan)

16.10 PART 2: Other issues in vascular liver disorders Chairpersons: A. De Gottardi (Lugano), P.E. Rautou (Paris) Panelists: S. Murad (Rotterdam), V. Paradis (Clichy)

M. Senzolo (Padua), L. Tellez (Madrid)

17.40-17.50 Closing remarks R. de Franchis

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PEDIATRIC RESEARCH WORKSHOP

SUNDAY NOVEMBER 1Primary prophylaxis of variceal hemorrhage, complexities in the development of evidence-based approaches in pediatrics

08.00-11.30 Introductory Session

08.00 Introduction and goals B.L. Shneider (Houston)

08.10 Morbidity and mortality of first variceal hemorrhage J. Molleston (Indianapolis)

08.40 Experiences with primary prophylaxis M. Duché (Paris)

09.10 Rationale for primary prophylaxis in adults R. de Franchis (Milan)

09.40 Complexity of a randomized clinical trial in pediatrics S.C. Ling (Toronto)

10.10 Introduction of a Pediatric Portal Hypertension Registry B. Shneider (Houston)

10.40 Open Discussion - Q&A

11.30 Lunch on your own

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PEDIATRIC RESEARCH WORKSHOP

14.00-19.00 Research Plan Discussion14.00 Introduction and goals

B. Shneider (Houston)

14.10 Presentation of the First Variceal Hemorrhage Database J. Pimenta (Belo Horizonte)

14.40 Discussion of First Variceal Hemorrhage Database15.30 Primary and pre-primary prophylaxis of variceal

hemorrhage with the MesoRex Bypass and a MesoRex Bypass Registry

R. Superina (Chicago)

16.10 Discussion of MesoRex Bypass Registry 16.40 Break17.00 Presentation of the Primary Prophylaxis Database

T. Grammatikopoulos (London)

17.30 Discussion of the Primary Prophylaxis Database18.20 Concluding remarks

J. Bosch (Berne)

18.30 Plans forward B. Shneider (Houston)

FACULTYJaime Bosch - Bern, SwitzerlandRoberto de Franchis - Milan, ItalyMathieu Duché - Paris, FranceTassos Grammatikopoulos - London, United KingdomSimon C. Ling - Toronto, CanadaJean P. Molleston - Indianapolis, USAJúlio R. Pimenta - Belo Horizonte, BrazilBenjamin L. Shneider - Houston, USARiccardo Superina - Chicago, USA

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INDUSTRY SPONSORED BREAKFAST SYMPOSIUM

SATURDAY OCTOBER 31Controlled expansion tips. Where are we?

07.30 Breakfast

07.45-08.30 20 years of expertise with TIPS Historic overview and future outlook Chairman: T. Reiberger

The history of the TIPS procedure, indications, patients and device evolution. Experience with the GORE® VIATORR® TIPS Endoprosthesis

J. Bosch

The future of small diameter TIPS. What tools do we have to better predict outcomes and minimize post TIPS complications?

J. Trebicka

Jaime Bosch - Bern, SwitzerlandThomas Reiberger - Vienna, AustriaJonel Trebicka - Frankfurt, Germany

FACULTY

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SCIENTIFIC INFORMATIONPOSTER EXHIBITIONThe accepted abstracts will be displayed as electronic posters in the Exhibition Area. The 2 best posters will be awarded at the end of the Workshop

EUROPEAN CME ACCREDITATIONThe BAVENO VII CONSENSUS WORKSHOP “Personalized Care in Portal Hypertension” , Baveno, Italy, 20/03/2020-21/03/2020 has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) with 15 European CME credits (ECMEC®s). Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity.Through an agreement between the Union Européenne des Médecins Spécialistes and the American Medical Association, physicians may convert EACCME® credits to an equivalent number of AMA PRA Category 1 CreditsTM. Information on the process to convert EACCME® credit to AMA credit can be found at www.ama-assn.org/education/earn -credit-participation-international-activities.Live educational activities, occurring outside of Canada, recognised by the UEMS-EACCME® for ECMEC®s are deemed to be Accredited Group Learning Activities (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada.EACCME® credits

ITALIAN CME ACCREDITATIONThe Workshop has been assigned 17 CME Italian credits for Physicians. Certifiates of granted credits will be sent by e-mail after the Workshop to those who have attended the whole Workshop and filed in all relevant documents.

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GENERAL INFORMATIONWORKSHOP SITEGrand Hotel DinoCorso Garibaldi 2028831 Baveno (VB), Italy

HOW TO REACH THE WORKSHOP SITEby plane: 35 km from Milano Malpensa Airport 100 km from Milano Linate Airportby train: from Milano Centrale stop at Stresa (about 1 hour). Baveno is a few minutes by

taxi from the train Station in Stresa. Milano Centrale can be reached from Malpensa Airport by bus (Malpensa

Shuttle - https://www.malpensashuttle.it/en/index.html - tickets online or on board) or by train (https://www.malpensaexpress.it/en/ - tickets online or in the airport) and from Milano Linate Airport by bus (https://www.milano-aeroporti.it/linate-shuttle/en/index.html - tickets online or on board).

by car: Baveno can be reached from the highway “Milano-Laghi A8” (direction Gravellona Toce). From here highway “A26”, exit Baveno-Stresa.

From the North: Baveno can be reached from the “Gotthard” or “Simplon” passes.

OFFICIAL LANGUAGEEnglish is the official language of the Workshop. No simultaneous translation will be provided.

ATTENDANCE CERTIFICATES Attendance Certificates will be made out upon request to all Participants at the end of the Workshop.

LUNCH AND COFFEE BREAKSLunch and coffee breaks will be served in the Workshop venue according to the programme.

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REGISTRATION AND HOTEL ACCOMMODATIONREGISTRATION FEES(22% VAT included – vat is quoted according to the actual rate in force. All prices will be updated in case of legal changes in the applicable rate)• FULL REGISTRATION: till april 30, 2020 € 1000,00• FULL REGISTRATION FOR YOUNG INVESTIGATORS: till April 30, 2020 € 400,00• EXTENDED REGISTRATION: after April 30, 2020 € 1.300,00• EXTENDED REGISTRATION FOR YOUNG INVESTIGATORS: after April 30, 2020 € 600,00• PEDIATRIC RESEARCH WORKSHOP** - November 1, 2020 € 150,00* Young investigators must be under 35 years old and still in training at the time of the Workshop. Proof of age

and training status is mandatory** Registation in the Baveno VII Workshop is mandatory to register for the Pediatric Research Workshop

To enquire about the opportunity to benefit of Educational Grants please contact the Organizing Secretariat at [email protected] Registration fee includes: • Admission to scientific sessions • Entrance in the exhibition area • Workshop kit • Coffee Breaks and lunch according to the programme • Attendance CertificateHOTEL ACCOMMODATIONAllotments of rooms have been reserved for the Workshop delegates: special rates are available in the selected hotels listed in the Registration and Hotel Accommodation FormHOW TO REGISTER IN THE WORKSHOP AND REQUEST HOTEL ACCOMMODATIONRegistration and hotel accommodation can be made online through the www.baveno7.com website or by completing the Registration and Hotel Accommodation Form and forwarding it with full payment to the Organizing Secretariat.Registration for the Workshop must be forwarded within October 16, 2020: after this date only on site registrations will be accepted.Hotel Accommodation must be requested within September 1, 2020: after this date the Organizing Secretariat will be unable to guarantee reservations, although every effort will be made to meet delegates’ requirements. All incoming requests will be managed on a “first come first served basis”. PAYMENT OF THE REGISTRATION FEE AND OF HOTEL ACCOMMODATIONOnline registration and hotel accommodation must be paid by credit card.In case of payment by bank transfer, delegates are requested to fill in the Registration and Hotel Accommodation Form and to send it together with the receipt of payment to the Organizing Secretariat.

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VIIBaveno CONSENSUS WORKSHOPPERSONALIZED CARE IN PORTAL HYPERTENSIONGrand Hotel Dino | Baveno, Lake Maggiore, Italy

October 30-31, 2020

VIIBavenoCONSENSUS WORKSHOPPERSONALIZED CARE IN PORTAL HYPERTENSIONGrand Hotel Dino | Baveno, Lake Maggiore, Italy

October 30-31, 2020

Please complete this form and send it to the Organizing Secretariat ADB Eventi&Congressi (fax 0039-051-0959164 / e-mail [email protected])

Deadline for registration: October 16, 2020 after this date only on site registration will be possibleDeadline for hotel accommodation: September 1, 2020

REGISTRATION AND HOTEL ACCOMMODATION FORM

PERSONAL DATASURNAME NAME

HOME ADDRESS

ZIP CODE CITY STATE COUNTRY

PHONE MOBILE PH. E-MAIL

INSTITUTE DATAINST./ HOSP./ DIVISION

ADDRESS

ZIP CODE CITY STATE COUNTRY

INVOICE DETAILS 1 - REGISTRATIONINVOICE HEADED TO

ADDRESS

ZIP CODE CITY STATE COUNTRY

PHONE FAX E-MAIL

VAT NUMBER FISCAL CODE*

SDI CODE AND PEC E-MAIL** for Italians only

INVOICE DETAILS 2 – HOTEL ACCOMMODATION (ONLY IF DIFFERENT FROM INVOICE DETAILS 1)

INVOICE HEADED TO

ADDRESS

ZIP CODE CITY STATE COUNTRY

PHONE FAX E-MAIL

VAT NUMBER FISCAL CODE*

SDI CODE AND PEC E-MAIL** for Italians only

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REGISTRATION AND HOTEL ACCOMMODATION FORM

REGISTRATIONREGISTRATION FEES

(22% VAT included - vat is quoted according to the actual rate in force.

All prices will be updated in case of legal changes in the applicable rate)

n n FULL REGISTRATION: till april 30, 2020 € 1000,00n n FULL REGISTRATION FOR YOUNG INVESTIGATORS: till April 30, 2020 € 400,00n n EXTENDED REGISTRATION: after April 30, 2020 € 1.300,00n n EXTENDED REGISTRATION FOR YOUNG INVESTIGATORS: after April 30, 2020 € 600,00n n PEDIATRIC RESEARCH WORKSHOP** - November 1, 2020 € 150,00

* Young investigators must be under 35 years old and still in training at the time of the congress (March 20, 2020). Proof of age and training status is mandatory

** Registation in the Baveno VII Workshop is mandatory to register for the Pediatric Research Workshop

HOTEL ACCOMMODATION HOTEL RATES - PLEASE MAKE YOUR HOTEL AND ROOM CHOICE ON THE LIST BELOW:

All rates quoted are per room, per night and include breakfast, service, taxes and private facilities. Rates do not include local city tax, which will be charged directly in the hotel (€ 2,00 per night and per person in **** / € 1,30 per night per person in ***). *all prices quoted include 10% VAT- prices will be updated in case of legal vat applicable rate changes.All requests will be managed on a first come first served basis. Hotel accommodation must be requested within February 1, 2020: after this date the Organizing Secretariat will be unable to guarantee room availability, although every effort will be made to meet delegates’ requirements.Please note that hotel accommodation will not be effective until payment of the whole stay + € 25,00 per room as processing fee has been received by the Organizing Secretariat.HOTEL (B&B) HOTEL (B&B)Grand Hotel Dino**** Corso Garibaldi, 20 - Baveno (VB)

nn Double room single use € 160,00nn Double room € 180,00

Hotel Al Campanile***Via Antonio Gramsci 3 - Baveno (VB)

nn Double room single use € 110,00nn Double room € 145,00

Hotel Splendid**** Str. Nazionale del Sempione, 12 Baveno (VB)

nn Double room single use € 140,00nn Double room € 160,00

Date of arrival Date of departure Total n. of nights Total n. of rooms

CANCELLATION AND REFUND POLICYCancellations for Registration and hotel Accommodation should be notified in writing to the Organizing Secretariat.Refunds will be granted according to the following deadlines and processed after the Workshop:• REGISTRATION: Full Registrations are not refundable. Extended Registrations will be refunded (minus 25% administration

fee) for cancellations received within September 2, 2020• HOTEL ACCOMMODATION: hotel bookings made after March 2, 2020 will be refunded (minus 25% administration fee)

for cancellations received within August 1, 2020

PAYMENT OF REGISTRATION FEE AND HOTEL ACCOMMODATIONPAYMENT BALANCE: Registration fee: €

Hotel accommodation: €

Processing fee (€ 25,00 per room): €

TOTAL: €

PAYMENT CAN BE MADE BY:nn Bank transfer to: ADB Eventi&Congressi - Unicredit Banca - Agenzia Ugo Bassi IBAN IT 10 O 02008 02435 000110019257 - BIC/SWIFT CODE UNCRITM1BA2Bank transfers must be made in Euros, free of charges, clearly stating NAME and SURNAME of the delegate and “Baveno 7 Workshop”. Please send copy of the receipt of payment, together with the registration and hotel accommodation form, to the Organizing Secretariat by fax or e-mail.nn Credit Card: Charge € on the following credit card: nn VISA nn MASTERCARD

Card number

Expiry Date CV2 Security code

Card Holder Name Card Holder Signature

According to Italian Law n. 196/03 on privacy protection and to European Regulation 2016/679 all personal data will be treated strictly confidentially. I therefore authorize ADB Eventi&Congressi to use my personal data to process my registration in this Workshop and to keep me informed on Scientific events of my interest.

Signature Date

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ORGANIZING SECRETARIAT

Via S. Felice, 640122 Bologna, Italy

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