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Presented by School of Medicine | School of Nursing | Extension MARCH 16-19, 2019 • SHERATON DALLAS HOTEL an annualdialysisconference.org

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Page 1: MARCH 16-19, 2019 • SHERATON DALLAS HOTELannualdialysisconference.org/wordpress/wp-content/uploads/2019/02/2019-Preliminary...MSEd, RD, CSR, CDN; Sagar Nigwekar, MD, MMSc This session

Presented by

School of Medicine | School of Nursing | Extension

MARCH 16-19, 2019 • SHERATON DALLAS HOTEL

an annualdialysisconference.org

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CONFERENCE OBJECTIVES

The Annual Dialysis Conference: The thirty-ninth Annual Conference on Dialysis, and thirtieth

Annual Symposium on Pediatric Dialysis are presented by the University of Missouri School of Medicine, Department of Medicine, Division of Nephrology; Continuing Medical Education and Physician Lifelong Learning; 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.

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.

COURSE DESCRIPITION

March 16-19, 2019Dallas, Texas

Sheraton Dallas Hotel

The Annual Dialysis Conference convenes an international group of practitioners and researches to discuss current developments in the field of dialysis. It is designed for health professionals involved in dialysis programs. It covers all aspects of dialysis with sessions on Hemodialysis, Peritoneal Dialysis in both Adult and Pediatric Programs.

The target audience includes physicians, fellows, nurses, social workers, dietitians, dialysis technicians and those involved in industry related to dialysis and the care of renal patients. Sessions in this conference are planned with consideration to the multidisciplinary nature of caring for patients on dialysis.

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The Annual Dialysis Conference has been endorsed

by the following organizations(Endorsement is for the promotion of education in general,

therefore the specific content of the event/course is the responsibility of the organizer)

For more information on our listed endorsers, please visit our website annualdialysisconference.org

CONFERENCE CHAIRRamesh Khanna, MD, Professor of Medicine, Karl D.

Nolph, MD, Chair in Nephrology, Director, 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

HEMODIALYSIS CHAIRMadhukar 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, Stanford

University School of Medicine, Stanford, CaliforniaHelen Currier, MA, BSN, RN, CENP, CNN, Director,

Renal and Pheresis Services, Texas Children’s Hospital, Houston, Texas

Bradley Warady, MD, Professor of Pediatrics, Children’s Mercy, Kansas City, Missouri

PLANNING COMMITTEEKathryn Aebel-Groesch, MSW, LCSWDanilo Concepcion, CBNT, CCHT-A, FNKFShirley Farrah, PhD, RN-BCJessica Geer, MSN, C-PNP, CNN-NPMarijo Johnson, BSN, RN, CNN Lisa Koester, MSN, RN, CS, ANP Maria Luongo, MSN, BA, RN Kunal Malhotra, MDCamille B. May, RN, CNN Theresa Mottes, MSN, RN, CPNP-AC, CDNAmy Nau, MSN, RN, MBA, CNN Alicia Neu, MD Joanna Neumann, BSN, RN Glenda Payne, MS, RN, CNNNonnie Polderman, RD Franz Schaefer, MD Kurtis Tarwater, MDHaridas Thankappan, MBA, BSN, RN, CNN, CPHQ Kirsten Thompson, MPH, RDCD Karen Wiesen, MS, RND, LDN, FNKF Rosanne Woloschuk, RDPreethi Yerram, MD, MS, FASN

EXTERNAL ADVISORY GROUP

Venkatesh K. Ariyamuthu, MD, FASNAndrew Davenport, MDJoel Glickman, MDThomas Golper, MDRaymond T. Krediet, MD, PhD Robert S. Lockridge, Jr., MDBrent Miller, MDRobert Pauly, MD, MScJeffrey Perl, MD, SM, FRCP(C)Anjali Saxena, MDRamesh Saxena, MD, PhD, FASNAnupkumar Shetty, MD, FASN

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PRE-CONFERENCE PROGRAMS • SATURDAY, MARCH 16, 2019

CHALLENGES IN HOME HEMODIALYSIS PROGRAM MANAGEMENT

Presented in Cooperation with the International Society for Hemodialysis

8:00 am Welcome - Leonor Ponferrada, BSN, BSHM, RN, CNN

Session 1 Presider: Brent Miller, MD 8:10 Keynote: Why I Still Like Nocturnal Hemodialysis and Why Aren’t More People Doing It? Robert Pauly, MD, MSc 8:50 Life Plan Decision-Making for the CKD Patient: What We Can Learn from a Physician- Patient Interaction - Jeffrey Perl, MD, SM, FRCP (C); Sam Trevino 9:30 Effective Use of Technology and Social Media Dori Schatell, MS 9:45 Discussion10:00 Break

Session 2 Planning for Home HD and Implementation of PlanPresider: Lisa Koester, MSN, RN, CS, ANP10:20 Overview - Lisa Koester, MSN, RN, CS, ANP10:40 Initial Home Visit to prepare for home dialysis (home

HD equipment (compare and contrast machines), water system and safety issues such as electrical connections, etc.) - Danilo Concepcion, CBNT-A, FNKF

11:00 Individualizing Training and Follow up care: How Often Should we be in the Patient’s Home and How Can Technology Assist - Sylvia Donato-Moore, BSN, RN, CNN

11:20 What Physicians Need to Know About Home Training and the Interdisciplinary Home Dialysis Team Michael Kraus, MD; Debbie Allen, RN

11:40 Discussion12:00 Lunch

12:20 - 1:15 Please pick up your lunch and return to the meeting room.

Session 3 Luncheon Session: Reimbursement, Efficiency and Effectiveness of Home Dialysis Operations: How to Make it Worthwhile for all StakeholdersModerator: Brent Miller, MDPanelists: Linda Upchurch, MBA, MHA; Joel Glickman, MD; Debbie Allen, RN; Page Salenger, MD Session 3 will provide attendees an opportunity for an interactive discussion and to ask questions from a panel of experts about Home HD-related issues. The major thrusts of discussion during this luncheon session are reimbursement issues as well as strategies to effectively and efficiently utilize patient, staff time and resources in the home dialysis program. You will have an opportunity to share your experiences and join exchange of ideas so we can learn from each other.

Session 4 Clinical Management Challenges and Solutions Presider: Joel Glickman, MD1:30 Follow-up Clinic Visit: Essential Elements Joel Glickman, MD 2:00 Modification of Home Hemodialysis Prescriptions and Care Management - Michael Kraus, MD 2:30 Practical Strategies in Maintaining Vascular Access Integrity for Home HD Patients - Page Salenger, MD 2:50 Summary and Discussion - Joel Glickman, MD 3:10 Break

Session 5 Multidisciplinary Clinical Team Meeting Presider: Robert Pauly, MD, MSc 3:20 Overview - Robert Pauly, MD, MSc 3:40 Psychosocial Interventions to Prevent Patient and Care-

giver Burnout - Kathryn Aebel-Groesch, MSW, LCSW 4:00 When the Patient is Failing To Thrive: What Next?

Robert Pauly, MD, MSc 4:20 Palliative Care: When is the Appropriate Time to

Introduce to a Patient’s Care? - Edwina Brown, MD 4:40 Determining and Prioritizing Quality Improvement

Projects to Improve Program Outcomes - Glenda Harbert, ADN, RN, CNN, CPHQ

5:00 Discussion 5:30 Adjourn

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PRE-CONFERENCE PROGRAMS • SATURDAY, MARCH 16, 2019

PERITONEAL DIALYSIS MANAGEMENT: CHALLENGES AND OPPORTUNITIES

7:50 am Welcome - Preethi Yerram, MD, MS, FASN 8:00 Keynote: Patient and Caregiver Priorities for Outcomes in PD - Edwina Brown, MD

PD Basics 8:30-10:15Presider: Preethi Yerram, MD, MS, FASN8:30 Modification of PD Prescription to Meet Kt/V and UF Targets: Case-based Studies - Anjali Saxena, MD 9:30 Tidal PD: What, When and Why? - Arsh Jain, MD 10:00 Discussion 10:15 Break

Increasing PD Uptake: Challenges and Opportunities10:30-12:10Presider: Peter Blake, MB, FRCPC 10:30 Overcoming Barriers to Increasing Use of PD Rajnish Mehrotra, MD, MS 11:00 Can Transitional Care Units Increase PD Uptake? Peter Blake, MB, FRCPC 11:30 Impact of CKD Education on PD Penetration and Admissions - Marijo Johnson, BSN, RN, CNN 12:00 Discussion

12:10 • Lunch (provided)

Quiz the Experts 12:15-1:00Moderator: Rajnish Mehrotra, MD, MSPanelists: Marijo Johnson, BSN, RN, CNN; Lisa Gutekunst, MSEd, RD, CSR, CDN; Sagar Nigwekar, MD, MMScThis session will provide attendees an opportunity for an interactive discussion and ask questions from a panel of experts about PD- related issues that may or may not be covered in any of the presentations in today’s program.

Nutrition and PD 1:15-3:15Presider: Lisa Gutekunst, MSEd, RD, CSR, CDN1:15 Hypoalbuminemia in PD patients: Causes, Implications and Treatment Strategies - Lisa Gutekunst, MSEd, RD, CSR, CDN 2:00 “PD Causes Weight Gain”: What’s the Evidence? Gautam Phadke, MD 2:30 Strategies for Phosphate Control in PD, Newer Phosphate Binders - Sagar Nigwekar, MD, MMSc 3:00 Discussion 3:15 Break

FUNDAMENTALS OFEXTRACORPOREAL THERAPY

Hemodialysis: Prescription and Monitoring8:00-10:00Presider: Madhukar Misra, MD8:00 Introduction - Madhukar Misra, MD8:05 Essentials of HD Prescription - John Daugirdas, MD 8:45 Anticoagulation Prescription in Hemodialysis Andrew Davenport, MD 9:30 Water Treatment: The Essentials Every Nephrologist Needs to Know - Jay Wish, MD

Hemodialysis: Management of Clinical Issues10:30-12:00Presider: Andrew Davenport, MD10:30 Practical Management of Dry Weight Using Clinical Skills and Technical Tools - Daniel Coyne, MD 10:55 Managing and Preventing Infections: The Role of the Nephrologist - Brigitte Schiller, MD, FACP, FASN11:20 Managing Mineral Bone Disease in 2019 Michael Shoemaker-Moyle, MD 11:45 Discussion

Lunch • 12:00-1:00

Hemodialysis Access: Practical Aspects1:00-3:00Presider: Anil Agarwal, MD1:00 Catheters for Acute and Chronic HD Tushar Vachharajani, MD, FASN1:35 Catheter Care and Use - Lesley Dinwiddie, MSN, RN, FNP, CNNe 2:10 Cannulation of Grafts and Fistulas - Rosa Marticorena, RN, BScN, CNeph 2:45 Discussion

Break • 3:00-3:30

Patient Care Issues3:30-5:30Presider: Ramesh Khanna, MD3:30 Improving Retention in PD - Anjay Rastogi, MD, PhD4:10 Optimizing Self-Care: Do Home Visits Make a Difference? - Maria Luongo, MSN, BA, RN4:50 The Life Plan Approach to Integrated Care: Is This Realistic in the US? - Martin Schreiber, MD5:20 Discussion 5:30 Adjourn

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PRE-CONFERENCE PROGRAMS • SATURDAY, MARCH 16, 2019

THE FUNDAMENTALS OF DIALYSIS IN CHILDREN

7:55 am Welcome - Steven Alexander, MD

Session 18:00-10:05Presiders: Helen Currier, MA, BSN, RN, CENP, CNN; Bradley Warady, MD 8:00 Peritoneal & Vascular Access - Mary Brandt, MD 8:40 Physiology of Blood Purification (Dialysis and Pheresis) Jordan Symons, MD 9:20 PD Prescription and Adequacy Monitoring Raymond Quigley, MD

Break • 10:05-10:20

Session II10:20-12:20Presiders: Franz Schaefer, MD; Nonnie Polderman, RD 10:20 HD Prescription and Adequacy Monitoring Cherry Mammen, MD 11:00 Pediatric Dialysis Nutrition Guidelines Rosanne Woloschuk, RD 11:40 Growth and Recombinant Growth Hormone Therapy John Mahan, MD Breakout Sesisons • 10:20-12:20

• Nursing Breakout Presider: Amy Nau, RN10:20 Inventory Management for Value-added:

Home and In-center - Sophie Fuller-Lafreniere, MPH

11:00 Interpreting the PET - Jennifer Spies, BSN, RN, CPN

11:40 Non-infectious Complications of PD Mouin Seikaly, MD

• Pediatric Advanced Practice Provider Presider: Jessica Geer, MSN, CPNP, CNN Facilitated Discussion on Practice Issues for the Pediatric Dialysis Advanced Practice Provider

12:20 • Lunch (Provided)

Session III – Luncheon Sessions12:30-1:45

• Fellows Case Conference – Stump the Consultants Presider: John Mahan, MD

Consultants: Raymond Quigley, MD; Jordan Symons, MD; Meredith Atkinson, MD; Cherry Mammen, MD; Raj Munshi, MD

Presenters: Meredith Harris, MD, Cincinnati Children’s Hospital; Sudha Mannemuddhu, MD, University of Florida, Shands Children’s Hospital; Douglas Stewart, MD, The Hospital for Sick Children, Toronto

• Pediatric Dialysis Nurses and Advanced Practice Providers Luncheon Presider: Theresa Mottes, MSN, RN, CPNP-AC, CDN

- Atypical HUS - Eileen Brewer, MD• Pediatric Renal Dietitian Luncheon

Presider: Kirsten Thompson, MPH, RDCD - Pediatric Renal Nutrition Case Study

Amanda Stavinoha, MS, RD, CSR, LD - Introduction to Resources - Nonnie Polderman, RD

Break • 1:45-2:00

Session IV 2:00- 2:45Presiding: Amy Nau, RN; Steven Alexander, MD 2:00 Renal Bone Disease - Michelle Denburg, MD 2:45 Renal Anemia: The Basics - Meredith Atkinson, MD Break • 3:30-3:45 Session V 3:45 - 5:00Presiding: Jordan Symons, MD; Jessica Geer, MSN, C-PNP, CNN-NP3:45 Major Infectious Complications - Raj Munshi, MD 4:20 Cardiovascular Complications - Franz Schaefer, MD 5:00 Adjourn

Hemodialysis: Anemia Management3:30-5:00Presider: John Van Stone, MD3:30 Iron Administration in HD Patients: Basic Concepts and Newer Advances - Daniel Coyne, MD 4:10 ESA Use in HD Patients: Where Are We in 2019? Jay Wish, MD4:40 Discussion5:00 Adjourn

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SUNDAY, MARCH 17, 2019

ADC TECHNICIAN PROGRAM

Dialysis Technicians are essential members of the interdisciplinary team who interact closely with patients and

other healthcare providers. This program is designed specifically for this group of dialysis caregivers and other healthcare providers who participate in providing care for patients on dialysis.

8:00 am Welcome - Leonor Ponferrada, BSN, BSHM, RN, CNN; Charles Johnson, CHT

Session 1 Presider: Danilo Concepcion, CBNT, CCHT-A, FNKF8:10 Group Learning Activity: Test Your Knowledge of Dialysis Facilitators: Danilo Concepcion, CBNT, CCHT-A, FNKF; Glenda Payne, MS, RN, CNN; LaVonne Burrows, APRN-BC, CNN

Start your day with this group activity that promises to be informative and fun. Bring out your competitive spirit and win exciting prizes.

Challenging Work and Life Situations: Coping Strategies 9:10 Overview - Kathryn Aebel-Groesch, MSW, LCSW9:20 Help!!!! I Love My Job but I am Exhausted! Kathryn Aebel-Groesch, MSW, LCSW 9:40 Dealing with Difficult Patient-Staff Interactions Beth Witten, MSW, ACSW, LSCSW10:00 Maintaining Professional Boundaries in Patient-centered Care - Mary Schira, PhD, RN, ACNP-BC10:20 Discussion10:30 Break

Session 210:45 Barbara Prowant Lectureship: Nursing Keynote Presiders: Leonor Ponferrada, BSN, BSHM, RN, CNN; Shirley Farrah, PhD, RN-BC Patient Safety and Patient Safety Culture: Foundations of Excellent Healthcare - Beth Ulrich, EdD, RN, FACHE, FAAN

Session 312:15-1:00 Lunch with the Experts (Please pick up your lunch and return to the meeting room).Moderator: LaVonne Burrows, APRN-BC, CNNPanelists: Danilo Concepcion, CBNT, CCHT-A, FNKF; Karen Wiesen, MS, RDN, LDN, FNKF; Ronald Johnstone, RNSession 3 will provide you an opportunity for an interactive discussion and ask questions from a panel of experienced practitioners about your workplace and your role in the dialysis interdisciplinary team. You will also have an opportunity to share your own experiences and join the exchange of ideas so we all can learn from each other.

Exhibits and Posters • 1:00-2:00Visit the poster presentations on your own or join one of the nursing faculty guided tours. Check schedule at the entrance to the poster presentations.

Session 4 Presider: Camille May, RN, CNN2:00 Vascular Access (VA): What Dialysis Caregivers Need to Know and Do to Prolong the Life of the VA Christie Gooden, MD; Diane Anderson, BSN, RN 3:00 Volume Management: Reviewing the Evidence behind the Ultrafiltration Recommendations - LaVonne Burrows, APRN-BC, CNN 3:40 Is This Okay for Me to Eat? Be Knowledgeable When Interacting with Patients about Their Nutritional Needs Karen Wiesen, MS, RDN, LDN, FNKF 4:00 Break

Session 54:15 Panel Discussion: What Can We Learn from Our Patients? Moderator: Beth Witten, MSW, ACSW, LSCSW Panelist: Tracy Johnston, CCHT; Camille May, RN, CNN; Otis J. Harris; Alrick Warner; Lavern Morgan Issues to be discussed will include:

• Making me feel safe during dialysis treatments.• Offering information and continuing education.• Referral to the right team member.• Promoting participation in care and care planning• Reducing boredom and discomfort during dialysis

treatments. • Identifying and reaching rehabilitation and quality of

life goals. • My best and/or worst staff interaction. How did it

make me feel? 5:15 Discussion and Summary 5:30 Adjourn

Exhibits and Posters • 5:30-7:00

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ADC PROGRAM • SUNDAY, MARCH 17, 2019

EARLY MORNING SESSIONS

Breakfast Symposium 6:45-8:45

Breakfast in Exhibit Hall7:00-9:00

[09A] Welcome and Keynote Presentations9:00-10:309:00 Welcome - Ramesh Khanna, MD; Madhukar Misra, MD; Leonor Ponferrada, BSN, BSHM, RN, CNN9:10 Big Data! Past Limitations and the Future Kevin Erickson, MD9:50 Practice of Modern Medicine: Population Based or Personalized? - Bernard Canaud, MD, PhD

Break • 10:30-10:45

LATE MORNING SESSIONS

[10A] Barbara Prowant Lectureship: Nursing Keynote10:45-12:00Presiders: Leonor Ponferrada, BSN, BSHM, RN, CNN; Shirley Farrah, PhD, RN-BCPatient Safety and Patient Safety Culture: Foundations of Excellent Healthcare - Beth Ulrich, EdD, RN, FACHE, FAANPatient safety, nurse safety, and a safety culture are major foundations of excellent health care. This presentation will discuss the components of these interrelated foundations and offer strategies for creating and maintaining a culture of safety in nephrology settings. [10N] Policy Issues10:45-12:00Presider: Ramesh Khanna, MD10:45 Evaluating the Evidence Behind Policy Mandates in US Dialysis Care - Kevin Erickson, MD11:15 Patient Power - Mark E. Neumann, BS11:45 Discussion12:00 Lunch

[10B] QOL in PD Patients10:45-12:00 Presider: Frederic Finkelstein, MD 10:45 Preventing Physician/Provider Burnout - Usha Peri, MD 11:05 Preventing PD Patient Burnout - Anupkumar Shetty, MD, FASN 11:25 “YES” Culture – Preserving an Unusual Hobby in a PD Patient - Ramesh Khanna, MD 11:45 Discussion12:00 Lunch

[10C] PD Access I – Workshop: Catheter Placement Techniques10:45-12:00 Presider: Michelle Hofmann, RN, BSN, CNN10:45 Advanced Catheter Placement Techniques John Crabtree, MD 11:15 IR Catheter Placement for Acute and Urgent PD Rajeev Narayan, MD 11:45 Discussion12:00 Lunch

[10D] The Dark Side of Hemodialysis10:45-12:00 Presider: Barnard Canaud, MD, PhD10:45 Insights into Tissue Hypoxia during HD Peter Kotanko, MD 11:15 Three Central Challenges in HD and What Do We Know About Them? - Christopher McIntyre, MBBS, DM11:45 Discussion12:00 Lunch

[12A] Lunch Session: Advancing Your Role as a Nephrology Nurse12:15-1:15 (This program is presented as part of the Barbara Prowant Lecture Series). Topics will include developing and submitting a conference abstract, implementing evidence-based practice and submitting a research proposal.

Moderator: Cynthia Russell, PhD, RN- Developing a Career Plan - Mary Schira, PhD, RN, ACNP-BC- Pathways to Improving Patient Outcomes Cynthia Russell, PhD, RN- Sharing and Communicating your Results - Jeannine Farina, MSN, RN, CNN

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My Renal Replacement Choice: Patient Panel3:00 In-Center HD - Lavern Morgan3:10 Home HD - Otis J. Harris3:20 PD - Alrick Warner3:30 Transplant - Trey Jordan3:40 Discussion4:00 Break

[02E] Home Hemodialysis2:00-4:00 Presider: Michelle Carver, BSN, RN, CNN 2:00 Solo Dialysis: Pros and Cons - Melissa Herman, BSN, RN, MBA 2:25 Buttonhole Practices: Should We Abandon this for Home HD Patients? - Diane Ramsey, BSN, RN, MBA, CNN 2:50 Teaching Patients How to Cannulate: Practical Strategies Sylvia Donato-Moore, BSN, RN, CNN 3:15 Unsafe Practices: What to Do with Patients When They Don’t Do What is Prescribed - Debbie Allen, RN 3:50 Discussion4:00 Break

[02F] Management of Clinical Problems on CRRT2:00-4:00Presider: Michael Shoemaker-Moyle, MD2:00 CRRT in Sepsis Induced AKI - Charuhas Thakar, MD 2:30 Anticoagulation in CRRT- Clinical Pearls Andrew Davenport, MD 3:00 Managing Hyponatremia on CRRT - Mitchell Rosner, MD 3:30 Discussion4:00 Break

[02G] An Update on Vascular Access2:00-4:00Presider: Prabir Roy-Chowdhary, MD2:00 Vessel Preservation for Access Planning - Tushar Vachharajani, MD, FASN2:25 Strategies to Avoid Catheters - Anil Agarwal, MD2:50 Urgent Vascular Access for HD- ec AVGs or Tunneled CVCs? - Tushar Vachharajani, MD, FASN3:15 An Update on the Management of Central Venous Stenosis - Anil Agarwal, MD 3:40 Discussion4:00 Break

[02I] PD in Challenging Clinical Situations2:00-4:00 Presider: Kunal Chaudhary, MD2:00 Does PD belong in the ICU? - Lauren McDonald, MD 2:30 PD in Patients with Stomas, Feeding Tubes - Shani Shastri, MD, MPH 3:00 PD in Post-abdominal Surgery, Bariatric Surgery Richard Dickerman, MD 3:30 Interactive Discussion on Challenging PD Clinical Situations Panelist: Lauren McDonald, MD; Shani Shastri, MD, MPH; Richard Dickerman, MD4:00 Break

ADC PROGRAM • SUNDAY, MARCH 17, 2019 AFTERNOON SESSIONS

[01A] Poster sessions • 1:00-2:00

[02A] PD Nursing Fundamentals2:00-4:00Presider: Maria Luongo, MSN, BA, RN 2:00 Peritoneal Membrane Physiology: Implications for Long Term PD - Steven Guest, MD 2:45 The Role of Aquaporins in Peritoneal Transport and Ultrafiltration - Steven Guest, MD 3:10 Peritoneal Dialysis Prescription: Case Management and Interactive Discussion - Maria Luongo, MSN, BA, RN; Steven Guest, MD 4:00 Break

[02B] PD Access II2:00-4:00 Presider: Preethi Yerram, MD, MS, FASN2:00 Does Catheter Type, Pelvic Position, and Exit Site Location Matter? - John Crabtree, MD2:20 Exit Site Assessment and Catheter Care Joanna Neumann, BSN, RN2:50 Exit Site/Tunnel Infections: Prevention and Management - Isaac Teitelbaum, MD3:15 When to Remove/Replace the PD Catheter Fredric Finkelstein, MD3:40 Salvage Procedures for Non-functioning PD Catheters John Crabtree, MD4:00 Break

[02C] Clinical Topics2:00-4:00 Presider: Lisa Koester, MSN, RN, CS, ANP2:00 Understanding Bone Mineral Disease in CKD Mary Schira, PhD, RN, ACNP-BC 2:40 New and Old Medications: What are the Indications? Lisa Koester, MSN, RN, CS, ANP 3:20 Update on Anemia Management - Debra Hain, PhD, ARNP-BC, FAANP 3:50 Discussion4:00 Break

[02D] Renal Replacement Therapy: Can We Do Better in Presenting Patient Choices?2:00-4:00Presider: Jeffrey Perl, MD SM, FRCP (C)2:00 Health Care Providers are Objective Thomas Golper, MD 2:20 Health Care Providers are Biased - Joanne Bargman, MD, FRCPC 2:40 Discussion

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[04D] Vascular Access ll4:15-5:30 Presider: Karen Wiesen, MS, RDN, LDN, FNKF4:15 Selecting or Identifying the Right Access for the Right Patient: Beyond the Guidelines Lesley Dinwiddie - MSN, RN, FNP, CNNe4:45 Catheter Care: Best Practices? - Rosa Marticorena, RN, BScN, CNeph5:15 Discussion5:30 Adjourn

[04E] Assisted Home Therapy: What Is the Future for this Therapy?4:15-5:30Presider: Debbie Allen, RN 4:15 Home Assisted Therapy for Home Hemodialysis Page Salenger, MD4:45 Home Assisted Therapy for PD - Matthew Oliver, MD, MHS5:15 Discussion5:30 Adjourn

ADC PROGRAM • SUNDAY, MARCH 17, 2019

[02K] An Update on Volume Assessment in HD 2:00-4:00 Presider: Madhukar Misra, MD2:00 Bio-impedance - Mitchell Rosner, MD 2:30 Relative Blood Volume - Peter Kotanko, MD 3:00 Cardiac/endothelial Biomarkers - Bernard Canaud, MD,

PhD 3:30 Discussion4:00 Break

Break • 4:00-4:15

LATE AFTERNOON SESSIONS

[04A] PD Access III - Optimizing Access Outcomes4:15-5:30 Presider: Preethi Yerram, MD, MS, FASN4:15 Strategies to Optimize PD Access Outcomes Sharon Nessim, MD, MSc 4:45 Role of Telehealth to Manage PD Catheter Problems Susie Lew, MD 5:15 Discussion5:30 Adjourn

[04B] Dealing with Complex and Puzzling Nursing Challenges in the Workplace4:15-5:30Presider: Donna Painter, MSN, RN 4:15 Overview: Evidence-based Framework to Optimize Interdisciplinary Team Performance - Maria Luongo, MSN, BA, RN4:30 Clinical Scenario: Solutions to Prescription Conflicts Maria Luongo, MSN, BA, RN5:00 Clinical Scenario: Working Through Complicated Infection Treatment Regimens - Donna Painter, MSN, RN5:30 Adjourn

[04C] HD Session4:15-5:30Presider: Jay Wish, MD4:15 Twice Weekly HD: Observations from China DOPPS Shuchi Anand, MD 4:45 RRF in Twice Weekly HD- Role in Controlling Secreted Solute Levels - John Daugirdas, MD 5:15 Discussion5:30 Adjourn

ADC PROGRAM • SUNDAY, MARCH 17, 2019

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ADC PROGRAM • MONDAY, MARCH 18, 2019

EARLY MORNING SESSIONS

Breakfast Symposium • 6:45-8:45

Breakfast in Exhibit Hall • 7:00-9:00

[09B] Free Communications (Abstract presentations) 9:00-12:159:00 Potassium Removal With a 1 Meq/L Potassium Bath In Low

Dialysate Volume Home Hemodialysis - Brent Miller, MD9:15 Artificial Intelligence Derived Imminent Hospitalization

Risk in Hemodialysis Patients - Hao Han, MS 9:30 Dialysate Induced Mesothelial Senescence - Protective

Effect of Glutathione - Andrzej Breborowicz, MD, PhD 9:45 Effects of Interferon-λ3 Gene Polymorphic Variants in

Response to HBV Vaccination and Outcome of HBV and HCV Infections in Hemodialysis Patients - Alicja E. Grzegorzewska, MD, PhD

10:00 Different Effect of Uremia and Hemodialysis on Venous and Arterial Endothelial Cells - Andrzej Breborowicz, MD, PhD

10:15 “A Model to Estimate Glucose Absorption in Peritoneal Dialysis: A Pilot Study” - Suman Krishna Kotla, MD

10:30 Break10:45-12:15Presider: Charuhas Thakar, MD10:45 Individual Patient Data Meta-analysis of the Frequent

Hemodialysis Network Trials: Comparing Diurnal and Nocturnal Hemodialysis - Kristine Kubisiak, MS

11:00 Colitis Induces Intraperitoneal Inflammation and Loss of Ultrafiltration During Peritoneal Dialysis - Protective Effect of Hyaluronan - Andrzej Breborowicz, MD, PhD

11:15 The CKD Express© Program: The Value Contribution to Chronic Kidney Disease Care of an Innovative Remote EMR-based Monitoring System - A Vermont Population Health Initiative - Nneoma Agbasi

11:30 Effect of Hemodiafiltration on Sclerostin Level and Bone Specific Alkaline Phosphatase in Comparison with High Flux Dialysis - Magdy El Sharkawy, MD, PhD

11:45 Single Ascending Dose Study of Intraperitoneal Triferic® in Patients on Chronic Peritoneal Dialysis - Raymond Pratt, MD

12:00 Ferric Pyrophosphate Citrate Administered via Dialysate Provides 6.5 Mg of Iron at Each Treatment - Raymond Pratt, MD

[09C] Are You Creating a Culture of Safety for Your Home Patients? 9:00-10:30Presider: Marijo Johnson, BSN, RN, CNN9:00 Establishing and Maintaining a Safe Home Environment: Technical Considerations - Danilo Concepcion, CBNT, CNNT-A, FNKF9:25 Clinical and Training Considerations - Michelle Cassin, RN9:50 When Enough Becomes Enough in Home Dialysis Robert Pauly, MD, MSc10:15 Discussion10:30 Break

[09D] Patient Education 9:00-10:30Presider: Lesley Dinwiddie, MSN, RN, CNNe 9:00 What Patients Need to Know about Their Dialysis Access Dori Schatel, MS 9:20 Fluid Balance - LaVonne Burrows, APRN-BC, CNN 9:40 Preparing for Emergencies and Disasters - Glenda Payne, MS, RN, CNN 10:00 Vaccination: What Are the Recommendations? Harold Manley, Pharm D10:20 Discussion10:30 Break [09E] Telehealth in Nephrology9:00-10:30Presider: Michael Kraus, MD9:00 Telehealth in Nephrology: Overview Michael Kraus, MD9:05 Telehealth and Regulation in Nephrology Practice Linda Upchurch, MBA, MHA9:20 Providing a Continuum of Care in CKD Through Telehealth - Emaad Abdel-Rahman, MD, PhD9:50 Measuring Quality and Impact of Telehealth Services Susie Lew, MD10:10 Panel Discussion: Future Directions of Telehealth in Nephrology - Susie Lew, MD; Emaad Abdel-Rahman, MD, PhD, FASN; Linda Upchurch, MBA, MHA10:30 Break

[09F] Patient-Centered Start to PD 9:20-10:30 9:20 Assisted PD - Matthew Oliver, MD, MHS9:45 Urgent Start - Arsh Jain, MD10:10 Incremental PD - Joanne Bargman, MD, FRCPC10:30 Break

Break • 10:30-10:45

LATE MORNING SESSIONS

[10E] Workshop: Non-infectious PD Complications10:45-12:00Presider: Sharon Chinnock, BSN, RNJoanna Neumann, BSN, RN This is a fun and interactive session that will focus on the diagnosis and management of non-infectious complications in peritoneal dialysis including inflow and outflow problems, pneumoperitoneum, abdominal leaks, hernias, etc. The discussion will center on the etiologies, manage-ment and outcomes. Be prepared to participate!!

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ADC PROGRAM • MONDAY, MARCH 18, 2019

[02J] Fellows Forum2:00-5:30 Special Lecture2:00 Motivating and Sustaining Scientific Interest Among Nephrology Fellows - Christopher McIntyre, MBBS, DMFellows Presentations Judges: Christopher McIntyre, MBBS, DM; Robert Taylor, MD2:30 Gasstric Mucosal Calcinosis - Sri Lekha Tummalapalli, MD2:45 A Case of Calciphylaxis in a Patient on PD Involving the PD Catheter Site - Vineet Veitla, MD3:00 An Uncommon Cause of Unilateral Pleural Effusion and Upper Extremity Edema in a Dialysis Patient Ahmad Ziadeh, MD3:15 An Unusual Case of Hepatomegaly in a Patient on PD Sarah McCloskey, MD3:30 AV Fistula, Even a Rose has Thorns, Severe Orthostasis after AV Fistula Creation - Mohammad Abuzeineh, MD3:45 Becoming a Centenarian after a Decade of Dialysis Initiation: What Are the Odds? - Nattawat Klomjit, MD4:00 Break4:15 Can Hypertonic CRRT Protocols Affect Development of Cerebral Edema after Prolonged Cardiac Arrest? A Treatment Paradigm - Jorge O.Chabrier-Rosello, MD4:30 Treatment of Severe Hypercalcemia Using Calcium-free Fluid in CRRT - Prerna Kumar, MD4:45 Stage 4 CKD Secondary to Bladder-Ureter Reflux Sergio Vazquez Olvera, MD5:00 Intradialytic Pacemaker Programming to Increase Ultrafiltration Tolerance: A Case Report Gustavo Leal Alegre, MD5:15 Judges Discussion, Winner Announced5:30     Adjourn

[02L] PD Session2:00-4:00 Presider: Kunal Chaudhary, MD 200 Hypertension in PD Patient - Ramesh Saxena, MD, PhD, FASN2:20 Hypotension in PD Patient - Laura Hesemann, MD, MSCI, FASN2:40 Management of Coronary Artery Disease in PD Patients, Including CABG - Kul Aggarwal, MD 3:00 NOACs (Newer oral anticoagulation) in Dialysis Patients, Benefits and Risks - To be determined 3:20 24-hour Ambulatory BP Monitoring – Is It Underutilized in Dialysis Patients? - Ramesh Saxena, MD, PhD, FASN3:40 Sudden Cardiac Deaths in PD/HD Patients Peter Van Buren, MD, MSCS 4:00 Break

[10F] Update on Renal Transplantation10:45-12:00Presider: Cynthia Russell, PhD, RN 10:45 Bariatric Surgery: Is It Appropriate as Prep for Renal Transplant? - Christie Gooden, MD11:15 Are Your Patients Well Prepared for Kidney Transplant? Venkatesh Kumar Ariyamuthu, MD, FASN11:45 Discussion12:00 Lunch

[10G] An Update on Phosphorous Management 10:45-12:00 Presider: Robert Lockridge, MD10:45 Modeled Daily Absorbable Phosphorus and Protein Catabolic Rate, Relationship to Patient Dietary Questionnaires - John Daugirdas, MD 11:15 Hyperphosphatemia: ‘Why It’s Often Not the Patient’s Fault’ - Richard Sherman, MD12:00 Lunch

[10H] Patient-Centered Outcomes in PD 10:45-12:15 10:45 SONG PD - Jenny Shen, MD 11:10 Depression, Anxiety and Burnout in PD Rajnish Mehrotra, MD, MS 11:35 Symptom Management in PD - Eric Wallace, MD12:00 Discussion12:15 Lunch

12:00-1:00 • Lunch

[12B] Luncheon Session: Learn From Your Colleagues Panel Discussion: Practical Solutions to Practical Problems in Dialysis12:00-1:00Moderator: Debra Hain, PhD, ARNP-BC, FAANPPanelists: Maria Luongo, MSN, BA, RN; Karen Wiesen, MS, RDN, LDN, FNKF; Tushar Vachharajani, MD, FASN; Brent Mill-er, MD; LaVonne Burrows, APRN-BC, CNN, John Crabtree, MDAttendees of this session will have the opportunity to network with experienced Dialysis practitioners, hear case presentations and ask questions about dialysis issues including: Patient Care Management, Ultrafiltration, Infections, Technical Issues, Home Therapies, PD and Vascular Access, Nutrition, etc.

AFTERNOON SESSIONS

[01B] Poster sessions • 1:00-2:00

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ADC PROGRAM • MONDAY, MARCH 18, 2019

NAC SessionsPeritoneal Dialysis in North America9:00 am-5:30 pm

[02Q] Patient-Centered Choices/Transitions in Therapy2:00-4:00 2:00 Debate: PD vs Home HD

• Pro Home HD - Joel Glickman, MD • Pro PD - Annie-Claire Nadeau-Fredette, MD, MSc

2:30 Discussion2:40 Round Table 1- How to Integrate Home HD with PD Moderator: Peter Blake, MB, FRCPC Panelists: Jeffrey Perl, MD, SM, FRCP (C); Rajnish Mehrotra, MD, MS; Anjali Saxena, MD; Joanne Bargman, MD, FRCPC; Martin Schreiber, MD3:10 Transitional Units: The Next Frontier - Martin Schreiber, MD 3:30 Round Table 2 - How to Build Your PD Program with Transitional Units Moderator: Peter Blake, MB, FRCPC Panelists: Jeffrey Perl, MD, SM, FRCP (C); Rajnish Mehrotra, MD, MS; Anjali Saxena, MD; Joanne Bargman, MD, FRCPC; Martin Schreiber, MD4:00 Break

[04H] Home Dialysis Machines2:00-5:30 Presider: Robert Lockridge, MD2:00 Fresenius 2008K@Home - Robert Kossmann, MD 2:15 NxStage System One - Jose Molina, MBA2:30 Outset - Tablo - Luis Alvarez, MD, PhD2:45 Physidia S3 - Steve Haupt, MBA3:00 Quanta SC+ - Paul Komenda, MD, MHA3:15 Wearable Artificial Kidney (WAK) - Victor Gura, MD3:30 Summary and Discussion - Robert S. Lockridge, MD3:45 Demonstration of the devices5:30 Adjourn

4:00-4:15 Break

LATE AFTERNOON SESSIONS

[04F] Peritonitis II 4:15-5:30 Presider: Kathryn Renee Williams, BSN, RN, CNN 4:15 Peritoneal Fluid Analysis and Result Interpretation: Implications for Care - Isaac Teitelbaum, MD4:45 Repeat, Recurrent, Relapse: Differences and Treatment Recommendations - Anjay Rastogi, MD, PhD 5:15 Discussion5:30 Adjourn

[04G] Dialysis in Low-Resource Countries4:15-5:30Presider: Debra Hain, PhD, ARNP-BC, FAANP 4:15     Hemodialysis: Dialysis Access and Sustainability John Ball, MD4:50     Saving Young Lives – PD for AKI - Fredric Finkelstein, MD5:20     Discussion5:30     Adjourn  

[02M] Clinical Nutrition in CKD2:00-4:00 Presider: Lisa Gutekunst, MSEd, RD, CSR, CDN2:00 UPDATE: 2018 KDOQI Nutrition Guidelines Laura Byham-Gray, PhD, RDN2:45 Eating on Dialysis: Myths and Facts - David St Jules, RD, PhD3:30 Summary and Clinical Application Lisa Gutekunst, MSEd, RD, CSR, CDN3:45 Discussion4:00 Break

[02N] Panel Discussion: Dilemmas when Clinical Practice Guidelines Do Not Support Patient-Centered Care2:00-4:00Moderator: Jo Ann A. Otts, DNP, RN, NEA-BC Patient-centered care is being respectful of, and responsive to individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions. BUT, what if safety and effectiveness is compromised or the burden of over-utilizing healthcare resources is depriving other patients? Participate in this discussion and hear what some of your colleagues have experienced to address such situations. 2:00 Overview - Jo Ann A. Otts, DNP, RN, NEA-BC 2:20 My Patient Refuses to have AVF/AVG: What Should I Do? - Jo Ann A. Otts, DNP, RN, NEA-BC2:50 My Patient Wants to Continue Home Dialysis, but the Interdisciplinary Team does not feel it is Safe Glenda Harbert, ADN, RN, CNN, CPHQ 3:20 My Patient is Always Fluid Overloaded and Misses Dialysis Treatments on a Regular Basis Debra Hain, PhD, ARNP-BC, FAANP4:00 Break [02O] Patient Based Applied Physiology Workshop I 2:00-4:00PD Prescription Writing, Adjusting for Electrolytes, Including Sodium, Calcium and Phosphorus Control, Solute Clearance and Ultrafiltration - Ramesh Khanna, MD; Raymond T. Krediet, MD

[02P] Peritonitis Challenges2:00-4:00 Presider: Kurt Tarwater, MD2:00 Top 10 Mistakes in Treating PD Peritonitis Jeffrey Perl, MD, SM, FRCP (C) 2:20 PD Peritonitis Four Decades Later – What Has Changed? - Thomas Golper, MD2:40 Peritonitis Prevention Strategies – What are the Benefits and Tradeoffs? - Gautam Phadke, MD 3:00 Peritonitis with Atypical Organisms - Gurwant Kaur, MD3:20 Discussion

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ADC PROGRAM • MONDAY, MARCH 18, 2019

9:00 Welcome - Sharon Nessim, MD, MSc; Jenny Shen, MD 9:05 NAC-ISPD Presidential Address: What Does Patient- centered Care Mean for PD - Anjali Saxena, MD

[09F] Patient-Centered Start to PD 9:20-10:30 9:20 Assisted PD - Matthew Oliver, MD, MHS9:45 Urgent Start - Arsh Jain, MD10:10 Incremental PD - Joanne Bargman, MD, FRCPC10:30 Break

[10H] Patient-Centered Outcomes in PD 10:45-12:15 10:45 SONG PD - Jenny Shen, MD 11:10 Depression, Anxiety and Burnout in PD Rajnish Mehrotra, MD, MS 11:35 Symptom Management in PD - Eric Wallace, MD 12:00 Discussion12:15 Lunch

[02Q] Patient-Centered Choices/Transitions in Therapy2:00-4:00 2:00 Debate: PD vs Home HD

• Pro Home HD - Joel Glickman, MD • Pro PD - Annie-Claire Nadeau-Fredette, MD, MSc

2:30 Discussion2:40 Round Table 1- How to Integrate Home HD with PD Moderator: Peter Blake, MB, FRCPC Panelists: Jeffrey Perl, MD, SM, FRCP (C); Rajnish Mehrotra, MD, MS; Anjali Saxena, MD; Joanne Bargman, MD, FRCPC; Martin Schreiber, MD3:10 Transitional Units: The Next Frontier Martin Schreiber, MD 3:30 Round Table 2 - How to Build Your PD Program with Transitional Units Moderator: Peter Blake, MB, FRCPC Panelists: Jeffrey Perl, MD, SM, FRCP (C); Rajnish Mehrotra, MD, MS; Anjali Saxena, MD; Joanne Bargman, MD, FRCPC; Martin Schreiber, MD4:00 Break

[04M] Common Myths in PD Practice 4:15-5:30 4:15 Myths Related to PD Patient Selection - Peter Blake, MB, FRCPC 4:35 Myths Related to PD Infection - Sharon Nessim, MD, MSc 4:55 Myths Related to Surgical Procedures in PD Patients Jeffrey Perl, MD, SM, FRCP (C) 5:15 Discussion/Conclusion5:30 Adjourn

[04I] Patient-Based Applied Physiology Workshop II 4:15-5:30Icodextrin Physiology Explained - Ramesh Khanna, MD; Raymond T. Krediet, MD

[04J] Accreditation for Dialysis Facilities: What, Why and How? 4:15-5:30 Presider: Camille May, RN, CNNGlenda Payne, MSN, RN, CNN; Jennifer Vavrinchik, MSN, RN, CNNThe recently passed Dialysis Access Improvement Act would give dialysis clinics the option to seek certification from an ACCREDITATION ORGANIZATION and will allow dialysis care facilities to utilize similar accreditation processes available to other Medicare providers.

What is “DEEMED STATUS?” What are the benefits of choosing accreditation, what is the impact on dialysis facilities, how is an accreditation survey different from a state survey? What is the cost? Join this session to get answers to these questions and more!

[04K] Roundtable Discussion: Dialysis in the Era of Digital Medicine: Are We Ready?4:15-5:30 Panelist: Peter Kotanko, MD; Lens Usvyat, MD, PhD; Bernard Canaud, MD, PhDThis novel session will address topics like, artificial intelligence and support decision tools for nephrologist and/or caregiver, learning and improving care from big data etc. in a round table format [04L] Compare and Contrast Various Home Dialysis Therapies 4:15-5:30Presider: John Van Stone, MD4:15 Small and Middle Molecule Clearances in PD vs HHD Andrew Davenport, MD 4:35 Peak Concentration Hypothesis Explained John Daugirdas, MD 4:55 APD vs CAPD - Electrolytes Removal Kurtis Tarwarter, MD 5:15 Do Home Therapy Patients Require Less ESA, Phosphate Binders and BP Medications? - Brent Miller, MD 5:30 Adjourn

[04M] Common Myths in PD Practice 4:15-5:30 4:15 Myths Related to PD Patient Selection - Peter Blake, MB, FRCPC 4:35 Myths Related to PD Infection - Sharon Nessim, MD, MSc 4:55 Myths Related to Surgical Procedures in PD Patients Jeffrey Perl, MD, SM, FRCP (C) 5:15 Discussion/Conclusion5:30 Adjourn

NAC SessionsPeritoneal Dialysis in North America9:00 am-5:30 pm

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ADC PROGRAM • TUESDAY, MARCH 19, 2019

EARLY MORNING SESSIONS

[08A] Cardiac Arrhythmias in HD Patients 8:00-10:00Presider: Richard Sherman, MD8:00 Key Messages from the MiD Study Prabir Roy-Chowdhary, MD 8:30 The Role of Implantable Defibrillators - Greg Flaker, MD 9:00 Reducing the Risk of Arrhythmias during Dialysis by Adjusting Dialysate Composition - Suhail Ahmad, MD 9:30 Discussion

[08B] Peritonitis III 8:00-10:00 Presider: Jeannine Farina, MSN, RN, CNN 8:00 Creating a Culture of Infection Prevention in PD Alicia Neu, MD8:35 A Review of the ISPD Guidelines: A Closer Look Ann Mancini, RN, MSN, FNP 9:50 Discussion10:00 Break

[08C] Clinical Topics 8:00-10:00 Presider: Donna Painter, MSN, RN8:00 Incremental Dialysis: Can It Make a Difference for Residual Renal Function? - Emaad Abdel-Rahman, MD, PhD, FASN 8:45 Dialysis Recovery Time: Implications for Care Wael Hussein, MBBS, MSc, MRCPI 9:15 Medicaid Expansion: The Affordable Care Act and Kidney Care Outcomes - Yoshio Hall, MD, MS 9:45 Discussion

[08D] Survey Preparedness: Is Your Dialysis Facility in Compli-ance with CMS Requirements? Presented in Cooperation with the National Renal Administra-tion Association (NRAA)8:00-10:00 Presider: Deborah Cote, MSN, RN, CNN, NE-BC8:00 Update: CMS Survey and Regulations Affecting Dialysis Facilities - Deborah Cote, MSN, RN, CNN, NE-BC8:25 Strategies to Reduce Anxiety Regarding Surveys: How to Prepare the Interdisciplinary Team - Kim Deaver, MSN, RN, CNN 8:50 Emergency Preparedness: Are you in Compliance with CMS Regulations? - Bridget Pfaff, MS 9:15 Practical Tips in Developing POC to Correct Deficiencies - Julie Williams, BSA 9:40 Discussion10:00 Break

Break • 10:00-10:15

LATE MORNING SESSION

[10I] Plenary Session: Are We Doing Enough to Assist Vulner-able Patients with Broad Social Needs? Recommendations for Integrating Social Determinants into Clinical Care and Delivery Settings 10:15-12:00 Moderator: Yoshio Hall, MD, MSThe American Bioethicist Edmund Pellegrino stated, “No matter what happens in the social, political, or cultural milieu, a universal reality in the predicament of illness imposes obligations on anyone who professes to be a healer. Across history, culture, and nation, ill persons are vulnera-ble, dependent, nervous, fearful and exploitable.” How are we address-ing these issues in nephrology?10:15 Overview - Yoshio Hall, MD, MS 10:45 Panel Discussion to address selected social issues including patients who are uninsured or underinsured, undocumented patients, mentally ill and or those rejected by most facilities and patients traveling who require care while in transit. Panelist: Henry Quinones, MD; Joseph Berger, MD; Anupkumar Shetty, MD, FASN; Nubia Torres12:00 Adjourn

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SYMPOSIUM ON PEDIATRIC DIALYSIS

SUNDAY, MARCH 17

LATE MORNING SESSION [10J] Session I - Hot Topics I10:45-12:15 Presiding: Alicia Neu, MD; Nonnie Polderman, RD10:45 Food Insecurity in Dialysis Patients - Michelle Starr, MD, MPH11:15 Dialysis in Special Conditions (e.g., ARPJD) Franz Schaefer, MD11:45 PD Adequacy Guidelines: What’s New Bradley Warady, MD

[10A] Barbara Prowant Lectureship: Nursing Keynote10:45-12:00 Presiders: Leonor Ponferrada, BSN, BSHM, RN, CNN; Shirley Farrah, PhD, RN-BC Patient Safety and Patient Safety Culture: Foundations of Excellent Healthcare - Beth Ulrich, EdD, RN, FACHE, FAAN AFTERNOON SESSION Session II - Pediatric Breakout Luncheons (Lunch Provided)12:15-1:15 Note: Pediatric MD’s who are not fellows will be invited to network in the main luncheon hall. A separate area will be reserved for Pediatricians.

• [12C] Fellows Luncheon and Dialysis Competency Exam Presider: John Mahan, MD

• [12D] Pediatric Advanced Practice Providers Luncheon Presider: Jessica Geer, MSN, C-PNP, CNN-NP

Using the Transformational Advanced Professional Practice Model - Elizabeth Elliott, PhD

• [12E] Pediatric Nurses Luncheon Presider: Helen Currier, MA, BSN, RN, CENP, CNN

Learn from Your Colleagues: Practical Solutions for Practical Problems

- Emergency Preparedness - Pam Heise, RN • [12F] Pediatric Renal Nutrition Luncheon

Presiding: Rosanne Woloschuk, RD Nutrition Hot Topic #1 - Reflecting on Practice: Pediatric

Renal Nutrition Calculations - Kirsten McFadyen, RD; Nonnie Polderman, RD

[01C] Faculty Guided Tours of the Pediatric Posters 1:15-2:00

[02R] Session III - Pediatric Dialysis Keynote Addresses 2:00-4:00 Presiders: Bradley Warady, MD; Helen Currier, MA, BSN, RN, CENP, CNN 2:00 Update on Myocardial Stunning During Hemodialysis Christopher McIntyre, MBBS, DM 2:45 The Social Media Revolution in Nephrology Education Joel Topf, MD 3:30 Best Abstract #1: Continued Reduction in Peritonitis Rates in US Pediatric Dialysis Units: Results of the SCOPE Collaborative - Alicia Neu, MD 3:45 Best Abstract #2: Can Online Clearance Monitoring (OCM Kt/V) Substitute for Monthly Laboratory Kt/V Measurement in Pediatric Hemodialysis Patients? Arulkumar Natarajan, BSc, PGDDT, 4:00 Break

[02S] Pediatric Nutrition Symposium I 2:00-4:00Presiders: Kirsten Thompson, MPH, RDCD2:00 There’s an App for That - Molly Vega, MS, RDN, CSP, CSSD, LD3:00 Magic in the Measures: Tools, Types, and Techniques Leah Oladitan, PG Dip, RD, CSP, LD4:00 Break

Break • 4:00-4:15

LATE AFTERNOON SESSION [04N] Session IV - The Value of Disease-Specific Camping – Our Most Important Work4:15-6:00 Presiding: Bradley Warady, MD; Haridas Thankappan, MBA, BSN, RN, CNN, CPHQ4:15 Medical Preparedness and the Role of the Camp Medical Director - Raymond Quigley, MD4:50 Common Psychosocial Issues Associated with Disease- Specific Camping - Robin Davis, CCLS5:25 Camp Operations: From Set up to Day-to-Day Amy Nau, MSN, MBA, BS, RN, CNN6:00 Adjourn

[04P] Pediatric Nutrition Symposium II4:15-6:00 Presider: Nonnie Polderman, RDMindfulness - Maggie Murphy, PhD, RD, LD, FAND

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SYMPOSIUM ON PEDIATRIC DIALYSIS

MONDAY, MARCH 18 EARLY MORNING SESSIONS [08E] Session I - Transition is a Team Sport 8:00-10:00 Presiders: Jessica Geer, MSN, C-PNP, CNN-NP; Bradley Warady, MD8:00 The Patient Perspective - Allison Tong, PhD8:30 The Pediatric Dialysis Provider Perspective Cozumel Pruette, MD9:00 The Internal Medicine Dialysis Provider Perspective Joseph Ghata, MD9:30 Panel Discussion Panelist: Jessica Geer, MSN, C-PNP, CNN-NP; Allison Tong, PhD; Cozumel Pruette, MD; Joseph Ghata, MD

[08F] Pediatric Nutrition Symposium III8:00-10:00Presider: Nonnie Polderman, RDFluid Management in the Pediatric Renal Patient Cherry Mammen, MD; Kirsten McFadyen, RD

Break • 10:00-10:15

LATE MORNING SESSIONS [10K] Session II - Vascular Access for the Long Haul: Preservation and Restoration 10:15-12:25 Presiders: Steven Alexander, MD; Haridas Thankappan, MBA, BSN, RN, CNN, CPHQ10:15 Successful Save the Vein Programs - Cynthia Wong, MD; JoLynn Grimes, RN, BSN10:50 Opening Chronically Stenotic Vascular Access – Extending Life - Henri Justino, MD11:25 Best Abstract #3: Reduction of Catheter-Associated Blood Stream Infections in Children on Chronic Hemodialysis: Results from the SCOPE Collaborative Olivera Marsenic11:40 Best Abstract #4: Peritoneal Fluid Expression of Antimicrobial Ribonucleases in Chronic Peritoneal Dialysis Patients During Peritonitis - Neha Pottanat, MD 11:55 Best Abstract #5: Vitamin D Insufficiency and Bone Findings in Pediatric Patients with Severe Acute Kidney Injury on Prolonged Continuous Renal Replacement Therapy - Peace Imani, MB, ChB12:10 Best Abstract #6: Higher Normalized Protein Catabolic Rate Is Associated with Mortality in Pediatric Patients Receiving Continuous Renal Replacement Therapy Molly Wong Vega, MS, RDN

[10L] Pediatric Nutrition Symposium IV10:15-12:15 Presider: Kirsten Thompson, MPH, RDCD10:15 Food Insecurity…The RD Perspective Maggie Murphy, PhD, RD, LD, FAND 11:15 The Calcium Conundrum: When, What and How to Give Calcium in Pediatric CKD/ESRD - Jessica Tower, MS, RD, LD

AFTERNOON SESSIONS Session III – Pediatric Breakout Luncheons12:25-1:15

• [12G] Pediatric Dialysis Nursing Luncheon FOKUS (Fluid Overload and Kidney Injury Score T) Ayse Arikan, MD

• [12H] Pediatric Advanced Practice Provider Luncheon Presider: Jessica Geer, MSN, C-PNP, CNN-NP

The APP’s Role in Establishing a Transition Program Tamara Hill, MSN, DNP, CRNP-AC

• [12I] Pediatric Renal Nutrition Luncheon Presider: Rosanne Woloschuk, RD How to Guide: Intradialytic Intralipid - Kirsten Thompson, MPH, RDCD

• [12J] Pediatric Dialysis, MD (Fellows and Attendings) Networking Luncheon Presider: Alicia Neu, MD New CMS Rules for E&M and Telehealth Coding and Documentation: Is It Good News for a Change? Mark Joseph, MD

[01D] Faculty Guided Tours of the Pediatric Posters 1:15-2:00

[02T] Session IV - Workshop on Continuous Renal Replacement Therapy (CRRT) – Part 1 2:00-4:00Presiders: Jordan Symons, MD; Theresa Mottes, MSN, RN, CPNP-AC, CDN2:00 The Epidemiology of Acute Kidney Injury (AKI) Raj Basu, MD, MS, FCCM3:00 Prescribing and Monitoring CRRT - Michael Zappitelli, MD3:30 Current AKI Research - Ayse Arikan, MD 4:00 Break

[040] Session V - Workshop on Continuous Renal Replacement Therapy (CRRT) – Part 24:10-5:10 Presiding: Kirsten Thompson, MPH, RDCD; Alicia Neu, MD4:10 Nutrition for the Pediatric CRRT Patient Molly Vega, RD, MS, RDN, CSSD, CSP, LD4:40 Quality Improvement for CRRT: The Time is Now Theresa Mottes, MSN, RN, CPNP-AC, CDN5:10 Adjourn

[05A] Tour of the Center of Pediatric Dialysis at Children’s Medical Center, Dallas5:30-6:30

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SYMPOSIUM ON PEDIATRIC DIALYSIS

TUESDAY, MARCH 19

EARLY MORNING SESSIONS [08G] Session I: Education Strategies: Simulation 8:00-9:30 Presiders: Helen Currier, MA, BSN, RN, CENP, CNN; Raymond Quigley, MD8:00 Mastering Simulation - Kelly Wallin, MS, RN, CHSE8:45 Simulation Demonstration: How to Do It Theresa Mottes, MSN, RN, CPNP-AC, CDN [09G] Session II - Hot Topics II 9:30-10:30 Presiding: Steven Alexander, MD; Helen Currier, MA, BSN, RN, CENP, CNN9:30 Infection Prevention - Cheri T. Grigg, DVM, MPH, DACVPM10:00 Standardized Outcomes in Nephrology (SONG) Allison Tong, PhD [09H] Pediatric Nutrition Symposium V9:30-10:00 Presider: Rosanne Woloschuk, RDProtein: Quality and Quantity - Leah Oladitan, PG Dip, RD. CSP, LD; Jessica Tower, MS, RD, LD

Break • 10:30-10:45

LATE MORNING SESSION[10M] Session III: My Favorite Paper10:45-12:00Presiders: Steven Alexander, MD; Haridas Thankappan, MBA, BSN, RN, CNN, CPHQ10:45 Clinical Nephrology/Dialysis - Meredith Atkinson, MD11:00 AKI - Raj Basu, MD, MS, FCCM11:15 Nursing - Tamara Hill, MSN, DNP, CRNP-AC11:30 CRRT - Ayse Arikan, MD11:45 Nutrition - Amanda Stavinoha, MS, RD, CSR, LD12:00 Adjourn

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IMPORTANT INFORMATION

PHYSICIANSThe 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, based on the preliminary agenda, the following hours of AMA PRA Category 1 Credit(s)™:• 39th Annual Dialysis Conference (March 17-19) up to 22 hours• 30th Annual Symposium on Pediatric Dialysis (March 17-19) up to 20.99 hours• Challenges in Home Hemodialysis Management (March 16) up to 8.25 hours• Peritoneal Dialysis Mangement: Challenges & Opportunities (March 16) up to 8.67 hours• Fundamentals of Extracorporeal Therapy (March 16) up to 6.83 hours• The Fundamentals of Dialysis in Children (March 16) up to 8.08 hours• Technician Program (March 17) up to 8.83 hoursPhysicians should only claim credit commensurate with the extent of their participation in the activity.

NURSESThe University of Missouri Sinclair School of Nursing is an approved provider of continuing education by the Midwest Multistate Division, an accredited approver by the American Nurses’ Credentialing Center’s Commission on Accreditation.

Midwest Multistate Division Provider Number MO 1019-7.

This approval is reciprocal in all states and for all specialty organizations that recognize the ANCC approval process. Contact Hours will be awarded for the following offerings, based on the preliminary agenda:• 39th Annual Dialysis Conference (March 17-19) up to 21.83 hours• 30th Annual Symposium on Pediatric Dialysis (March 17-19) up to 20.99 hours• Challenges in Home Hemodialysis Management (March 16) up to 8.25 hours

• Peritoneal Dialysis Mangement: Challenges & Opportunities (March 16) up to 8.66 hours• Fundamentals of Extracorporeal Therapy (March 16) up to 6.83 hours• The Fundamentals of Dialysis in Children (March 16) up to 8.08 hours• Technician Program (March 17) up to 8.83 hours

SOCIAL WORKERSThe Program has been submitted to the University of Missouri, School of Social Work - credit pending.

CERTIFICATESA certificate of attendance can be downloaded and printed at the time you complete your online evaluation.

ACCREDITATION

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ACCREDITATION

POSTER SESSIONS • SUNDAY, MARCH 17 & MONDAY, MARCH 18

ACCESS

# Educational Flipcharts to Improve Patient’s Understanding of Arteriovenous Fistula Creation - Jugjeet Aywal, PM

# Association between Serum Complement Anaphylatoxin C5a and Thrombotic Events in Patients Receiving Maintenance Hemodialysis - Haitham Ezzat, MD

# Comparison of Outcomes after Tunneled Cuffed Catheter Insertions into the Femoral Vein and Internal Jugular Vein for Hemodialysis - Rie Fujishima, MD

# Comparison of Outcomes after Tunneled Cuffed Catheter Insertions into the Femoral Vein and versus Internal Jugular Vein for Hemodialysis - Rie Fujishima, MD

# Is Graft Elongation Effective in AVG Failure? A Five-center Investigation in Japan - Masahito Miyamoto, MD, PhD

# Diagnosis and Treatments of Infections in Arteriovenous Graft of Hemodialysis Patients: A Single-center Retrospective Study - Shina Sueki, MD

# Functional Assessment of the Peritoneal Catheter by Ecocolordoppler - Roberto Summa, MD

# Multidisciplinary Approach to Remove Barriers to Increase AVF/AVG in Incident Hemodialysis Patients - Sijie Zheng, MD, PhD, FASN

ACUTE RENAL FAILURE

# Incidence of AKI in HCV Infected Patients Receiving DAAs - Haitham Ezzat, MD

# Peritoneal Dialysis in a Patient with Acute Kidney Injury and Thrombocytopenia in the Course of Sepsis and Liver Cirrhosis - Case Report - Alicja E. Grzegorzewska, MD, PhD

# Treatment of Severe Hyperkalemia and Hyponatremia Using Continuous Venovenous Hemodialysis - Prerna Kumar, MD

# A Prospective Randomized Double-blind Controlled Trial of the Effect of Two Intraoperative Systolic Blood Pressure Levels on Postoperative Acute Kidney Injury - Macaulay Onuigbo, MD, MSc, MBA

# Blood Compatibilities of Various Membranes for Continuous Renal Replacement Therapy - Konomi Togo, PhD

ADEQUACY

# Safety and Adequacy of NxStage® Home Dialysis Machine Providing Acute Dialysis in a Rural Hospital - Mirjana Dimitrijevic, MD

# Hemodialysis Prescription Outcomes in HD Patients in Egypt - Magdy Elsharkawy, MD, PhD

# Urea Clearance Results in Patients Dialysed Thrice Weekly Using a Dialysate Flow Rate of 300 ML/min - Luis Alvarez, MD

CALCIUM

# Prevalence of Vascular Calcification in Predialysis Diabetic Chronic Kidney Haitham Ezzat, MD

# Treatment of Severe Hypercalcemia Using Calcium-Free Fluid in Continuous Renal Replacement Therapy: A Case Report - Prerna Kumar, MD

CLINICAL EXPERIENCES

# Management of Hydrothorax after Peritoneal Dialysis - Enrique Acosta, MD

# Blood Pressure Stability in Patients Dialyzed on the Tablo® HD System - Luis Alverez, MD

# Omental Wrap: Radiographic Diagnosis Confirmed Surgically - Richard Amerling, MD

# Removing the Additional Flush from the Peritoneal Dialysis Transfer Set Procedure - Pon Anantiyo, RN, MBA

# De Novo MPGN Pattern of Injury with CMV Viremia - Ezzideen Barjes Alrawi, MD

# Logistics of International Travel on Peritoneal Dialysis - Keyla Davila-Marcano, MD

# Effects of Intradialytic Exercise on Hemodialysis Efficacy and Function in Patients with End Stage Renal Disease - Barbara Ehrmann, DPT

# Effect of Hemodialysis on Visual Acuity And Intraocular Pressure In Patients with End Stage Renal Disease - Haitham Ezzat, MD

# Remote Patient Monitoring and Longevity on Peritoneal Dialysis - Linda Ficociello, DSc

# Incidence and Etiology of Falls in a Rural Dialysis Unit - Eric Haugen, MD

# Study of the Relation of Degree of Tubulo-interstitial Fibrosis in Renal Biopsies to Estimated Glomerular Filtration Rate Creatinine Based, Cystatin Based and Combined Cystatin and Creatinine Based Equations - Mohamed Ibrahim, MD, PhD

# Memory Changes in Non Elderly Stable Prevalent Hemodialysis Patients - Mohamed Ibrahim, MD, PhD

# Catheter Repair by the Nephrologist’s Forefinger for Catheter Dysfunction: Experiences at Two Centers - Kaori Kohatsu, MD

# Systematic Review & Meta-Analysis Comparing Cardiovascular Outcomes by Dialysis Modality - Matthew Lozier, MD

# Peritoneal Function with Low GDP Peritoneal Dialysis Solution - Misaki Moriishi, MD

# The Effect of Initial Dialysis Modality in Peritoneal Dialysis on Technique and Patient Survival - Hironori Nakamura, MD

# Symptomatic Icodextrin Right Pleural Effusion from Suspected Pleuroperitoneal Communication: The Utility of Simultaneous Biochemical Fingerprint Analysis of Drained Pleural Fluid and Peritoneal Dialysis Fluid - Macaulay Onuigbo, MD, MSc, MBA

# Automated Peritoneal Dialysis as a Substitutive Emergency Therapy in Subject With Factor V of Leiden - Fulvio Sammartino, MD

# Study the Response of Qurevo (Ombitasvir, Paritaprevir and Ritonavir) in End Stage Renal Disease Patients with Hepatitis C Virus infection - Iman Sarhan, MD

# Transcatheter Mitral Valve Repair for Severe Mitral Regurgitation in a Patient Undergoing Hemodialysis - Hirotaka Sato, MD

# Preserved Peritoneal Function by Short-term Two-day Peritoneal Rest. A Preliminary Study in Peritoneal Dialysis and Hemodialysis Combination Therapy Patients - Atsushi Ueda, MD, PhD

# Electrolyte-Related Events in US Veterans with Dialysis-Dependent ESRD and Hyperkalemia - Steven D. Woods, PhamD

# Improvement of Clinical Symptoms by Applying Pre-dilution On-line Hemodiafiltration with Various Commercial Diafilters - Akihiro Yamashita, PhD

# Re-embedding Peritoneal Dialysis Catheters: A New Approach - Sijie Zheng, MD, PhD, FASN

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ACCREDITATION

POSTER SESSIONS • SUNDAY, MARCH 17 & MONDAY, MARCH 18

METABOLISM

# Efficacy of L-carnitine Supplementation for Improving Lean Body Mass and Physical Function in Patients on Hemodialysis - Masanori Abe, MD, PhD

# Effect of Peritoneal Dialysis for Over 3 Years on Change in Visceral Fat Area: A Single Center Experience - Mari Ikeda, MD

# Beneficial Role of Hybrid Therapy with Hemodialysis and Peritoneal Dialysis on Uremic Toxins and Dialysis Modality - Yukari Kikuchi, RN

# Peritoneal Dialysis Patient Experiences Rapid Response to Intraperitoneal Nutrition Resulting in Improved Nutrition and Quality of Life after Several Months of Therapy - Stephanie Paul, RN

QUALITY IMPROVEMENT

# Healthcare Outcomes and Utilization for Uninsured Patients with End Stage Renal Disease in a Safety-Net Hospital: An Evaluation to Support Improvement Planning - Kavita Bhavan, MPH

# Hypokalemia Prevalence and the Management in Peritoneal Dialysis Patients in Qatar - Mohammed Ezzat Hussain, MD

# Peritoneal Dialysis Modality: Engaging Staff to Enhance Competency to Improve Patient Satisfaction and Outcome Chechamma George, RN, BSN

# Relationships Between Use of an Electronic Patient Care Plan and Health Markers in Dialysis Patients - Hao Han, MS

# Comparison of QOL between Peritoneal Dialysis Patients and Peritoneal Dialysis Patients Who Additionally Undergo Hemodialysis Once a Week - Etsuko Harada, RN

# Cellulose Triacetate Membrane has Longer Circuit Life than Polysulfone Membrane in CRRT after Cardiac Surgery - Naoya Kamae

# Simple Hand-made Simulator for the Peritoneal Dialysis Surgical Training. - Takefumi Mori, MD, PhD

# Patient Satisfaction is Superior in Combination Therapy with Peritoneal Dialysis and Hemodialysis over Conventional Hemodialysis - Hironori Nakamura, MD

PEDIATRICS

# Not Your Typical, Atypical HUS - Joseph Alge, MD# Pediatric Peritoneal Dialysis Cycler Training on the AMIA Cycler

Misty Amweg, BSN, RN, CPN # Real Estate Management in Dialysis - Christine Bakhoum, MD# Acute Kidney Injury from Acetaminophen Toxicity - Shanthi

Balani, MD# Optimization of Blood Pressure Management in Pediatric Patients

on the Baxter AMIA Peritoneal Dialysis Cycler - Brandy Begin, BSN, RN, CNN

# IP Vancomycin Dosing for PD Associated Peritonitis: Should Guidelines Be Changed? - Nadine Benador, MD

# The Effects of Education on Cannulation Experience in the Pediatric Dialysis Population - Kaitlyn G. Campbell, BSN

# Incorporating the Pediatric Malnutrition Screening Tool into our Monthly PD Clinic Visits as an Alternate Method to using Serum Albumin as a Nutritional Marker per CMS Guidelines - Dallas Carnahan, MS, RD, CSP, LD

# Promoting Renal Diet Adherence Utilizing a “Red Light/Green Light” Renal Menu among Pediatric Dialysis Patients - Gabriel Clement, RN, MSN, CNN

DIALYSIS

# Remote Control of Automated Peritoneal Dialysis Utilizing Two-dimensional Barcode. - Takuo Hirose, PhD

# Cycler with Graphic User Interface Enhances Training Effectiveness - John Snowwhite, RN, BSN

# Influence of Module Diameter on the Flow Condition in Dialysate Fluid - Narumi Tomisawa, PhD

# Effect of Electric Charge of the Dialysis Membrane on the Transport of Charged and Non-charged Molecules - Akihiro Yamashita, PhD

HOME DIALYSIS

# Teaching Self-Cannulation for Home Hemodialysis Patients: Keys to Success - Sylvia Donato-Moore, BSN, RN, CNN

# Roadmap to a Successful PD Program - Dreama Kelly, RN # A Recent Success: Home Hemodialysis Training in Norway’s

Largest Dialysis Unit - Helga Skaare, MD # Hospitalizations before Conversion from Home to In-center

Hemodialysis - Eric Weinhandl, PhD, MS # The Kidney Disease Education Benefit and Home Dialysis

Utilization - Eric Weinhandl, PhD, MS # Self-Care Deficit: Concept Analysis of Theory in Nursing

Yunique Wilson, RN, BSN # “Home Sweet Home” Assisted Home Hemodialysis Program in

a Subacute Care Facility for ESRD Patients with Tracheostomy Sijie Zheng, MD, PhD

INFECTION & INFLAMMATION

# Ewingella Americana Peritonitis in a Patient on Peritoneal Dialysis: A Case Report - Christina Chemmachel, MS, APRN, ACNPC-AG

# Association of Circulating Sclerostin Levels with Carotid Artery Atherosclerosis and Endothelial Function In Prevalent Haemodialysis Patients - Haitham Ezzat, MD

# Eradication of Relapsing/Repeat Coagulase- Negative Staphylococcal Peritonitis: A Multipronged Approach - Claudia-Denise Haivas, MD

# Peritonitis in a Peritoneal Dialysis Patient Due to Moraxella Osloensis and Staphylococcus Epidermidis - Haruka Harano, MD

# Secondary Peritonitis Related to Mucormycosis in a Peritoneal Dialysis Patient: A Case Report - Soken Hattori, MD

# Direct Antivirus Agents Therapy Reduce Beta2 Microglobulin Levels of the Hemodialysis Patients With Hepatitis C Virus Infection - Minoru Ito, MD

# Incidence and Risk Factors Associated with Calciphylaxis in Patients with End Stage Renal Disease and Hemodialysis Treatment - Bogdan Matei, MD

# 9 Years Infection Control in Buttonhole using the Scrubber Technique - Stuart Mott, BS

# Short Catheter Lock and Post-Antibiotic Effect: A New Way to Treat Peritoneal Infection with Aminoglycosides - Dominique Pagniez, MD

# Management of Peritoneal Catheter with Tunnel Infection from Pseudomonas A. - Fulvio Antonio Sammartino, MD

# Showering in Hemodialysis Catheter Patients: Risk of Infection and Catheter Protection Products - Rachel Snyder, BS

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ACCREDITATION

# Mindfulness-based Virtual Reality App For Youths on Dialysis: Lessons Learned from a Pilot Study - Katharine Dahl, PhD

# Coordinating En Masse Patient Move on CRRT - Anthony De Jesus, BSN, RN

# Long Term Outcomes of Tunneled Hemodialysis Catheters in Pediatric Patients Maintained on Chronic Hemodialysis - Juan Delgado, MD

# Practical Approach to Home PD Training Utilizing an Operational Model Mary Duffy, RN, BSN, CPN

# Ace The Space to Improve Care in Pediatric Dialysis Patients Maryann Duva, MBA, BSN, BS, RN, LHRM, CPN

# Dyspnea and Cough in an 11-year-old Female with ESKD with Crescentic GN - Rim El Chaki, MD

# Pediatric Peritoneal Dialysis Survival Rate and Outcomes after Libyan Civil War: 5 Years Developing Country Experience Muhammed Elhadi,

# Paving the Road to Discharge for Inpatient Peritoneal Dialysis Patients - Michelle Espiritu, RN, MSN

# HD Line Management in a 3yo Boy - Christina Farkas, MD# Protocol to Prevent Hypocalcemia after Parathyroidectomy for

Children with Tertiary Hyperparathyroidism on Dialysis - Sahar Fathallah-Shaykh, MD

# An Unusual Pathogen Causing PD Peritonitis - Kristen Favel, MD# Peritoneal Catheter Erosion after Three Years on Peritoneal

Dialysis - Jessica Greco, MD# Difficult to Control Hypercalcemia in a Peritoneal Dialysis

Patient - Meredith Harris, MD# Operations 360° -Creating Operational Excellence within a

Pediatric Dialysis Unit - Kelly Hoover, MSN-BC, RN # Renal Replacement Therapy in Pediatric Patients after

Continuous-Flow Ventricular Assist Device Implantation: Unique Challenges - Alexandra Idrovo, MD

# Intermittent Rash in a Patient with Polycystic Kidneys on Peritoneal Dialysis - Katherine Jones, MD

# Use of Cinacalcet in Patients Under 5 Years of Age with End Stage Renal Disease - Catherine Joseph, MD

# Management of Pediatric Hemodialysis Patients during Hurricane Harvey - Marisa Juarez, MPH

# Analysis of Bio Impedance Spectroscopy in Children Undergoing Peritoneal Dialysis - Pratichi Kadam, MD

# Study of Two Different Methods of Blood Purification, Both Performed Simultaneously on Newborn Babies Weighing 3kg - Yuki Kanayama, MS

# Dental Education and Care Initiative in Children on Dialysis - Nicole Kelley, MSN, RN, CPNP

# Azotemia in a Hemodialysis Patient - Sara Kibrom, MD# Hypernatremia in a Continuous Renal Replacement Therapy

Patient - Jill Krissberg, MD# Dialysis School Teacher to Help Protect Pediatric Hemodialysis

Patients’ Federal Rights to Free and Appropriate Public Education Patricia Lawson, MEd

# Improving Pediatric Dialysis CLABSI Rates after Joining SCOPE Collaborative - Gregory Lewis, RN, BSN

# Improving Competency Assessment for Pediatric Nephrology Nurses: Utilizing Donna Wright’s Competency Assessment Model - Paul Lomas, BSN, RN, CNN

# Acquired Hypothyroidism in a 3 yo on Cycler Peritoneal Dialysis Sudha Mannemuddhu, MD

# Feasibility and Acceptability of Music Therapy in Pediatric Hemodialysis Unit - Rebekah Martin, MT-BC

# Acute Onset Abdominal Pain in a Peritoneal Dialysis Pediatric Patient - Ahmad Mashmoushi, MD

# Using the A3 Quality Improvement Approach to Decrease Peritonitis Rates in the Outpatient Pediatric Setting - Lonisa Mccabe, RN, BSN, CNN

# Reflecting on Current Clinical Nutrition Prescription Practice Kirsten Mcfadyen, RD

# Unexplained Hyperparathyroidism in an Infant on Peritoneal Dialysis - Nadia McLean, MD

# HD Case Report - Kumail Merchant, MD# Diagnostic Challenges of Appendicitis in a Pediatric Patient with

Culture-Negative Peritonitis - Tahagod Mohamed, MD# Fluid Removal Rate in Pediatric Patients During Hemodialysis

Tyson Moore, MSN, APRN, FNP-C# PD Catheter Mishap - Heather Morgans, MD# Anemia in the Chronic Kidney Disease Patient - Ejiki

Oluwadamilola, MD# Meet and Greet: A Welcome Strategy to Ease Transition from

Inpatient to Outpatient Pediatric Hemodialysis - Vivien Paquia, BSN, RN, CNN

# Patching the Leak: Surgical Management of Hydrothorax using VATS in Pediatric CCPD Patients - Yonique Petgrave, MD

# Atypical Presentation of Infection Associated Hemolytic Uremic Syndrome - Auda Plaud, MD

# Developmentally Appropriate Hemodialysis Machine to Promote Positive Coping and Mastery Over Uncontrollable Environment Amanda Porter, MS, CCLS

# An Ophthalmologic Finding Leads to Discovery of Rare Renal Failure Cause Ashley Rawson, MD

# Risk Factors Associated with Frequent Hemodialysis Catheter Exchanges in Pediatric End Stage Renal Disease - Eric Rosenfeld, MD, MPH

# Hypermagnesemia in a Child on Peritoneal Dialysis - Ibrahim Sandokji, MD

# Use of GlitterBug® Ultraviolet Light in Pediatric Peritoneal Dialysis Jennifer Spies, BSN, RN, CPN

# Not All Milky PD Fluid is Concerning - Elizabeth Spiwak, MD# The Quality of Life Journey from Dialysis to Transplant in Pediatric

End-Stage Renal Disease Patients - Poyyapakkam Srivaths, MD # Anemia in End-Stage Renal Disease Secondary to Granulomatosis

with Polyangitis - Douglas Stewart, MD# Trouble Shooting Renal Replacement Therapy in a Preterm Infant

Emily Stonebrook, MD# Actigraphy Assessment of Sleep Quality in Children with End Stage

Renal Failure on Dialysis - Katie Sullivan, MD # Multifocal Uremic Tumoral Calcinosis in a Child with ESRD on

Continuous Cycling Peritoneal Dialysis - Hua Sun, MD# Using the AMIA Cycler to Improve Patient Experience and

Satisfaction for Pediatric Peritoneal Dialysis Patients - Karri Taylor, MN, BSN, RN, CPN

# Operant Learning Improves Fluid Overload in Children on Chronic Hemodialysis - Avram Traum, MD

# Persistent Hyperammonemia Despite Continuous Renal Replacement Therapy - Amanda Uber, DO

# Update: Multidisciplinary Approach to Control Core Bone Mineral Metabolism Outcomes in Pediatric Hemodialysis Patients - Linda Walker, RD, CSP, CD

# World Wide Experience with Peritonitis in Children: A Report from the International Pediatric Peritoneal Dialysis Network Bradley Warady, MD

POSTER SESSIONS • SUNDAY, MARCH 17 & MONDAY, MARCH 18

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Demo the latest innovations we’re pioneering through DaVita Home Dialysis Connect™, including our Home Remote Monitoring platform and telehealth capabilities.

Learn more about telehealth visits, a multi-way video capability within the DaVita® Care Connect app that supports communication between physicians, patients and care teams.

Visit DaVita.com/Innovation for more information. © 2019 DaVita Inc.*Nephrology News & Issues, July 2018.

Join the Leader in Home Therapies*Visit us at booth #503 to learn more about the DaVita® difference.

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