MEETINGS & EVENTS
KDIGO BP Controversies Conference
KDIGO Controversies Conference Blood Pressure in Dialysis Patients
Kidney Disease: Improving Global Outcomes (KDIGO®) hosted a two-day controversies conference on “Blood Pressure in Chronic Kidney Disease Stage 5/ Dialysis Patients” in New York City. Fifty nephrologists, cardiologists, and researchers participated in the conference, which began with plenary session presentations reviewing the newest research on the evaluation, natural history, pathophysiology, and clinical management of blood pressure in patients receiving renal replacement therapy. The presentations were followed by focused discussion groups and a consensus-building process resulting in recommendations that will be published in a position statement.
A primary goal of the conference was to review the quality of the available evidence and make a recommendation to KDIGO on the validity and usefulness of developing a clinical practice guideline in this area. The group was also asked to determine if consensus could be reached on specific clinical recommendations that could be included in a position statement and, maybe most importantly, were challenged to outline and prioritize specific research projects that would be most valuable in expanding our knowledge in how to manage blood pressure in CKD Stage 5D.
“What will be the outcome of our gathering?,” asked the KDIGO co-chair and conference leader, Bertram Kasiske, MD during his opening speech. “Will we send a message to clinicians to improve patient outcomes with recommendations, or will we call for more research, or will we decide it is time to update or begin working on a new clinical practice guideline?”
The sessions were moderated by conference co-chairs, Nathan Levin, MD of the Renal Research Institute in New York City and Gérard London, MD of Centre Hospitalier Manhes in Fleury-Mérogis, France.
The full agenda for the conference can be found here. The plenary session presentations included:
- Natural history of low systolic blood pressure and blood pressure changes as an indication of future morbid events.
Peter Kotanko, MD - Hypertension, diabetes, chronic kidney disease and carotid-intima media damage; methods for identification, prophylaxis and management. Blood vessel damage and hypertension; how best to assess endothelial dysfunction? (
2.82MB)
Gérard London, MD - BP measurement, interdialytic hypertension and the role of salt. ( 13.5MB)
Rajiv Agarwal, MD
Rajiv Agarwal, MD presents in NYC. - What is known from clinical trials about optimal drug management of hypertension in CKD Stage V – the role of beta blockers, and various forms of inhibition of the RAAS?
( 5.97MB)
Hermann Haller, MD - How best to control salt overload in hypertension? Dietetic? Aligning dialysate sodium with patient's serum sodium, prohibition of sodium profiling. ( 5.53KB)
Ken Farrington, MD - Non-osmotic sodium in the body; significance and management.
Jens Titze, MD
Jens Titze, MD describes his study. - Hypertension and raised hematocrit, relationship to EPO and volume contraction
( 1.54MB)
Kai-Ewe Eckardt, MD - Hypertension and sleep apnea in CKD Stage 5 ( 5.3MB)
Chris Chan, MD
217KB)
“We are impressed with the focused and productive dialogue that this distinguished group of international experts engaged in during the conference,” said Kai-Uwe Eckardt, KDIGO Co-Chair. “The recommendations that evolved from the discussions will be very valuable for the nephrology community and for the KDIGO Board to consider in planning for future clinical practice guidelines.
Look for the recommendations from the conference to be published in Kidney International in the next year.
The next KDIGO controversies conference will be held in the fall of 2009 to address the topic of “Chronic Kidney Disease: Definition, Classification and Prognosis.”
LETTERS TO KDIGO
Dear KDIGO,
As a first taster of KDIGO I have been impressed by the organisation, the organisation (the former the body, the latter the "on the ground" component) and above all the spirit in which this meeting was conducted. The fact that it was in one of the few truly great global cities was another special bonus.
Whatever it is eventually decided should come out of the meeting, I would be keen to maintain involvement.
My warmest wishes to all,
Dr David J A Goldsmith
Dear KDIGO,
The meeting in NYC was a great experience and I enjoyed our discussions. I am looking forward to the next steps and would like to contribute.
Kind regards,
Hermann Haller
Many thanks for invitation to this excellent meeting. I enjoyed comprehensive lectures, productive discussions and a highly efficient method to develop a consensus statement.
Best regards to all.
Pr Maurice Laville
Dear KDIGO,
It was my first experience in a KDIGO controversies conference and I have
really been impressed by the quality of the program, by the efficiency of
the organization and, last but not least, by the open and deep discussion on
the various important issues addressed.
I would be very interested in remaining involved in future KDIGO activities
and in cooperating in the preparation of possible meeting outcomes.
Best Regards,
Gianfranco Parati
Dear KDIGO,
I would like to thank KDIGO for undertaking the efforts to organize an international controversies meeting on the much debated issue of blood pressure treatment in CKD5. It is indeed a timely undertaking!
Special thanks to Nathan Levin and Gerard London for putting together this interesting group of experts and the interesting and thought stimulating program and also to the KDIGO chairs Kai-Uwe Eckhardt and Bertram Kasiske for their ongoing activities.
Looking back at the meeting I would like to suggest inviting some experts with a special focus on PD to future meetings on this topic.
As all the others, I would very much like to keep involved in these issues.
Best wishes,
Martin Kuhlmann
KDIGO, Controversies
Conference
New York, NY
March 14-15, 2009
KDIGO Conference Leaders
Nathan Levin –
Conference Co-Chair
Renal Research Institute
New York, USA
Gérard London –
Conference Co-Chair
Centre Hospitalier Manhes
Fleury-Mérogis, France
Bertram Kasiske –
KDIGO Co-Chair
Hennepin County Medical Center
Minneapolis, USA
Kai-Uwe Eckardt –
KDIGO Co-Chair
University Hospital Erlangen
Erlangen, Germany
KDIGO Conference Attendees
Rajiv Agarwal George Bakris Ethan Balk Gavin Becker Jeff Berns Peter Blankestijn Michel Burnier Chris Chan Charles Chazot Alfred Cheung Adrian Covic John Daugirdas Peter de Leeuw Tevfik Ecder Garabed Eknoyan Saraladevi Naicker Suzanne Oparil Gianfranco Parati Roberto Pecoits-Filho Josep Redon Miguel Riella Mike Rocco Bernardo Rodriquez-Iturbe |
Yunus Erdem Ken Farrington David Goldsmith Hermann Haller Peter Kotanko Martin Kuhlman Maurice Laville Marcel Lebel Adeera Levin Francesco Locatelli Antonio Santoro Hiromichi Suzuki Jens Titze Yusuke Tsukamoto Nostradola Vaziri Haiyan Wang David Wheeler Andrzej Wiecek Volker Wizemann Carmine Zoccali |
