wednesday 26th aprilbritishrenal.org/wp-content/uploads/2017/04/brs-2017...programme manager aims:...
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Co-Chairs: Helen Hurst and James Burton Programme Planning Committee: Harriet Williams, Paula Ormandy, Maarten Taal, Karen Jenkins, Ken Farrington, Louise Wells, Simon Ball, Roger Moore, Mick Kumwenda, Fiona Loud, Neluka Weerasooriya, Emily Horwill, Rob Lewis, Sharlene Greenwood, Alice Higgins
Wednesday 26th April
09:00 – 09:30
EMCC Registration and coffee for RNG members only
09:30 – 10:15
EMCC BDA Renal Specialist Group AGM (RNG members only)
10:30 – 12:00
EMCC
RNG Shared learning - facilitated discussion 1 and 2 Choice of topics: (You will be asked to choose 4 out of the following topics for discussion during these sessions)
Dietetic services to MDT low clearance clinic
Dialysis biochemistry review meetings
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Moving forward with patient resources – who is using what (internet and app resources)
Renal dietetic team leaders/managers challenges and threats to dietetic funding
MDT patient management eg joint physio and dietetic weight management clinics
Use of nutrition screening tools
Doing dietetic audit and research as part of your clinical role
Patient and public in improving dietetic services and research ideas
12:00 -13:00
Exhibition Hall Registration for all BRS conference delegates Exhibition open – Lunch available
13:00-14:00
Plenary Room Conference Opening Chair: Maarten Taal and Simon Ball Developing services to improve care – why other people resist your brilliant ideas and change, and what to do about them! Speaker - Steve Andrews: Associate Director Leadership & Change, East & North Hertfordshire NHS Trust
14:00-15:30
Plenary Room CPD: Patient Involvement Focus on the ‘How to’ get patients involved Positives and negatives Facilitator: Rick Fielding Speakers - TBC and patient representative
Studio 1 Industry Sponsored Symposium MDT management of ADPKD in the era of JINARC® (tolvaptan) Speakers: Grahame Wood, Consultant Renal Physician,
Studio 2 Industry Sponsored Symposium Patient management in advanced chronic kidney disease: Achieving optimal care Chair: Sir John Cunningham, Consultant
EMCC RNG Shared learning - facilitated discussion 3 and 4 Choice of topics:
Dietetic services to MDT low clearance clinic
Dialysis biochemistry review meetings
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Brian Gracey - Patient Representative Experience of Contributing to Service Design Cassie Brzoza - Patient Representative Feeling Empowered and Being Part of a Research Patient group Group Discussion
. Learning Outcomes:
To understand the value of patient participation to improve patient experience and clinical outcomes
To learn how to engage individuals and patient groups to participate in their care
To know how to work with patient groups to improve clinical services
Salford Royal NHS Foundation Trust Elizabeth Houghton, Clinical Nurse Specialist, Royal Free London NHS Foundation Trust Hayley Wells, Principle Renal Transplant and Urology Pharmacist, Guy’s and St Thomas’ NHS Foundation Trust, London
Sponsored by Otsuka
Nephrologist, The Royal Free Hospital, London Speakers - Professor David Wheeler, Honorary Consultant Nephrologist, Professor of Kidney Medicine, The Royal Free Hospital, London Sheila Johnson, Renal Nurse, The Royal Free Hospital, London Dr Lina Eliasson, Principal, Divisional Lead Europe at ICON Plc Sponsored by Vifor Fresenius Medical Care Renal Pharma UK Ltd
Moving forward with patient resources – who is using what (internet and app resources)
Renal dietetic team leaders/managers challenges and threats to dietetic funding
MDT patient management e.g. joint physio and dietetic weight management clinics
Use of nutrition screening tools
Doing dietetic audit and research as part of your clinical role
Patient and public in improving dietetic services and research ideas
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15:30-16:00
Exhibition Hall Coffee Break
16:00 – 17:30
Plenary Room Delivering the Research Strategy Chairs: Paula Ormandy and Phil Kalra Improving the structure of UK Renal Research with collaborative partnerships Speaker - Phil Kalra: UKKRC Chair, Consultant Nephrologist, Salford Royal Hospitals NHS trust Developing MDT research capability, networks and patient participation Speaker - Paula Ormandy: BRS Vice President Research, Professor, University of Salford Bridging the Gap - Improving research delivery
Studio 1 Industry Sponsored Symposium
Growing a home dialysis programme: are there inequalities in the choice of treatments and systems?
Why are few patients receiving Home HD today? Speaker: Dr Sunita Nair - Clinical Lead Home dialysis Therapy - Shrewsbury and Telford Hospital NHS Trust
Can technology improve patient choice for Home HD? Speaker - Dr Shashidhar Cherukuri: Clinical Director - The Royal Wolverhampton NHS Trust
Studio 2 Industry Sponsored Symposium The challenges of hyperphosphataemia management Chair: Professor David Goldsmith The aim of this session is to present new evidence on the management of hyperphosphataemia. To investigate the impact of non-adherence on patients and resources. Introduction Speaker: Professor David Goldsmith To treat or not to treat: The Spirit study Speaker: Professor Alistair
EMCC Share main ideas and learning points: how can the RNG help to move these ideas forward Group facilitator: Harriet Williams, Chair of the RNG
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and accelerating access to treatment through partnership working Speaker - Michael Nation: Development Director, Kidney Research UK Identifying variation and supporting research with UK Renal Registry data examples Speaker - Stephanie MacNeill: Research Fellow in Medical Statistics, UK Renal Registry, University of Bristol KQuIP update – Research for Quality Improvement Speaker - TBC Exemplars of successful projects: PIVOTAL - research collaboration with industry Speaker: Iain MacDougall, Consultant Nephrologist,
Why should more patients be given the choice of home HD? Speaker - Janet Walker: HD Specialist Nurse Salford Royal NHS Foundation Trust
How Home HD fits into our family life Speaker - Giulietta Whitmore: Nxstage Patient
Sponsored by NxStage Medical
Hutchison Why do people non –adhere? An Evidence review Speaker: Professor David Goldsmith Adherence: a Dietitian’s point of view Speaker TBC Adherence: a Patient’s point of view Speaker: Patient Representative Panel Discussion Facilitated by Professor David Goldsmith Summary & Close Professor David Goldsmith Sponsored by Vifor Fresenius Medical Care Renal Pharma UK Ltd
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Lead for Renal Research and Development, Kings College Hospital NHS Trust NuRture -industry partnership working Speaker - Maarten Taal, BRS President, Professor of Medicine, Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham Honorary Consultant Nephrologist, Royal Derby Hospital Evaluating a programme to spread eGFR graph reporting - enablers and challenges Speaker - Professor Nicki Thomas, Professor of Kidney Care, London South Bank University
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17.30-19.00
Exhibition Hall Welcome Reception in Exhibition (all) Speakers’ Dinner 19:30-21:30 – (Invited attendees)
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Thursday 27th April
08.00 REGISTRATION
09.00 – 10.30
Plenary Room Keynote Address Chairs: Helen Hurst and James Burton Transforming the patient experience by bridging the inequality divide within the NHS Speaker - Ruth Passman: Deputy Director and Lead for Equality and Health Inequalities, NHS England Oral Abstract Presentations O01 - Acute Kidney Injury days or time to recovery a novel sensitive metric for AKI improvement Prasanna Hanumapura: Central Manchester Foundation Trust O02 - Socioeconomic Inequalities in community and hospital-acquired AKI Hilda Hounkpatin: University of Southampton O03 - Unequal access to home therapies for ethnic minority groups and people living in socially deprived Areas: Results from UK Renal Registry Matthew Tabinor: Royal Stoke University Hospital
10.30 - 11.05
Exhibition Coffee Break
11.05 - 12.35
Moving Care Closer to Patients
CPD: Access to Vascular Access
Introducing Creativity in Patient Care
Inequalities and Barriers to Accessing
Workshop Finding your future in
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Chairs: Tanya Barnes and Paula Ormandy Improving access to home therapies Speaker - Natalie Borman: Consultant Nephrologist, Portsmouth Shared care Speaker - Martin Wilkie: Consultant Nephrologist, Sheffield Teaching Hospitals On my way home: delivering dialysis in primary care Speaker - James Burton: Honorary Consultant Nephrologist, University Hospitals of Leicester NHS Trust Oral Abstract Presentations
Facilitators: Nicola Thomas, Katie Fielding, Jacqueline Ross and Kristine Paule Learning Outcomes:
To understand the underlying anatomy and physiology of VA
To discuss the complications associated with VA and how to prevent them.
To examine best practice for assessment, monitoring and surveillance of AVF / AVG
Supported by the Renal Nutrition Group Chairs: Fiona Willingham and Harriet Williams BP Management beyond the clinical: a community approach to salt reduction in a Bangladeshi population Speaker - Dr Ione de Brito-Ashurst: Royal Brompton Hospital Oral Abstract Presentations O07 - A Quality Improvement Project to Assess if Innovative Intensive Phosphate Dietary Education Can Help Reduce Phosphate Levels to the Recommended Range
Renal Psychosocial Provision Supported by Renal Psychologists Network, Renal Social Workers and Renal Psychological Services Groups Chairs: Emma Coyne and Amanda Bevin Mapping of current renal psychosocial provision in UK Speaker - Emma Coyne: Consultant Clinical Psychologist, Nottingham University Hospitals NHS Trust Barriers and how they may be overcome in practise to ensure person centred care - case studies. Speakers - Gillian Chumbley: Psychotherapist/ Renal
research Chairs: Helen Hurst and Kate McCarthy With representatives from CLAHRC: Carrie Hunt Research Fellow HEE: Bill Campbell Assistant Director KRUK: Elaine Davies Research Director BRS: Research Committee NIHR: Kieran Lee, Senior Programme Manager Aims:
Representatives describing pathways into research
Find out ‘what’s available’
Learn from those who have done it
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O04 - Empowering patients: A 12 Month pilot transformation project for home, self and shared-care haemodialysis John Woods: Central Manchester Foundation Trust O05 - Home dialysis roadshow pilots - A partnership between dialysis units, patients and industry Fiona Loud: British Kidney Patient Association O06 - Provision of in-centre haemodialysis respite sessions for home haemodialysis patients Trina Poleon: Queen Elizabeth Hospital, Birmingham
in a Haemodialysis Population Eileen Duff: Queen Alexandra Hospital O08 - Handgrip strength index predicts survival in haemodialysis patients Tina Dilloway: Imperial College Renal & Transplant Centre, Hammersmith Hospital O40 - Handgrip strength assessment in renal inpatients and evaluation of new UK reference data for clinical application Helena Jackson: St George's University Hospital
Counsellor, Cambridge University Hospitals NHS Foundation Trust, Jeff Cove: Consultant Clinical Psychologist, Royal Free London and Margaret Eyre: Renal Social Worker, City of York Council Addressing the inequalities in psychosocial service provision: what needs to change? Speaker - Amanda Bevin: Renal Counsellor, Kent & Canterbury Hospitals.
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12.35 - 13.20
Exhibition Hall LUNCH
13.00-13.30
Workshop Writing for Publication Journal of Kidney Care
Facilitators: Karen Jenkins, Natasha Devan and Peter Ellis
13.20 - 14.20
Exhibition Hall MODERATED POSTER SESSION
14.30 - 16.00
Plenary Room Plenary Session Chairs: Ken Farrington and Andrea Devaney The National Picture of Care for Older People ‘Making it All Our Business’ Speaker - Martin Vernon: National Clinical Director for Older People and Person Centred Integrated Care Mallick Lecture Keep Calm and Ask the Renal Pharmacist Speaker - Caroline Ashley: Lead Pharmacist Renal Services, Royal Free London NHS Foundation Implementation of the European Guidelines for CKD in Older People Speaker - Ken Farrington: Consultant Nephrologist, Lister Hospital Oral Abstract Presentation: O09 - Decision-making for people with dementia and advanced kidney disease: qualitative findings from the conservative kidney management assessment of practice patterns study Shona Methven: North Bristol NHS Trust
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16.00 - 16.30
Exhibition Hall Coffee Break
16.35 - 18.05
Partnership with patients: the inequality agenda Chairs: Louise Wells and Fiona Loud Kidney Health: Delivering Excellence Achievement through collaboration Speaker - Fiona Loud: Co-chair Kidney Health Partnership and BKPA Embedding patient reported experience into future QI Speakers - Paul Bristow: Director of Marketing and Communications, BKPA and Karen Thomas: Head of Programmes, UK Renal Registry
Access to the best end of life care for kidney patients Chair: Edwina Brown and Mick Kumwenda Supporting patients withdrawing from dialysis Maria Da Silva-Gane: Lead Clinical Counsellor- Renal Medicine, Lister Hospital Oral Abstract Presentations O10 - Haemodialysis patients' understanding and preferences regarding advanced care planning Casey Murray: St
Mind the Gap – Tackling rehabilitation inequalities in kidney care Supported by Renal Rehabilitation Group Chairs: Hannah Young and Ellen O’Connor Welcome Hannah Young Renal Rehabilitation Needs in Pre-Dialysis and Transplant Patients Speaker - Ellen O’Connor: Senior Physiotherapist, Kings College London
Rehabilitation of the Renal Inpatient Speaker - Laura Evans
CPD: Education committee Telemedicine- healthcare in the future? Facilitators: Seema Singh and Kate McCarthy Empowering patients to manage their kidney disease Speaker - Sally Rennison, Patients Know Best Our experience incorporating digital technology in Respiratory medicine Speaker - Dr Mel Wickremasinghe, Consultant in Respiratory Medicine and Anne Marie
Haemodialysis Chairs: TBC O13 – ‘Statistically Significant’ meaningless to the patient! Daniel March: University of Leicester O14 - A service evaluation of in-centre nocturnal haemodialysis programme in Leicestershire Katherine Hull: John Walls Renal Unit, Leicester O15 - Alternate day in-centre haemodialysis - acceptability to renal patients and staff Janine Hawkins: University of Hertfordshire
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Patient Activation and Patient Reported Outcome Measures - Implementation and benchmarking data from the UKRR Speaker - Rachel Gair: Person Centred Care Facilitator, UK Renal Registry ACE – Acceptance, Choice and Empowerment for pre -dialysis patients: Peer Educator based community project Speakers - Maz Ali: Peer Educator Co-ordinator, Kidney Research UK & Heart of England Foundation Trust (HEFT), Jyoti Baharani: Consultant Physician and Nephrologist, Clinical Director, HEFT and
George's University Hospitals NHS Trust O11 - Priorities MDT: A single centre experience of complex decision-making in renal patients approaching end of life Elizabeth Mumford: Royal Free Hospital O12 - Quality of life in frail older people with end stage renal disease - How does dialysis compare with conservative kidney care? Osasuyi Iyasere: John Walls Renal Unit, Leicester Debate: Patients with ESRD for conservative care should not be managed by
An Introduction to Frailty and Rehabilitation in End-Stage Renal Disease Speakers - Hannah Young: NIHR Research Physiotherapist, University Hospitals of Leicester Physiotherapy in Conservative Care- A Functional Challenge Speaker - Lindsey Kilshaw: The Royal Liverpool and Broadgreen University Hospitals NHS Trust Interactive clinical scenarios from a multidisciplinary perspective
Delegates will be encouraged to apply the knowledge gained in the session in
Russell, Clinical Research Fellow National Heart and Lung Institute Telehealth platforms in remote management of Peritoneal dialysis Speaker - Sally Punzalan, Assistant matron Peritoneal Dialysis, Royal London Hospital Learning outcomes
Demonstrate an understanding of telemedicine and the variety of modalities it encompasses
Demonstrate an appreciation for the potential for innovation in healthcare delivery and improving patient experience
O16 - Haemodialysis trigger tool: Our experience over 3 Years after implementation Kelly White: Royal Derby Hospital O17 - Initiating haemodialysis twice weekly may protect native kidney function Raja Mohammed Kaja Kamal: Lister Hospital O18 - P-atients Not P-values: Minimum clinically important difference in the Incremental Shuttle Walk Test and Sit-to-Stand tests following 12 Week exercise intervention in non-dialysis CKD Thomas Wilkinson: Leicester Kidney Exercise Team
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Neerja Jain, Health Improvement Project Manager, Kidney Research UK
Nephrologists For - Lynne Russon: Consultant in Palliative Medicine, Leeds Teaching Hospital Against - Rob Lewis: Lead Research Consultant, Portsmouth Hospitals NHS Trust
interactive clinical scenarios and to apply it to their own areas of practice where applicable Summary Ellen O’Connor
Demonstrate an understanding of the limitations of technology enabled care
19.30 BANQUETING HALL - EAST MIDLANDS CONFERENCE CENTRE CONFERENCE DINNER 19:30 – Drinks Reception 20:00 – Take Seats for Dinner 01:00 – Carriages Dress code: Smart – Black tie optional
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Friday 28th April
07.30 REGISTRATION & COFFEE
08:30- 10.00
Plenary Room Plenary Session Chairs: Karen Jenkins and Sharlene Greenwood Should I just toughen up? How to deal with anti-science Speaker - Esther Crawley: NIHR Senior Research Fellow, University of Bristol Jane MacDonald Lecture Leading the UK Renal Registry through changing times
Speaker - Ron Cullen: Director, UK Renal Registry Oral Abstract Presentations O19 - The impact of Cystatin C-based estimates of glomerular filtration rate on chronic kidney disease diagnosis in Primary Care Adam Shardlow: Royal Derby Hospital O20 - The prevalence of lower level emotional and psychological support needs in patients with end stage renal disease: Results from a multi-centre patient survey Sarah Damery: University of Birmingham O21 - Validation of the UKRR/BKPA chronic kidney disease Patient Reported Experience Measure (CKD PREM) Janine Hawkins: University of Hertfordshire
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10.00 - 11.30
Exhibition Hall Coffee Break MODERATED POSTER SESSION
11.30 – 13.00
BRS / BKPA Research Forum Chairs: Paula Ormandy and Fiona Loud Donna Lamping lecture Renal exercise research: Are we there yet? Speaker - Sharlene Greenwood: Lead Renal Physiotherapist, Kings College Hospital Prescribing patterns at time of AKI and long term outcomes: results from the ARID study. Speaker - Sue Shaw: Renal Pharmacist, Royal Derby Hospital The Renal Inpatient Nutrition Screening Tool (iNUT): A Multicentre Validation Study
Putting transplant first: theory into practice - Supported by the BTS Chairs: Lisa Burnapp and Richard Baker Creating the future: building capacity for transplantation Speaker - Richard Baker: Consultant Nephrologist, Leeds University Hospital Debate This house believes that the quality of deceased donor organs currently available belies the dictum that ‘transplant first’ is the best choice for every patient For - Derek Manas: Professor
Development, implementation and evaluation of a community kidney service Chairs: Kathryn Griffith and Karen Jenkins Setting up and delivering the service Speakers - Neil Ashman: Nephrologist, Barts Health and Sec Hoong: Project Manager, Barts Health Primary pare perspective including development of the trigger tool Speakers - Sally Hull Staff and Patient Education Speakers - Helen Rainey and Nicola Thomas: Nursing Team
Peritoneal dialysis update Chair: Simon Davies and Linsey Worsey Tailoring PD to the needs of the Older Patients Speaker - Edwina Brown: Consultant Nephrologist, Imperial College London PDOPPS update Speaker - Martin Wilkie: Consultant Nephrologist, Sheffield Teaching Hospitals The Challenges of managing and sustaining a large PD program Speaker - Sally Punzalan: Assistant Matron, Royal London Hospitals Oral Abstract Presentations
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Speaker - Helena Jackson: Renal Dietitian, St Georges University Hospital NHS Foundation Trust Would you give a kidney to a stranger? Altruism in a social context Speaker – Lynsey Williams: Qualitative Researcher working at the School of Psychology, University of Plymouth Body Habitus, Physical Activity and Dialysis Requirement Speaker - Sivakumar Sridharan: Acting Consultant Nephrologist, Lister Hospital
of Surgery, Newcastle Against - Simon Ball: Consultant Nephrologist, Queen Elizabeth Hospital, Birmingham Case study: Living donor kidney transplantation: imaginative sharing of kidneys how far can we go? Speakers - Aisling Courtney: Consultant Nephrologist, Belfast and Jen Lumsdaine: Living Donor Coordinator, NHS Lothian Oral Abstract Presentations O22 - A designated young adult service with a youth worker increases engagement of teenagers and young adults with kidney transplants and advanced renal failure, and impacts favourably on clinical outcomes Paul Harden: Oxford Kidney
O37 - A Qualitative Analysis of Patient and Staff Perceived Advantages, Facilitators and Barriers with Regards to Shared-Care Haemodialysis Elizabeth Garthwaite: Leeds Teaching Hospital O38 - How Supportive Are Clinical Teams to Patients Self-Managing? Rachel Gair: UK Renal Registry O39 - Measurement Properties of Patient-reported Outcome Measures Used in Patients with Chronic Kidney Disease: A Systematic Review Olalekan Lee Aiyegbusi: University of Birmingham
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Unit and Transplant Centre O23 - Improving understanding of heath beliefs and immunosuppression adherence in long-term kidney transplant patients through pharmacist-led consultation and medicines optimisation Hayley Wells: Guy's and St. Thomas NHS Foundation Trust
13.00 – 14.00
Exhibition Hall LUNCH
14.00 – 15.00
Patient factors in kidney care and transplantation: latest results from the ATTOM study Chairs: Rommel Ravanan and Simon Ball Socio-demographic Barriers to Living Donor Kidney Transplantation Speaker - Diana Wu: Research
Understanding inequalities in Kidney Care Chairs: Hugh Rayner and Cathy Johnson How do socioeconomic factors affect dialysis outcomes? Lessons from DOPPS Speaker - Hugh Rayner: Consultant Nephrologist, Heart of England NHS
Quality Improvement Chairs: Louise Wells and Rob Lewis Kidney Quality Improvement Partnership (KQuIP)– activity update
Speakers: Louise Wells: Advanced Clinical Specialist Renal Dietitian, York Teaching Hospital NHS
Digital and AKI Oral Abstract session Chair: Helen Hurst and James Burton O24 - Does Gold Standard communication from secondary To primary care following An inpatient's Acute Kidney Injury affect their outcomes at six
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Fellow, University of Edinburgh Understanding inequity in access to transplantation in the UK Speaker - Rishi Pruthi: Registrar, North Bristol NHS Trust Health Literacy prevalence, associations and outcomes in advanced kidney disease Speaker - Dominic Taylor: Research Fellow (ATTOM study), UK Renal Registry, Bristol Quality of life and other patient-reported outcomes following kidney transplantation: Insights from ATTOM. Speaker - Andrea Gibbons: Postdoctoral Research Fellow, Royal Holloway, University of London
Foundation Trust Oral Abstract Presentations - Dialysis O30 - "I'm positive and he's better" - Exploring quality of life during the early stages of dialysis in patients and their primary caregivers: findings from a cross-sectional mixed methods study Currie Moore: University of Manchester O31 – Barriers and facilitators to engaging south Asian haemodialysis patients in psychosocial research Roisin Mooney: University of Hertfordshire O32 - Inequality of dialysis access: lived experiences of people receiving haemodialysis in Nigeria Chidiebere Ekuma: University of Salford
Foundation Trust, Co-Chair KQuIP and Graham Lipkin: Consultant Kidney Specialist, Clinical Vice President of the Renal Association and Co-Chair KQuIP Title TBC Speaker - Sajeda Youssouf KQuIP – Home therapies Speaker - Richard Fluck: Consultant Renal Physician, Derby Teaching Hospitals NHS Foundation Trust
months? Clemency Nye: Gloucestershire NHS Foundation Trust O25 - Effect of acute kidney injury on chronic kidney disease progression and proteinuria: Baseline results from the ARID Study Nicholas Selby: Royal Derby Hospital O26 - Effect Of weekend admission on mortality associated with severe Acute Kidney Injury in England: A propensity score matched, population-based study – Nitin Kolhe: Royal Derby Hospital O27 - Children and young people with CKD: exploring views on desirable components for a developmentally appropriate, care-management App Ruth Nightingale: Great
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Alternative approaches to kidney allocation: what do we stand to gain?
Speaker - Bernadette Li: Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine
O33 – Screening for depression in haemodialysis patients from south Asian backgrounds: findings from the mood on dialysis: ethnically appropriate screening tools (MODEST) study Shivani Sharma: University of Herfordshire O34 - An Interim Analysis of Patient Engagement in The Renal Transplant Clinic Rachel Fraser: Freeman Hospital O35 -Risk prediction for acute kidney injury in acute medical admissions in the UK: the risk study Nicholas Cole: Epson and St Hellier Hospitals NHS Trust O36 - The effect of a 3- month intradialytic exercise programme on the uraemic symptoms and quality of life
Ormond Street Hospital for Children NHS Foundation Trust/University of Leeds
O28 - Exploring the use of remote and digital technology to deliver a streamlined dietetic service to haemodialysis patients Tina Dilloway: Imperial College Healthcare NHS Trust O29 - Using IT to 'Nudge' healthcare professional decision-making and improve patient experience in the advanced kidney disease clinic Partha Das: Sussex Kidney Unit