The number of patients requiring kidney replacement therapy (KRT) has increased dramatically throughout the world over the last four decades, however there is significant variability in the practice of KRT initiation. Recent evidence has suggested that sub-optimal start to dialysis is associated with poor survival, but the optimal approach for the individual is not clearly defined. As such, decisions concerning the optimal approach will guide timing and preparation for modality selection, appropriate dialysis access and initiation, and ultimately the prescribed and delivered dose of dialysis. The aim is to achieve patient objectives in symptom control, dialysis outcomes and lifestyle.
The KDIGO Controversies Conference on Dialysis Initiation, Modality Choice and Prescription is the first in a series of dialysis meetings which will identify gaps in knowledge and consensus among various stakeholders to provide a blueprint for delivery of optimal contemporary KRT.
The conference will be led by Dr. Carol Pollock, nephrologist and Professor of Medicine, University of Sydney, Northern Clinical School, Kolling Institute of Medical Research, Australia and Dr. Christopher Chan, nephrologist and Professor of Medicine from the University of Toronto, University Health Network, Canada.