Geriatric Nephrology in the 21st Century: Challenges and Opportunities

Where: Klamon Room (CNR 8030), Rollins Building, Rollins School of Public Health Claudia Nance, Emory University 1518 Clifton Road, Atlanta, Georgia 30322.
When: Monday, November 7 from 8:00 a.m. to 5:00 p.m.

This one-day symposium examined the challenges presented by the rising population of elderly patients with chronic kidney disease and brought together leading kidney specialists from the U.S. and France to discuss ways to improve outcomes in this growing patient population.
Presentations included discussion of patient demographics and risk factors for development of chronic kidney disease in elderly patients, disparities in access to the renal transplant waiting list, transplant outcomes in the elderly, and options for renal replacement therapies and dialysis vascular access in the elderly, with special emphasis on results from population and clinical studies conducted in France and the U.S.
Speakers included faculty from Emory University, the French National Biomedicine Agency, Lapeyronie Hospital at Montpellier and the French National Institute of Health and Medical Research (INSERM).

PROGRAM OF THE SYMPOSIUM

Session I: Chronic Kidney Disease

- 8:00 a.m.: Introduction
Dr. Monnie Wasse, Assistant Professor, Nephrology, Emory University, Atlanta.
Dr. William M. McClellan, Professor of Medicine, Emory University, Atlanta.

- 8:15 a.m.: The changing demographics of Chronic Kidney Disease: France: Prognostic significance of Chronic Kidney Disease in the elderly: the Three-city Population Study
Dr. Bénédicte Stengel, Inserm U1018, Center for Epidemiology and Population Health Team 10, Epidemiology of Diabetes, Obesity and Chronic Kidney Disease, France.

- 8:40 a.m.: Assessment and Diagnosis of Chronic Kidney Disease in the elderly
Dr. Barrett Bowling, Special Fellow in Advanced Geriatrics Birmingham/Atlanta Geriatric Research, Education, and Clinical Center Instructor Division of Gerontology, Geriatrics and Palliative Care.

- 9:00 a.m.: Risk factors for CKD in elderly patients, France: The Chronic Kidney Disease-REIN Study
Dr. Bénédicte Stengel, Inserm U1018, Center for Epidemiology and Population Health Team 10, Epidemiology of Diabetes, Obesity and Chronic Kidney Disease, France.

- 9:25 a.m.: CDC Kidney Disease Surveillance System
Dr. Laura Plantinga, Assistant Adjunct Professor in the Department of Medicine, Division of General Internal Medicine, University of California San Francisco.

- 9:50 a.m.: Break

- 10:05 a.m.: U.S.: Renal Regards
Dr. Paul Muntner, Professor of Epidemiology, Department of Epidemiology, University of Alabama at Birmingham.

- 10:25 a.m.: Renal concentrating defects in elderly patients
Dr. Jeff Sands, Juha P. Kokko Professor of Medicine, Director, Renal Division, Emory University, Atlanta.

- 10:45 a.m.: Chronic Kidney Disease progression in the elderly: How aggressive should we be?
Dr. Jim Bailey, Director of Emory University Hospital’s dialysis unit, Emory Univeristy, Atlanta.

- 11:05 a.m.: Competing risks: Mortality in elderly patients with Chronic Kidney Disease
Dr. Arlene Chapman, Professor, Medicine: Nephrology, Emory University, Atlanta.

- 11:25 a.m.: Palliative care and advanced Chronic Kidney Disease in the elderly
Dr. Nancy Kutner, Professor, Rehabilitation, Emory University, Atlanta.

- 11:50 a.m.: Lunch

Session II: Dialysis and Transplantation

- 1:15 p.m.: Impact of French transplant program on patient outcomes
Dr. Christian Jacquelinet, Strategy, Transplantation, Agence de la Biomédecine, France.

- 1:35 p.m. : Disparities in access to the transplant waiting list
Dr. Christian Jacquelinet, Strategy, Transplantation, Agence de la Biomédecine, France.

- 2:00 p.m. : Use of the marginal kidney in elderly transplant patients
Dr. Stephen Pastan, Professor, Nephrology, Emory University, Atlanta.

- 2:20 p.m.: In-center hemodialysis of the elderly
Dr. Bernard Canaud, Clinical Director of Nephrology, Dialysis and Intensive Care, Lapeyronnie Hospital of Montpellier, France.

- 2:40 p.m. : Dialysis vascular access in the elderly
Dr. Monnie Wasse, Assistant Professor, Nephrology, Emory University, Atlanta.

- 3:00 p.m.: Break

- 3:15 p.m.: Renal Replacement Therapies in the elderly: U.S. perspective
Dr. Janice Lea, Professor, Nephrology, Emory University, Atlanta.

- 3:40 p.m. : Renal Replacement Therapies in the elderly: Outcomes in France
Dr. Cécile Couchoud, National Coordination for Kidney, Agence de la Biomédecine, France.

- 4:05 p.m. : Home-based dialysis therapies in the elderly
Dr. Lynn Schlanger, Instructor, Emory University, Atlanta.

Session III: Medical Informatics

- 4:25 p.m. : Application of Clinical Informatics in Chronic Kidney Disease
Dr. Mark Braunstein, Associate Director, Health Systems Institute Professor of the Practice, School of Computer Science, College of Computing, Georgia Institute of Technology, Atlanta.


- 4:50 p.m. : Wrap-up

Contact : Jacqueline Signorini, Scientific Attaché, attache-univ.mst@ambascience-usa.org

For more information about France-USA scientific cooperation, see France-science.org

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