3rd ERA-EDTA CME COURSE
Long-Term Post Transplantation Care :
Pathogenesis and Management of Long Term Cardiovascular and Metabolic Complications in Renal Transplantation
What the Non Transplant-Nephrologists Should Know?
1st April 2010 – Bordeaux, France
On behalf of the scientific committee, we are pleased to announce the organisation of the the 3rd ERA-EDTA CME Course in France on April 1st 2010 in Bordeaux.
The Scientific Committee has taken great care to prepare a high-quality and varied programme that will incorporate the latest developments and idea in basic science, transitional and clinical science, to be presented in the form of lectures followed by roundtable.
Although short-term kidney graft survival has improved in recent years, the focus has shifted to the challenge of improving long-term graft survival. Acute rejection, chronic allograft nephropathy, and cardiovascular disease are associated with graft loss and patient death. Reducing the potential for such post-transplantation complications may improve long-term graft survival.
In addition, gaining a better understanding of the role that various immunosuppressive therapies have in decreasing the risk for graft injury will help clinicians make better-informed decisions about appropriate treatment regimens for individual kidney transplant recipients.
Improvements in transplantation practices, immunosuppressive agents, and management of comorbid conditions have led to better outcomes for kidney transplant recipients. Transplantation has become the treatment of choice for patients with end-stage renal disease (ESRD). This has resulted in continued growth in the number of patients living with a functioning kidney allograft as a percentage of the total ESRD population. Community nephrologists are the logical choice to assume responsibility for the post transplantation care of these patients after discharge from transplant centers when they are stabilized. These patients require long-term follow-up care, which already is straining the limited resources of transplant centers.
Optimal management of kidney transplant recipients depends on regular interactive communication between the patient’s community nephrologists and the transplant center. Open communication will not only facilitate the initial transition of care, it also will decrease the frequency of referrals back to the transplant center.
In an ideal situation, the transplant center and community nephrologists would develop and discuss plans for discharge and transition of care for the individual patient before the actual kidney transplantation. Important issues for effective communication include exchanges in laboratory results and kidney function, pretransplantation and posttransplantation comorbid conditions, surgical complications, or adverse effects of medications, modifications to immunosuppressive therapy or other medications, recurrent hospitalizations or emergency care, and exchanges in biopsy results.
Last but not the least, the surrogate anatomopathologic marker of long term complications, i.e the - Interstial Fibrosis/Tubular Atrophy (IF/AT), the new definition of Chronic Allograft Nephropathy (C.A.N.)
will be the driver of this 3th French CME course.
We aim to target this medical event to young nephrologists, nephrologists involved in the long term follow up of renal transplant patients in coordination with the renal transplant center.
The aims of ERA-EDTA CME COURSE are to :
• Provide an update related to long term cardiovascular and metabolic complications in Renal Transplantation
• Gather the key opinion leaders in the field of “long term cardiovascular and metabolic complications in Renal Transplantation”
• Give the opportunity to participant to share experience (1) between nephrologists from renal transplant patients and community nephrologists and (2) between nephrologists from different european countries
During this congress we will mainly discuss on the controversies, recent advances and last recommendations given by international invited speakers. Please find bellow the program of this CME.
SCIENTIFIC PROGRAM
ERA-EDTA Coordinators : Dr G. London , Pr Y. Lebranchu
Coordinators : Pr P. Lang, Dr J-L. Bouchet
8h30 : Registration
9h00 : Opening Lecture
Long term complication in RT versus short term complications
Dr M. Essig, PU-PH Service de Néphrologie, Hémodialyse, Transplantations du CHU de Limoges, France
9h20 : Contribution of the new histologic classification (IF/TA, Interstial Fibrosis/Tubular Atrophy) :
What the non Renal transplantation nephrologists should know ?
Dr S. Lepreux, Service d'Anatomie Pathologique, Hôpital Pellegrin-Enfants, CHU Bordeaux, Bordeaux, France
9h40 : Risk Factors of IF/TA (Interstial Fibrosos/Tubular Atrophy) ?
Pr G. Mourad, CHU Montpellier, Montpellier, France
10h00 : Insight on humoral chronic rejection with anti-donor antibodies
Pr P. Merville, Transplantation, Service of Nephrology, Hôpital Pellegrin - UMR-CNRS 5164, CHU de Bordeaux, Bordeaux, France
10H30: COFFEE BREAK
Coordinators : Dr M. Giral (tbc), Pr C. Combe
11h00 : Epithelial-mesenchymatosis transition and renal fibrosis
Pr D. Glotz, Service of Nephrology and Transplantation, Hôpital Saint-Louis, Paris, France
11h30 : Genomics and proteomic of CAD : Myth or Reality ?
Gene Polymorphisms and CAD: Have they been helpful ?
Pr E. Thervet, CHU Paris-Necker, Paris, France
12h00 : How to manage long-term immunosuppression in 2010?
Dr D. Abramovicz, Nephrology Department, Hopital Erasme, Université Libre de Bruxelles, Brussels, Belgium
12H30 : LUNCH
Coordinators : Pr D. Glotz, Dr G. London
14h00 : Metabolic Syndrome and Coronary Arterial Disease
Pr C. Wanner, Department of Medicine, Division of Nephrology, University Hospital Wuerzburg, Germany
14h30 : Infections after kidney transplantation
Dr N. Kamar, Praticien Hospitalier, Service of Nephrology, Dialyse and Transplantation Multi-Organes, CHU Rangueil, Toulouse, France
15H00 : COFFEE BREAK
Coordinators : Pr L. Rostaing , Pr E. Cassuto
15h30 : Atherome and Immunogenicity : myth or reality?
Dr D. Ducloux, Service of Nephrology, Centre Hospitalier Universitaire Saint Jacques, Besançon, France
16h00 : What should be an optimal CV check up for the donor and the recipient ?
Dr Armando Torres, Service of Nephrology, Hospital Universitario de Canarias, Tenerife, Spain.
16h30 : Conclusion and Perspectives
Scientific Secretary
Agence TAKAYAMA
15 Rue de La Paix - 75002 Paris
Tél. 01 55 04 77 55 - Fax : 01 55 04 77 57
takayama-conferences@orange.fr
