Annie-Claire Nadeau-Fredette, M.D., and Joanne M. Bargman, M.D.; Eduardo Alas, M.D., and Mark Unruh, M.D., M.S.
Dr. Nadeau-Fredette is Home Dialysis Fellow, The Home Peritoneal Dialysis Program, University Health Network, and Dr. Bargman is Professor of Medicine, University of Toronto, Toronto, Canada; Dr. Alas is Assistant Professor, and Dr. Unruh is Solomon, Gardner & Sterling Chair, Chief of Nephrology, Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, NM.
Within the past 12 months, Drs. Alas and Nadeau-Fredette report no commercial conflict of interest; Dr. Bargman has been a consultant to Amgen, been on the Speaker’s Bureau for Amgen and DaVita Healthcare, and received grant/research support from Baxter Healthcare; Dr. Unruh has received grant/research support from Dialysis Clinic, Inc.
Albert Einstein College of Medicine, CCME staff, and interMDnet staff have nothing to disclose.
This activity is certified for nephrology, primary care (internal medicine and family practice), pediatrics, and for all HCPs interested in the treatment of patients with chronic kidney disease. This CME activity has been peer-reviewed by Ladan Golestaneh, M.D., M.S., Associate Professor of Medicine, Renal Division, Albert Einstein College of Medicine Montefiore Medical Center, Bronx, New York
This activity is made possible by an unrestricted educational grant from Baxter International Inc.
Estimated course time: 1 hour(s).
Albert Einstein College of Medicine – Montefiore Medical Center designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In support of improving patient care, this activity has been planned and implemented by Albert Einstein College of Medicine-Montefiore Medical Center and InterMDnet. Albert Einstein College of Medicine – Montefiore Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Upon completion of this Cyberounds®, you should be able to:
Identify ESRD patients who may benefit from home hemodialysis (HHD) or home peritoneal dialysis (PD)
Discuss and apply clinical guidelines for home-based dialysis
Manage any comorbidities (e.g., ↓nutritional status, frailty, ↓physical fitness) associated with ESRD and apply clinical measurements to assess patient response to HHD/PD
Identify barriers (e.g., deficient housing accommodations) to HHD/PD as well as possible remedies/adjustments.