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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Taiwan has one of the highest incidences of end-stage renal disease (ESRD) worldwide, ranking among the top three globally, which poses a heavy burden on the National Health Insurance system. A major challenge is that many patients lack adequate understanding of renal replacement therapies (RRT), leading to insufficient preparation. As a result, they often require urgent dialysis only when their condition becomes critical. This not only causes patient suffering and worsens treatment outcomes, but also strains physician–patient relationships. According to Taiwan Patient Safety Reporting Annual Report 2023 (TPR), among incidents potentially related to “communication factors,” 31.5% were due to problems between healthcare teams and patients, followed by 26.0% due to inadequate communication within healthcare teams. This highlights the need for consensus on treatment approaches during the course of illness, which should be established through two-way communication, sharing of evidence-based medical information, and joint decision-making centered on the patient. Such preparation allows patients and medical teams to align treatment choices with patient preferences and clinical conditions, thereby facilitating precision medicine.
Patients with stage 4 and 5 chronic kidney disease visiting the nephrology outpatient department were assessed by physicians and invited to participate in shared decision-making (SDM) using two structured aids: “Facing End-Stage Kidney Disease: Which Treatment Option Should I Choose?” and “Facing End-Stage Kidney Disease: Should I Choose Dialysis or Palliative Care?”. Educational tools such as videos, models, and decision aids were used to explain the various ESRD treatment options to patients and their families. At subsequent visits, physicians and care teams addressed questions, discussed concerns, and ensured that patients and families fully understood the advantages and disadvantages of each treatment. Patients and families then made an informed choice of RRT, while healthcare providers helped develop individualized plans such as pre-emptive vascular access creation, transplant evaluation, or palliative care.
From 2018 to the present, 208 patients have participated in SDM at our hospital. Among them, 64 patients chose hemodialysis, and 59 were able to start dialysis with a mature vascular access. Another 10 patients selected peritoneal dialysis, all of whom successfully underwent planned catheter placement and initiated treatment according to their preference. Additionally, 47 patients, after considering age and quality of life, opted for renal palliative care, which was provided collaboratively by the nephrology and palliative care teams. These results demonstrate that the SDM education model empowers patients to participate actively in their care.
By sharing evidence-based information and respecting patient preferences, it enables informed treatment decisions, enhances the quality of physician–patient communication, reduces patient anxiety, and prevents unnecessary use of healthcare resources.
