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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.
Conservative kidney management (CKM) is an important therapeutic option for patients who are unable or do not wish to undergo kidney replacement therapy or are unlikely to benefit from this treatment. Access to CKM is thwarted by a paucity of evidence to guide development of robust CKM services.
We conducted an ethnographic study of five exemplary CKM programs in the United Kingdom between November 2024 to July 2025. Out study used field observations of clinical and non-clinical activities, qualitative interviews with key personnel, and review of documents related to CKM delivery. CKM programs were purposefully selected to reflect a range of geographic regions served, levels of program maturity and models of care adopted. We performed a thematic analysis of qualitative data to identify factors that support sustainability and scalability of CKM programs.
The average longevity of CKM programs was 13 years (range 3-18) and their average caseload was 72 (range 30-110) patients. We completed over 95 hours of observation of CKM programs (78 hours of clinical care and 18 hours of non-clinical activities), 30 interviews with key personnel (11 nephrology consultants, 4 palliative care consultants, 1 geriatric medicine consultant, and 14 renal nurses) and reviews of 41 unique documents (18 patient-facing documents, 15 provider-facing documents, and 8 reports or presentations). We identified 3 major features that supported programs’ sustainability and scalability: 1) Embedding CKM within a specialty model of kidney failure preparation: helping patients decide about CKM alongside other kidney failure treatments was regarded as highly important to appropriately triaging patients to CKM. This work was considered a “subspecialty” within nephrology, requiring a unique skill set and a dedicated team and clinic to execute these services; 2) Centering CKM in homes: education, decision-making and care about CKM were conducted primarily in patients’ homes. In so doing, CKM was recognized as a distinct home-based therapy for kidney failure and supported patient-centered care; and, 3) Sharing CKM care: Several consultants and specially trained renal nurses worked together as a team to co-manage patients. The team-based approach ensured shared understanding of patients’ values and wishes and cohesiveness in care planning across providers as well as mutual accountability that care plans developed were patient-centered.
Providers might optimize the robustness of their CKM programs by focusing on integrating CKM within a stronger model of decision-making about kidney failure treatments, establishing a home-based approach to CKM and building teams of providers to share the work of delivering CKM to patients.
