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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.
Kidney replacement therapy (KRT) sustains life in kidney failure (KF) but may offer limited quality-of-life benefits for elderly patients with multiple comorbidities. Comprehensive Conservative Kidney Management (CKM) focuses on symptom control, advance care planning, and supportive care without KRT. To promote CKM, Thailand plans to introduce a new benefit package under the Universal Coverage Scheme (UCS) to support multidisciplinary care, medications, and home-based services. This study estimated the budget impact of implementing this package.
A modelling study used nationwide claims and laboratory data (2016–2024) to identify stage 5 CKD patients (eGFR <15 mL/min/1.73 m² sustained ≥90 days). CKM candidates were defined as aged ≥80 years or 75–80 years with Charlson Comorbidity Index ≥8. Monthly incidence was projected using exponential triple smoothing with 70–90% uptake scenarios. A Markov model (1-month cycles) compared survival and costs between CKM and dialysis, using propensity-score-weighted Weibull models adjusted for age, sex, comorbidities, and region. Scenario analyses tested key uncertainties.
Among 3.5 million patients with ≥2 serum creatinine tests, 127,591 had CKD stage 5, and 15,046 (11.8%) were eligible for CKM. Of these, 70% chose CKM and 30% initiated dialysis Median survival from kidney failure was 5.1 (1.6–11.2) months for CKM and 17.3 (4.2–42.6) months for dialysis. Implementing the CKM package would require THB 508–630 million (USD 16.4–20.3 million) over five years at 70–90% uptake. When downstream dialysis costs were included, increasing CKM uptake from 70% to 80–90% yielded five-year savings of USD 32.7–84.8 million. Cost-saving was achieved with at least 5% increase in uptake, resulting in an initial five-year saving of USD 1.6 million. These findings were robust across multiple scenario analyses addressing uncertainties in CKM incidence, costs, and survival estimates.
Implementing structured conservative kidney management (CKM) can enhance the sustainability of kidney care in resource-limited settings. Nationwide health data can inform efficient policy and resource planning. Prospective studies, together with investment in infrastructure and workforce capacity, are essential to scale CKM and ensure equitable, high-quality care.
