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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.
KDIGO and KDOQI guidelines recommend initiating access planning at an eGFR of 15–20 mL/min/1.73 m². These are issued only as practice points, based on expert consensus or simulation modelling. We evaluated whether earlier referral to a renal coordinator (RC) reduces urgent dialysis initiation in a real-world cohort.
We retrospectively analysed 282 patients with end-stage kidney disease who initiated dialysis at a tertiary hospital between 2022 and 2024. All patients had established nephrology follow-up. The primary outcome was planned versus unplanned dialysis initiation. Logistic and Cox regression analyses were used to examine associations between referral timing to RC, baseline eGFR, and unplanned dialysis starts, adjusting for age, sex, ethnicity, aetiology of kidney disease, Charlson comorbidity index, and dialysis initiation within 90 days of RC review.
Overall, 79.8% (n = 225) underwent RC review before dialysis initiation. Event rates differed by chronic kidney disease (CKD) stage: among patients with CKD stage IV, 63.3% (31/49) had unplanned dialysis, compared with 84.1% (191/227) among those with CKD stage V. Kaplan–Meier analysis showed a shorter median time from RC review to dialysis initiation in unplanned versus planned dialysis (126 vs. 337 days, p < 0.001). Late referral to RC (within 90 days of dialysis initiation) independently predicted unplanned dialysis (OR 4.21, 95% CI 1.58–11.25, p = 0.004), while CKD stage IV at RC review was a protective factor (OR 0.36, 95% CI 0.15–0.89, p = 0.026). In Cox regression, referral at eGFR ≤ 9 mL/min/1.73 m² increased the risk of unplanned dialysis (HR 2.22, 95% CI 1.10–4.50, p = 0.027). Sensitivity analysis at eGFR ≤ 8 mL/min/1.73 m² showed a non-significant trend (HR 2.02, 95% CI 0.93–4.39, p = 0.078). Referral to RC at eGFR > 15 mL/min/1.73 m² showed no significant effect (HR 1.54, 95% CI 0.79–2.98, p = 0.205).
Early RC referral at an eGFR of approximately 9–14 mL/min/1.73 m² was associated with fewer urgent dialysis starts, even among patients already under nephrology care. These findings provide outcome-based evidence to complement KDIGO/KDOQI practice points and support embedding RC referral at eGFR 9–14 as a pragmatic standard while awaiting prospective trials.
