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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.
Advanced Chronic Kidney Disease (CKD) clinics, also known as Predialysis Programs, have been established in several countries as specialized, multidisciplinary care models designed to optimize the management of patients with stage 4–5 CKD. These programs aim to slow disease progression, address complications, and ensure a timely and well-informed transition to renal replacement therapy (RRT) or conservative management. Evidence shows that such clinics improve patient outcomes, enhance quality of life, and reduce healthcare expenditures by decreasing emergency dialysis initiation and hospitalizations. Despite these proven benefits, structured Advanced CKD Clinics remain scarce in Mexico, where the prevalence of kidney disease continues to increase and late referral to nephrology services is frequent. Establishing dedicated CKD clinics in the country is therefore essential to strengthen early intervention, coordinated multidisciplinary care, and patient education. The objective of this study was to describe the implementation process and patient characteristics of the first Predialysis Clinic established in Mexico.
A multidisciplinary Predialysis Clinic was implemented at the General Hospital of Mexico. Patients with advanced CKD were referred if they presented an estimated glomerular filtration rate (eGFR) of 15–20 ml/min/1.73 m²—or lower if clinically stable—identified during outpatient consultation, hospitalization in the Nephrology Department, or via interconsultation. The demographic and clinical characteristics of patients included between December 2024 and October 2025 were analyzed descriptively.
A total of 46 patients were enrolled, 27 (58%) of whom were female, with a mean age of 53.5 years (range 19–80). The mean eGFR at first visit was 14.1 ml/min/1.73 m² (range 4–32). During follow-up, 10 patients were lost, 14 initiated RRT, 1 died, and 21 remain under active follow-up. Among those who initiated RRT, 9 started peritoneal dialysis (PD) and 5 hemodialysis (HD). All patients initiating PD did so in a planned manner, whereas 3 HD patients required urgent-start dialysis. The urgent-start cases included one post–cardiac catheterization, one presenting with uremic syndrome at first visit, and one presumed death from hyperkalemia prior to HD initiation. Two patients opted for conservative management, and among those continuing follow-up, five are currently undergoing kidney transplant evaluation.
The implementation of the first multidisciplinary Predialysis Clinic in Mexico demonstrates the feasibility and benefits of structured care for patients with advanced CKD. Early identification, continuous follow-up, and coordinated multidisciplinary management enabled timely and planned dialysis initiation, facilitated access to transplantation, and supported conservative care when appropriate. These results underscore the need to expand similar programs nationwide to improve clinical outcomes and optimize the transition to advanced kidney care across the Mexican population
