• 6th Congress Osteoporosis and alterations of bone mineral metabolism in the general population and in chronic kidney disease

    The Congress "Osteoporosis and alterations of bone mineral metabolism in the general population and in chronic kidney disease", now in its 6th edition, will take place in Padua on 22-23-24 March 2023. This edition, after the one held in April, will allow us to proceed on the path of a recovery that hopefully will continue and not find the difficulties of the last two years. Skeletal fragility is one of the major complications in the general population but also in what is termed a systemic disorder of mineral metabolism in chronic kidney disease (Chronic Kidney Disease - Related Bone and Mineral Disease: CKD-MBD). Furthermore, considering the high mortality rate associated to this complication, it is necessary to implement new prevention, diagnosis and therapy strategies in clinical practice for a correct and prompt management of fragility fractures.

    The Congress, also in this edition, offers a rich and articulated programme of various sessions: bone and diabetes, bone and cardiovascular link, bone and dialysis, as well as a focus on vit. K and vit. D and their fundamental role on "bone quality" for bone health. In addition, an up to date will be made on known and established drugs for the treatment of secondary hyperparathyroidism (etelcalcetide), and/or for the prevention of fragility fractures (denosumab and romozosumab); new old erythropoietins, new chelators and new vit. D (slow release) for the prevention and treatment of hyperparathyroidism and also in CKD not on dialysis.

    Also in this edition there will be practical sessions dedicated to: ultrasound of the parathyroid glands, REMS, bone biopsy, and microindentation with the aim of providing participants with an in-depth study and an update in clinical practice, useful for consolidating a correct approach to diagnosis and follow-up. up in specific clinical settings (hyperparathyroidism, CKD-MB, and osteoporosis).

    Finally, as always, there will be a session dedicated to young people, poster session and interactive session, with clinical cases, to stimulate and involve more and more young doctors and trainees to approach the diseases of mineral metabolism and fracture pathology even in patients with CKD.

    The objective of the congress will therefore be to guarantee to all participants an in-depth study and therefore an educational growth on prevention, diagnosis and therapy of osteoporosis in the general population and in chronic kidney disease on the basis of the most recent evidence in the literature, but also to offer the tools necessary to create a fruitful multidisciplinary collaboration, essential to improve the care of our patients.

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  • How to participate the meeting

    Enrollment in the course can only be done through the online procedure, no new registrations will be accepted at the congress venue.

    The Italian will be the official language.

    For access to the conference spaces, AccMed recommends adhering to the following safety rules:

    • do not enter the conference spaces with a body temperature above 37.5
    • maintain interpersonal distance
    • wear the FFP2 mask covering the nose and mouth for the entire duration of the activity
    • frequently disinfect hands with special hydroalcoholic gels
    You can find further details on the conduct of the event and related security measures here: https://fad.accmed.org/sicurezza

  • Programme

    WEDNESDAY, MARCH 22    


     12.00 - Welcome coffee and registration of participants

    INTERACTIVE THEORETICAL-PRACTICAL COURSE ON INSTRUMENTAL DIAGNOSTICS OF SKELETAL FRAGILITY IN THE GENERAL POPULATION AND IN CHRONIC KIDNEY DISEASE PATIENTS

    Theoretical session
    Chairs: Alberto Bazzocchi, Sandro Giannini, Paolo Luca Lentini

    13.00 - Ultrasound of the parathyroid glands. From diagnosis to follow-up of secondary hyperparathyroidism: it can become a routine tool
    Mauro Dugo, Ilaria Petrucci
    13.30 - Prediction of fracture risk, vascular calcification and use of REMS
    Davide Gatti
    14.00 - Bone biopsy from the past to the present: the follow-up can become a reality
    Maria Fusaro, Maurizio Gallieni

    14.30 - Discussion

    14.40 - Plenary lecture 1
    Monitoring bone quality in CKD

    Alberto Bazzocchi

    15.05 - We learn while sipping a coffee

    Practical session
    Participants will be divided into 5 groups that will rotate to participate in the practical sessions:
    - Ultrasound of parathyroid glands in patients on dialysis and in patients with kidney transplant
    - REMS
    - The bone biopsy technique: virtual models and potential new strategies (with video demonstration)

    17.15 - Statistics session
    The statistician descends from the chair and enters the audience: questions and answers with the participants on recent trials in MBD
    Giovanni Corrao, Giovanni Tripepi

    18.35 - Adjourn

    THURSDAY, MARCH 23

    8.30 - OFFICIAL OPENING OF THE CONGRESS AND GREETINGS FROM THE AUTHORITIES
    Maria Fusaro, Giovanni Tripepi, Giovanni Corrao, Mario Plebani, Francesca Mallamaci, Fabio Recchia

    SESSION I
    EXPERT DEBATE: SWEET BONE

    Chairs: Maura Ravera, Roberto Vettor

    9.15 - Update for the definition of a therapeutic algorithm on the use of recently acquired oral antidiabetics in the general population and in patients with chronic kidney disease
    Paola Fioretto, Luca De Nicola

    9.45 - Discussion

    9.55 - Oral hypoglycemic agents and impact on skeletal frailty: how to prevent it in the general population and in chronic kidney disease

    Cristiana Cipriani, Giuseppe Cianciolo

    10.25 - Discussion

    SESSION II
    HOW HIGH THE BONE CAN FLY
    Chairs: Maria Luisa Brandi, Serge Ferrari   

    Two-way microphone  
    10.35 - The astronaut does not live only on bone density: the role of Bone Quality – Maria Grano

    10.50 - Potential vitamin support in space: what K in flight does – Maria Fusaro

    11.05 - Discussion

    11.15 - Coffee break

    *11.30 - Clinical Practice Award “Roberta Marcon”
    Introduction: Maria Fusaro, Francesca Mallamaci, Silvia Colucci


    *POSTER SESSION

    Chairs: Luisella Cianferotti, Carlo Alfieri

    *12.15 - Oral communication of the first three classified posters- Auditorium

    *12.45 - Lunch Poster – Agorà Hall

    Chairs: Andrea Galassi, Silverio Rotondi, Silvia Colucci

    SESSION III 
    A JOURNEY BETWEEN BONE AND VASCULAR HEALTH
    Chairs: Maria Fusaro, Serge Ferrari, Mario Plebani

    14.00 - Plenary lecture 2
    New diagnostic panel for high and low bone turnover in clinical practice of patients with CKD-MBD: from CKD to renal transplantation
    Giuseppe Cianciolo

    Two-way microphone
    14.25 - Etelcalcetide: from bone biopsy to clinical practice
    Thomas Nickolas
    14.40 - Eternity-Ita Study: like a cat on the ring road
    Giovanni Tripepi

    14.55 - Plenary lecture 3
    Dilemma: continuous or not continuous treatment in osteoporosis patients with or without CKD
    Serge Ferrari

    15.20 - Discussion

    SESSION IV 
    ONCO-NEFROLOGY
    Chairs: Antonella Brunello, Laura Cosmai

    15.30 - Plenary lecture 4
    Bone metastases: what differences in the therapeutic approach between subject with normal renal function and patients with chronic kidney disease
    Francesco Bertoldo

    15.50 - Coffee break

    SESSION V
    BONE AND DIALYSIS

    Chairs: Mario Cozzolino, Sandro Mazzaferro

    16.05 - The progression of vascular calcifications: which score to use and how to slow it down
    Antonio Bellasi

    16.25 - Bone in dialysis is better at home: home dialysis (peritoneal and hemodialysis) and skeletal fragility
    Roberto Russo

    16.45 - Plenary lecture 5
    Vertebral fractures in general population and in CKD. How to diagnose them and why
    Jordi Bover

    17.10 - Discussion

    SESSION VI
    RESIDENTS SECTION: CLINICAL CASE QUIZ
    Chairs: Giuseppe Cianciolo, Sandro Giannini, Laura Cosmai

    17.20 - Complex clinical cases
    Simona Barbuto, Althea Cossettini, Giulia Re Sartò

    17.50 - Discussion


    SESSION VII
    EXPERT DEBATE: LIPIDS IN CKD-MBD

    Chairs: Francesca Mallamaci, Vincenzo Panuccio


    Dyslipidemias in normal subjects and in patients with chronic kidney disease
    Maura Ravera, Alberto Zambon

    18.25 Discussion

    18.35 Adjourn

    Maria Fusaro, Giovanni Tripepi

    FRIDAY, MARCH 24
    SESSION VIII
    FONDAZIONE ITALIANA DEL RENE

    Chair: Maura Ravera

    8.30 - Introducing FIR
    Dario Gozzi, Massimo Morosetti

    SESSION IX
    FOCUS OF RARE DISEASES IN BONE MINERAL METABOLISM

    Chairs: Serge Ferrari, Salvatore Minisola

    8.45 - Plenary lecture 6
    Hypophosphatasia: A Disorder with Bone and Kidney Complications
    Maria Luisa Brandi

    9.10 - Discussion

    SESSION X
    DEBATE: BONE AND ESA

    Chairs: Fabio Malberti, Roberto Minutolo

    9.20 - ESA: add a seat at the table that there is an extra HIF

    Francesco Locatelli

    9.30 - But how do ESA and HIF relate t bone?
    Lucia Del Vecchio

    9.40 - Discussion


    9.50 - Coffee break

    SESSION XI
    THE SUPPLEMENTATION OF VITAMIN D: FROM A GUARANTEE FOR THE BONE TO NEW POTENTIAL TARGETS
    Chairs: Iacopo Chiodini, Maria Fusaro, Fabio Vescini

    10.10 - Cholecalciferol, calcifediol, calcitriol and COVID

    Salvatore Minisola

    10.30 - Medicine goes faster than society: Vitamin D and transgender Dyslipidemias in normal subjects and in patients with chronic kidney disease
    Andrea Garolla


    Expert Debate: Vitamin D and menopause

    10.50 - Management of osteoporosis in menopause as a consolidated figure in the general population of Cinderella in CKD (she can become a princess)
    Andrea Giusti, Maria Cristina Mereu


    11.20 - Discussion

    11.30 - Plenary lecture 7
    Remarkable value vitamin D use: not only PTH – ALP an old friend forgot
    Mathias Haarhaus

    11.55 - Discussion

    * 12.05 - Award “Elena Lucrezia Cornaro”
    Introduction: Maria Fusaro, Maria Luisa Brandi, Francesca Mallamaci, Fabio Recchia, Giovanni Tripepi


    12.25 - Lunch

    Debate
    Chairs: Andrea Giusti, Maria Fusaro

    13.30 - Romosozumab: from numbers to bone and vascular, where is the benefit and where is the risk
    Giovanni Tripepi, Serge Ferrari

    SESSION XII
    VITAMIN D: FROM REAL LIFE TO INNOVATION
    Chairs: Maurizio Gallieni, Sandro Mazzaferro, Martina Zaninotto

    13.55 - Plenary lecture 8
    Vitamin D and KDIGO: re-thinking according to data from real-life
    Markus Ketteler
    14.20 - Plenary lecture 9
    The management of vitamin D in pre-dialysis: what innovative approaches we are acquiring

    Mario Cozzolino

    14.45 Complex clinical case
    Discussant: Luisella Cianferotti, Fabio Vescini
    The bone does not live on calcium alone
    Sandro Giannini

    15.50 - Discussion

    16.00 - Take home messages and adjourn
    Maria Fusaro, Giovanni Tripepi


    * Non-CME session

  • Registration

    Participation registration fees

    • Medici - registration fee doctors € 180.00
    • Biologi/fisioterapisti- biologists/phisioterapists € 120.00
    • Dietisti/tecnici - dieticians/technicians € 120.00
    • Under 40 € 0.00

    For eligibility criteria and other information on reduced fees (if applicable), contact info.bologna@accmed.org.

    To participate in the event, it is necessary to complete the registration procedure (including payment of the applicable fee). Payment can be made online exclusively with Credit Cards or Paypal.

    If the minimum number of participants is not reached, the Academy reserves the right to cancel the activity. In this case, Accademia will proceed with the appropriate communication and full refund of the participation fees.

    In case of withdrawal, please inform AccMed promptly. If the waiver occurs within the 10th day prior to the start date of the event, the amount paid will be returned with the deduction of 30%. If the waiver occurs after that deadline, no reimbursement will be provided.

  • Training objective

    Contenuti tecnico-professionali (conoscenze e competenze) specifici di ciascuna professione, di ciascuna specializzazione e di ciascuna attività ultraspecialistica, ivi incluse le malattie rare e la medicina di genere

  • CME Instructions

    The credit certification for the webinar is subject to:

    • Professions/specializations should correspond to those which have been accredited for CME
    • attendance at the 90% of the event
    • the completion of the Meeting evaluation online form
    • completion of the final test (at least 75% of correct answers). 1 attempt admitted. The test and the meeting evaluation form must be completed within 3 days from the end of the event.