Effective Medical Management of Ascites and Hepatorenal Syndrome Enduring Material

Hepatorenal syndrome is one of many potential causes of acute kidney injury in patients with acute or chronic liver disease. Affected patients usually have portal hypertension due to cirrhosis, severe alcoholic hepatitis, or even metastatic tumors. The hepatorenal syndrome represents the end-stage of a sequence of reductions in kidney perfusion induced by increasingly severe hepatic injury. HRS is a diagnosis of exclusion and is associated with a poor prognosis. This highly focused continuing education Enduring Material activity will be delivered at level that is appropriate for generalists and their nurse practitioners, physician assistants, and other members of their care team.



Welcome to On-line version of the "Effective Medical Management of Ascites and Hepatorenal Syndrome." The content represents the most up-to-date information on the diagnostic approaches and effective treatment therapies for HRS.

This course consists of one module offering 1.0 credit hour. During the course you will watch and listen to a video presentation. When you have viewed the presentation, you will be directed to take the required CE quiz, evaluate the seminar, and claim your Continuing Education credits.

Target Audience
Gastroenterologists, Internists, Hepatologists, as well as related advanced-practice clinicians and nurse specialists.

Joint Provider Statement
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Louisville and SC Liver Research Consortiun. The University of Louisville is accredited by the ACCME to provide continuing education for physicians.

Designation Statement
The University of Louisville Office of Continuing Medical Education & Professional Development designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses - This program has been approved by the Kentucky Board of Nursing for 1.2 continuing education credits through University of Louisville Hospital, provider number 4-0068-12-24-1379. The Kentucky Board of Nursing approval of an individual nursing education provider does not constitute endorsement of program content. Completion criteria to obtain CE's: Attend entire session and complete the evaluation.

Course Instructions 
This online CE activity has been developed by the University of Louisville School of Medicine Continuing Medical Office. This course consists of one module offering 1.0 credit hour. During the course you will watch and listen to a video presentation.

  • You will have to register and create a user profile before you are able to view the material.
  • Once you have finished viewing the material you can either close the presentation window or select the CME Publisher Portal window at the top of the screen to continue with your post-test, evaluation, and generation of your CE certificate.
  • If you are not able to complete the module in one sitting you will be able to re-access the material once you have registered for the course. CLICK HERE on the module registration link below and sign in, then Click Registration History from the menu at the left of the page to continue the activity.


Accreditation Disclosure
As a provider accredited by the ACCME, the Office of CME&PD, School of Medicine, University of Louisville, must ensure balance, independence, objectivity, and scientific rigor in all its accredited educational activities. All Planners, faculty, reviewers, and other persons that affected the content of this CME activity were required to submit a financial disclosure form from which relevant conflicts of interest were determined. If any relevant financial relationship(s) with ineligible companies were disclosed, the materials each of them prepared for this program (or influenced) were peer-reviewed and determined to be without ineligible company bias, were considered fair and balanced in terms of therapeutic options, and presented evidence-based content. All relevant financial relationships with ineligible organizations have been mitigated prior to this activity.

Disclosures
Paul J. Pockros, MD - Course Director, Planner; Speaking Fees: lntercept; Consulting Fees: AbbVie, GSK, Gilead, Intercept, Altimmune, Boston Pharmaceuticals, Antios Therapeutics, f5 Therapeutics; Grant/Contract Research Fees/Funding: Intercept, Gilead, Chemomab
Howard J. Horwitz, MPH - Course Coordinator, Planner; has no relevant financial relationships to disclose.
Andrew Muir, MD - Planner, Faculty; Consulting Fees: Abbvie, Gilead; Grant/Contract Research Fees/Funding: Gilead
Florence Wong, MD - gave permission to use some of her slides in the video presentation; has no relevant financial relationships to disclose.
Rana Latif, MD - Content Reviewer; has no relevant financial relationships to disclose.
Tracy Ander, DO - Content Reviewer; has no relevant financial relationships to disclose.
The University of Louisville CME & PD Advisory Board and Office Staff have nothing to disclose with the following Board Member exceptions: Sathya Krishnasamy, MD - Novo Nordisk (Grant Funding); Michael Sowell, MD – Amgen, Abbvie, Biohaven, Teva, Lundbeck (Speaking); Rainer Lenhardt, MD - CSL, Behring (Speaking).

Hardware & Software Requirements
High speed internet connection
Browser: Google Chrome is recommended

Original Release & Termination Dates
Course Originally Released On: 1/15/2024
Date of Most Recent Review: 1/10/2024
Course Termination Date: 1/15/2026

Special Services
If you need special accommodations due to a disability, or for an alternative form of course materials, please contact Howard Horwitz. Continuing Medical Education & Professional Development fully complies with the legal requirements of the ADA and the rules and regulations thereof.

Provider Contact Information
If you need technical support or have questions about the course, please e-mail us at cmepd@louisville.edu

Learner Consent Statement
Names or contact information of learners will not be shared with any ineligible company or its agents without the explicit consent of the individual learner.

Copyright
The University of Louisville has obtained permission to use the content in this educational activity.

Disclosure of Support from Ineligible Companies
This Internet Activity Enduring Material is Supported by an educational grant from Grifols.

Course Learning Objectives
As a result of participating in this activity, participants should be able to:
1. Describe the causes, symptoms, and treatment for ascites.
2. Advise patients of the dangers of cirrhosis and the importance of fluid management.
3. Develop realistic sodium reduction approaches for patients with mild ascites.
4. Evaluate the benefits vs risks of a TIPS procedure.
5. Identify how liver disease impacts kidney health and the warning signs of HRS.
6. Differentiate between Type 1 and Type 2 HRS.
7. Explain how Hepatorenal Syndrome advances and can lead to renal failure.
8. Investigate the benefits and risks of various HRS treatment approaches.
9. Advise patients and their families on the most efficacious therapies for Hepatorenal Syndrome to minimize further damage to the liver and kidneys.

Registration

Fees
There is no fee to participate in this CME course.
TO REGISTER AND BEGIN THE COURSE   CLICK HERE
If you exit the activity before completion please select CLICK HERE in the registration option above then login and Click Registration History from the menu at the left of the page to continue the activity.

Content Questions and Comments
All participants are invited to submit their questions or comments about the content or cases in the presentations to
Questions will be routed to the faculty expert for reply and each will be answered within 48 hours of receipt.

This Course is Jointly Provided By