European Cystic Fibrosis Society

Round Tables

On Thursday 17 June and Friday 18 June 2010 (07:15-08:15), there will be the following Roundtable sessions. Delegates can select the Roundtable(s) of their choice as part of the registration system.

Categories

Thursday 17 June

 Friday 18 June

Pulmonology  Title: Diagnosis and Treatment of Pulmonary Hypertension
Leader: A. Román (ES)
Title: Measuring and Improving CF Centre Care 
Leader: E. Riestschel, DE
Objective: The objective of this roundtable is to discuss the application of quality improvement principles in CF Centres. In particular we will discuss the "5 P´s" - purpose, patients, professionals, process, pattern- as well as outcome parameters for benchmarking.
Title: Sleep Medicine in CF-Normal and Dysfunctional Sleep - Assessment and Treatment
Leader: B. Fauroux, FR
Objective: The objective of this roundtable is to discuss sleep disordered breathing in patients with cystic fibrosis.  In particular we will discuss nocturnal alveolar hypoventilation, and when, how and where to perform a sleep study, and the practical management of nocturnal hypoventilation in these patients.
Title: Proteases and Anti-proteases
Leader: C. Taggart, UK
Objective: The objective of this roundtable is to describe and discuss the role of proteases and antiproteases in the CF lung. Discussion will also focus on the use of protease inhibitors for the treatment of CF lung disease and the possibilities and problems associated with this therapeutic approach.

Title: Treatment of MOTT (Mycobacteria Other Than Tuberculosis)
Leader:  D. Bilton, UK
Objective: The objective of this roundtable is to discuss the current treatment approaches for atypical mycobacteria.  In particular we will discuss strategies for treatment of M. abscessus, including both systemic and aerosolised antibiotic therapy.

Title: Use of New Antibiotics in CF
Leader: M. Parkins, CA
Objective: The objective of this round table is to discuss the role of antibacterial agents recently approved or currently under clinical investigation for use in CF.  In particular, we will focus on parenteral agents for mangement of pulmonary exacerbations and aerosolized therapy in the chronic maintenance of lung health. 
Microbiology  Title: Anaerobes - Pathogens in CF?
Leader: D. Worlitzsch, DE
Objective:  The objective of this roundtable is to discuss the contribution of facultative and obligate anaerobic bacteria to the pathogenesis of infection and inflammation in the CF lung.
Title: Molecular Identification Methods 
Leader: P. Dřevinek, CZ
Objective: Correct identification of many emerging CF pathogens is dependent on the use of molecular methods. With special attention to identification of Burkholderia cepacia complex bacteria, we will discuss pros/cons of molecular genetic approach and methods that are currently available.
  Title: Preventing Acquisition of CF Pathogens from the Environment
Leader: M. Denton, UK
Objective: The objective of this round table will be to discuss the evidence that some CF pathogens are acquired from the environment and the future development of realistic strategies to prevent such acquisition.
Title: MRSA - A Pathogen in CF?
Leader: R. Cantón, ES 
Objective: To discuss current information of MRSA epidemiology and the potential influence of different clones in pulmonary function on cystic fibrosis patients as well as different therapeutic options to avoid pathogenic colonization.
Genetics/Screening
& Diagnosis 

Title: Bioinformatic Tools
Leader: M. Tzetis, GR
Objective: The objective of this roundtable is to discuss the usefulness of bioinformatic tools for determining the pathogenicity of CFTR mutations. We will be discussing the assessment of the effects of mutations in combination with the clinical phenotype and using in silico analysis (bioinformatics tools)

Title: Designing Mutation Panels for NBS and Carrier Testing
Leader: C. Castellani, IT 
Objective: The objective of this roundtable is to discuss criteria for inclusion of mutations in panels for neonatal screening and carrier testing. The discussion will not focus on technical issues, but on disease liability of mutations.
  Title: NBS: What to do after a borderline ST? 
Leader: K. Southern, UK
Objective: A borderline sweat test result after newborn screening for CF presents a difficult clinical dilemma.  Case scenarios will be used to illustrate the management of these infants with reference to recently published guidelines. 
Title: Next Generation Sequencing
Leader: H. Cuppens, BE
Objective: The objective of this roundtable is to discuss the ongoing revolution of next-generation sequencing. In particular we will discuss how one should deal with these data if implemented for CFTR mutation testing and screening.  
CFTR/Cell 

Title: CFTR Endocytosis and Recycling
Leader: M. Gentzsch, US
Objective: The objective of this roundtable is to review intracellular trafficking routes of deltaF508 and wild-type CFTR with emphasis on endocytic pathways. In addition, we will discuss interacting proteins and pharmacological reagents that modulate endocytic routing of CFTR. 

Title: Alternative Chloride Channels
Leader: L. J. Galietta, IT
Objective: The objective of the roundtable is to discuss the molecular identity and the physiological role of other epithelial chloride channels different from CFTR.  Such channels may represent alternative therapeutic targets to stimulate chloride transport in CF. 
  Title: Monitoring CFTR Function in Clinical Trials
Leader: I. Sermet, FR
Title: ENaC and ASL Therapies
Leader: M. Mall, DE
Objective: The objective of this roundtable is to discuss the role of ENaC and ASL depletion in the pathogenesis and as a therapeutic target in CF lung disease. 
    Title: Mechanism of action for CFTR correctors and potentiators
Leader: H. De Jonge, NL
Objective: The most recent information about the targets and mechanism of action of deltaF508CFTR correctors and potentiators will be evaluated and discussed, with emphasis on the distinction between CFTR-specific and non-specific mechanisms
GI / Liver /
Endo / Nutrition
Title: Bone Health in CF
Leader: L. Hjelte, SE
Title: Body Image and Behaviour
Leader: S. Perobelli, IT
Objective: The objective of this roundtable is to discuss the influence of body image on the patient's self-managment and compliance, particularly in following nutritional recommendations. 
  Title: Management of Cystic Fibrosis Related Diabetes
Leader: A. Morton, UK 
Objective:  The objective of this round table is to discuss the medical and dietary management of Cystic Fibrosis Related Diabetes. We will discuss when insulin therapy should be introduced including looking at the evidence for early intervention, changes in dietary therapy and reactive hypoglycaemia
Title: Nutritional Management Pre- and Post-Transplant 
Leader: D. Kalnins, CA
Objective: The objectives for this roundtable are: to identify and discuss the strategies to maintain good nutritional status and to describe nutritional issues and their management pre and post lung transplant
Clinical Trials/
New Therapies 
Title: Clinical Trial Design 
Leader: H. Tiddens, NL
Title: From Systematic Review to Clinical Trial 
Leader: A. Smyth, UK
Objective: This round table will allow participants to discuss, with examples, key aspects of clinical care in CF where there is insufficient evidence to guide practice. The role of systematic reviews will be discussed, in summarising the available evidence, exposing gaps and acting as a stimulus to clinical trials.
  Title: ECFS CTN - What is going on?
Leader: V. Bulteel, BE 
Objective: This session will allow participants to learn more about the objectives and specific activities of the European Clinical Trials Network
Title: Outcome Measures for Clinical Trials
Leader: C. De Boeck, BE
    Title: Practicalities of running an ECFS Clinical Trial Centre 
Leader: T. Lee, UK
Objective: This session will be an opportunity for those already involved in ECFS Clinical Trial Network (CTN), as well as those from CF centers who may consider bidding to become part of the ECFS CTN in the future. We will discuss key practical issues such as logistics, recruitment, documentation, and staff involvement, as well as focussing on the benefits of involvement for both the people with CF and the staff at your center.
Epidemiology/
Registry 
Title: Specific Genetics of CFTR in European Minorities
Leader: M. Macek, CZ
Objective: The objective of this roundtable is to discuss current approaches to customisation of panels of CF causing mutations in European minorities and/or immigrants for achieving the  highest possible mutation detection rate in CF DNA diagnostics.
Title: Definition and Documentation of Exacerbations
Leader: T. Pressler, DK
  Title: The European CF Registry
Leader: H. Olesen, DK
Objective: The objective of this roundtable is to discuss improvement and upgrading of variables collected in the European CF Registry, and to discuss means of using the data for quality improvement and research.
 
Nursing/
Psychosocial 
Title: Assisted Conception
Leader: V. Hall, UK
Objective: The objective of this roundtable is to discuss methods of assisted conception and the practical, moral and ethical considerations associated with such treatment.
Title: Interventions for Anxiety and Depression
Leader: L. Goldbeck, DE
Objective: The objective of this roundtable is to discuss clinically relevant symptoms of anxiety and or depression in patients with CF and their caregivers and about the interference of anxiety/depression with treatment of CF, how to address these symptoms, and how to plan psychological/psychiatric interventions adapted to symptom severity, individual preferences of the patient, and availability. The input of case examples is welcome.
  Title: Defining a Pulmonary Exacertbation: Patient Perspectives
Leader: J. Abbott, UK
Objective: The objective of this roundtable is to identify and discuss patient-reported indicators of a
pulmonary exacerbation. Discussion will focus on both children and adults and the complexity and severity of CF disease. 
Title: Managing Parenthood in CF
Leader: K. Colpaert, BE 
Objective: The objective of this round table is to discuss how patients experience parenthood while caring for their CF and how we can better inform patients with a wish for a child about parenting and its consequences.
  Title: Well Siblings 
Leader: T. Havermans, BE
Objective: In this roundtable we will be discussing the impact of CF on siblings, their adjustment and resilience and their role within the family with CF.
 
Physiotherapy  Title: Gastro-oesophageal Reflux
Leader: B. Button, AUS 
Objective: The objective of this round table is to discuss symptomatic and silent gastro-oesophageal reflux.  Some physiotherapy techniques, positions and exercises are more inclined to exacerbate the problem. We will discuss what is known about GOR together with ways to minimize the problem during physiotherapy
Title: IPV
Leader: F. Van Ginderdeuren, BE 
Objective: The objective of this roundtable is to discuss the different indications for use of IPV in CF. We will discuss  different strategies for use of IPV in infants and adults with CF 
 

Title: Physiotherapy Care of the Complex Patient
Leader: P. Agent, UK
Objective: We will discuss physiotherapy treatment options, identify the need for treatment modifications and for novel approaches in the management of complex disease e.g small airways disease, intubation, recurrent exacerbations in paeds and adults 

Title: Physiotherapy in infants
Leader: L. Lannefors, SE 
Objective: To discuss the need for physiotherapy in infants with CF diagnosed with pulmonary or GI-symptoms, as a sibling or by screening and apparently asymptomatic. What is the aim with modern physiotherapy?

AHP

Title: CF Clinical Pharmacists
Leader: V. Kalamaro, IL 
Objective: The objective of this roundtable is to discuss the many aspects of a dedicated CF clinical pharmacist as an essential part of the CF multidisciplinary team (adult as well as pediatric). Participants will share their experience and involvement in the CF world and will raise issues concerning daily practice.

Title: CF Research Coordinators
Leader: T. Pugatsch, IL 
Objective: Site management for Research Coordinators: the do's, don’ts and how to survive
  Title: How to Prepare and Write an Abstract for Conference submission
Leader: A. Quittner, US

Title: How to Refine a Research Idea into a Research Question
Leader: S. Madge, UK / J. Bradley, UK
Objective: The objective of this roundtable is to discuss how to refine a research idea into a research question. This roundtable is relevant specifically for novice AHP or nursing researchers.