Welcome and Introduction to the Tenth Banff Conference on Allograft Pathology

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Welcome and Introduction to the Tenth Banff
Conference on Allograft Pathology

• Kim Solez, M.D.
• Lorraine Racusen, M.D.

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A Very Great Pleasure to Welcome You to Our Tenth
Conference

• Each conference is the best yet, this is no
  exception.
• Biggest conference yet with delegates from more
  than 30 countries including many represented for
  first time
• Nigeria
• India
• Saudi Arabia
• Egypt
• Czech Republic
• Slovakia
• Hungary
• Croatia
• Oman

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Transplantation in Pakistan.
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Transplantation in Resource-limited Settings.

• Economies in operative procedure, donor and
  recipient operation done in same room.
• Economies in choice of imunosuppression.
• Economies in limited tissue typing approach.
• What about economies in pathology?

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A PROBLEM LOOMING

• When we incorporated immunostaining for C4d to
  detect antibody mediated rejection we began to
  exclude poor countries from the standard.
• When we stuck with the technology of the 1950s
  where the PAS stain was our most advanced
  technique the standard could be met in every
  country.
• So suddenly it seems we had a standard that
  worked only for rich countries.
• Need to find a mechanism for sharing pathology
  resources between rich and poor nations.
• Need to proceed in parallel tracks, being mindful
  of what is the very best technology to use for
  greatest accuracy, and what is practical
  economically.

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Program is most complete and varied we have ever
had

• Excellent plenary and organ specific sessions.
• Program book lists all talks for concurrent
  sessions. Consult separate insert for organ
  specific schedule.
• Working lunches on BK nephropathy, chronic
  transplant glomerulopathy, and fibrosis scoring.
• White paper advance reading in areas of quality
  assurance, BK nephropathy, and fibrosis scoring.
• Focused heart session on antibody mediated
  rejection.
• Case presentationsposters with winecheese.
• On Friday back to Banff Centre where it all began!

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We are very grateful to the organizing committee,
and to session chairs.

• Organizing Committee?Paula Blanco, MD?Mark Haas,
  MD?Michael Mengel, MD?Lorraine Racusen, MD?Banu
  Sis, MD?Kim Solez, MD
• Very grateful to all session chairs, directors of
  organ specific programs, and preparers of white
  papers and working lunches!

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Social Events

• Gala Dinner
• 10 August 2009 (Monday)
• Music provided by Bel Canto Strings.
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• Case Presentations with Wine Cheese
• 11 August 2009 (Tuesday)
• Wildrose Prefunction area.
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• Poster Presentations with Wine Cheese
• 12 August 2009 (Wednesday)
• Wildrose Prefunction area.
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Social Events (cont.)

• Banff Nature Tour
• 13 August 2009 (Thursday)
• Pick up and Drop off at the Rimrock Lobby.
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• Field Excursion to Banff Centre
• 14 August 2009 (Friday)
• The Banff Centre the original Banff Conference
  Location. Dinner and transportation to the centre
  will be provided.
•  Farewell Outdoor Barbecue Dinner at Banff Centre

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Many thanks to Tori Sheldon and her team for
administrative arrangements and setup!

• Darlene Nordstrom and Akshatha Raguveer also part
  of team. They will also take part in 2011 and
  2013 meetings.

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NEW SECTION OF BANFF WEBSITE ON HISTORY AND
PROCEDURES

• http//cybernephrology.ualberta.ca/Banff/history.h
  tm
• History and General information about the Banff
  Conferences on Allograft Pathology, the Banff
  Consensus Process and Funding

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PUBLICATIONS FROM THE BANFF MEETINGS

• New or revised schemas for diagnosis of allograft
  rejection/pathology kidney, liver, pancreas,
  composite tissues
• Consensus reviews and summaries related to graft
  pathology
• Original investigations (often multi-center)
  arising from discussions and net-working at the
  Banff meetings

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Authorship on Papers

• The author line in the manuscripts reflects the
  actual work of creating them, with the
  individuals who facilitate and structure
  discussions at the meeting and who actually write
  the paper being included first, and the other
  authors being listed alphabetically after that.
  Authorship includes everyone who provided
  substantive and useful input, even those who were
  not at the meeting. From the beginning we have
  favored participation by young people, and those
  from developing countries.  There has been a
  successful effort to make the classification
  truly international.

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WORKING SESSIONS BANFF MEETINGS

• Ad hoc working sessions/interest group meetings
  have long been a feature of the Banff meetings
  OPEN TO ALL
• At recent Banff meetings, these have been more
  formalized, scheduled during the conference
  usually as working luncheons OPEN TO ALL
• Banff 2009- more of these organized consensus
  discussions scheduled, and more up-front
  planning surveys, working document drafts
  OPEN TO ALL

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EDUCATION BANFF MEETINGS

• Manuscripts have contributed to the medical
  literature, and provided guidelines for practice
• Banff up-dates have become a feature of
  national and international meetings
• Emphasis on young investigators poster sessions
  added to the Banff meetings to provide additional
  forum for presentations by junior investigators
  as well as others, and optimal networking
• Banff 2009- adding case discussions/reviews in
  real time to the Banff program
• Planning a Banff Training Course in allograft
  pathology

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Banff Training Course by 2013

• We plan to establish a Banff Training Course by
  2013 with Drs. Mengel, Sis, Blanco and Haas
  assisting us in assembling the documents and
  structure. Laurie Cat Bennett providing
  administrative support.

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Funding

• Funding for the Banff meetings has been unusual
  in a very positive way from the very beginning
  Those involved in organizing the meeting donate
  their time and are supported from elsewhere so
  there are essentially no administrative costs.
  Also from the beginning many speakers paid their
  own way to the meeting or found their own
  support this has worked well for eighteen years
  and allows us to put on a consistently excellent,
  unique standard-setting meeting while keeping
  costs to a minimum. Funding for young people
  those from countries not represented before is
  given priority.

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Economic Considerations Affect Our Present and
Future Meeting Plans

• Less ceremony this time, no town hall reception.
• This will be last time we can meet in place with
  resort in name.
• Very grateful to our local host for 2011 Paris
  Meeting Dr. Denis Glotz for his assistance in
  raising funds.
• Need to apply for grants again for 2011 and
  beyond, Drs. Mengel and Sis to undertake this.
• By 2013 need to be financially self sufficient.
  Meeting either in Brazil, Argentina, or Quebec
  City, depending on financial confidence.
• 2015 meeting in Sweden or Denmark. 2017 back in
  Banff, Alberta, Canada.

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The Banff Schema was first developed by a group
of pathologists, nephrologists, and transplant
surgeons at a meeting in Banff Canada August
2-4, 1991.
The Banff Schema was first developed by a group
of pathologists, nephrologists, and transplant
surgeons at a meeting in Banff Canada August
2-4, 1991.
We have come a long way!
It has continued to evolve through meetings
every two years and has become the worldwide
standard for interpretation of transplant
biopsies.
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BANFF CONFERENCES ON ALLOGRAFT PATHOLOGY
1991-2027?
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FUN TO THINK ABOUT THE NEXT EIGHTEEN YEARS!

• Enjoy the conference and please let us have your
  comments and suggestions for the future.
• Fill out evaluation forms!
• Thanks to our sponsors!