Occurrence of kidney diseases and patterns of glomerular disease based on a 10-year kidney biopsy material: A retrospective single-centre analysis in Estonia

Riispere, Živile; Ots-Rosenberg, Mai

doi:10.3109/00365599.2012.693133

Cited by 12 publications

(12 citation statements)

References 15 publications

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“…This is similar to other epidemiological studies from the majority of European and non-European countries [4,7,12,13].…”

Section: Discussionsupporting

confidence: 92%

“…According to this retrospective study, IgAN was the most common glomerular disease in the studied population (18.9%), but was closely followed by FSGS (16.3%). In many European countries (Czech Republic, Spain, Italy, Estonia, France), similar to data from our center, IgAN occurrence has been the most common, ranging from 16 to 35% of all GN [7,8,12,13,14]. Also the results of a 30-year renal biopsy study conducted in the predominantly white residents of Olmsted County, USA, point to IgAN as the most frequent type of GN (25%) [15].…”

Section: Discussionsupporting

confidence: 85%

“…The occurrence of FSGS in our center (16.3%) is comparable with the results of other Polish centers (17.3%) and the USA (17%), but higher than in studies from other European countries, such as Estonia (7.3%) or the Czech Republic (10.8%) [7,10,13,15]. The reasons for the different epidemiologic patterns in renal biopsy are not completely clear.…”

Section: Discussionsupporting

confidence: 76%

“…Similar low prevalence of MPGN was observed in developed European countries [7,13], in contrast to Romania, where the MPGN frequency reached 29.3% of primary GN [9]. The differences are probably associated with worse control of chronic viral and bacterial infections in poor economic conditions.…”

Section: Discussionsupporting

confidence: 62%

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Patterns of glomerular disease based on 4-year kidney biopsy material analyzed by light microscopy and immunofluorescence: a retrospective single-center analysis in Poland

Olewicz‐Gawlik¹,

Sikorska²,

Pluto-Prądzyńska³

et al. 2016

pjp

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The aim of this study was to assess the epidemiology of different patterns of chronic glomerular diseases based on clinical, histopathological and immunofluorescent findings of glomerulonephritis patients hospitalized in the Department of Nephrology, Transplantology and Internal Diseases in Poznan between January 2009 and December 2012. We retrospectively studied 418 patients who had been subjected to renal biopsies. Data on serum creatinine concentration, 24 h proteinuria, arterial hypertension, diabetes mellitus, and histological and immunofluorescent findings were collected. The patients' mean age was 42 ±15. The male sex prevailed (53.1%). Immunoglobulin A nephropathy was the most common finding (18.9%), followed by focal segmental glomerulosclerosis (16.3%), membranous glomerulonephritis (10.1%), lupus nephritis (8.4%), extracapillary glomerulonephritis (3.3%) and membranoproliferative glomerulonephritis (2.6%). In 69 (16.5%) patients the biopsy was non-informative or non-diagnostic. Patients with membranous nephropathy presented the highest frequency of nephrotic syndrome (71.4%), followed by membranoproliferative glomerulonephritis and focal segmental glomerulosclerosis. Combined analysis of the clinical, histopathological and immunofluorescent findings in glomerulonephritis patients based on a single center's data can provide important epidemiological findings.

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“…This is similar to other epidemiological studies from the majority of European and non-European countries [4,7,12,13].…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 76%

Section: Discussionsupporting

confidence: 62%

See 2 more Smart Citations

Patterns of glomerular disease based on 4-year kidney biopsy material analyzed by light microscopy and immunofluorescence: a retrospective single-center analysis in Poland

Olewicz‐Gawlik¹,

Sikorska²,

Pluto-Prądzyńska³

et al. 2016

pjp

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“…In 9 national renal biopsy registries (Scotland, Italy, Spain, Czech Republic, Japan, Brazil, Bahrain, Uruguay, Denmark) [17][18][19][20][21][22][23][24][25][26][27][28], the median total number of biopsies performed was 1,818, ranging from 498 [20] to 14,607 [24] . In data from 6 macro-regional databases (France, Finland, Romania, Australia, North Germany, West Saudi Arabia) [29][30][31][32][33][34][35] and 12 single-center reports [36][37][38][39][40][41][42][43][44][45][46][47] , the overall number of biopsies ranged from 251 [29] to 3,310 [34] .…”

Section: Renal Biopsy: a Global Epidemiology Overviewmentioning

confidence: 99%

Renal Biopsy in 2015 - From Epidemiology to Evidence-Based Indications

Fiorentino

Bolignano²,

Tesař³

et al. 2016

Am J Nephrol

127

102

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Background: Although the number of patients reaching end-stage kidney disease without a biopsy-proven diagnosis is increasing, the utility of renal biopsy is still an object of debate. We analyzed epidemiological data and the main indications for renal biopsy with a systematic, evidence-based review at current literature. Summary: There is a high discrepancy observed in biopsy rates and in the epidemiology of glomerular diseases worldwide, related to the different time frame of the analyzed reports, lack of data collection, the different reference source population and the heterogeneity of indications. The evidence-based analysis of indications showed that renal biopsy should be crucial in adults with nephrotic syndrome or urinary abnormalities as coexistent hematuria and proteinuria and in corticosteroid resistant-children with severe proteinuria. The knowledge of renal histology can change the clinical management in patients with acute kidney injury significantly, after the exclusion of pre-renal or obstructive causes of kidney damage. Scarce evidence indicates that renal biopsy can be useful in patients with advanced chronic kidney disease and its use should always be considered after weighing the benefits and potential risks. Renal biopsy should be crucial in patients with renal involvement due to systemic disease. In patients with diabetes with atypical features, renal biopsy may be fundamental to diagnose an unexpected parenchymal disease mislabeled as diabetic nephropathy. Finally, in elderly patients, the indications and the risks are not different from those in the general population. Key Message: Renal biopsy still remains a concrete approach for managing a substantial percentage of renal diseases.

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IgA nephropathy clinicopathologic study following the Oxford classification: Progression peculiarities and gender-related differences

et al. 2016

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Occurrence of kidney diseases and patterns of glomerular disease based on a 10-year kidney biopsy material: A retrospective single-centre analysis in Estonia

Abstract: Inflammatory glomerulopathies mostly prevailed in the spectrum of primary glomerulopathies. IgA nephropathy was the most common glomerulopathy. Comparing the data with those from a 15-year earlier period at the same centre, a change towards non-inflammatory glomerulopathies was noticed.

Cited by 12 publications

References 15 publications

Patterns of glomerular disease based on 4-year kidney biopsy material analyzed by light microscopy and immunofluorescence: a retrospective single-center analysis in Poland

Patterns of glomerular disease based on 4-year kidney biopsy material analyzed by light microscopy and immunofluorescence: a retrospective single-center analysis in Poland

Renal Biopsy in 2015 - From Epidemiology to Evidence-Based Indications

IgA nephropathy clinicopathologic study following the Oxford classification: Progression peculiarities and gender-related differences

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