Clinical Spectrum and Epidemiology of Renal Diseases: Insights from Renal Biopsy: A Single Hospital Study
DOI:
https://doi.org/10.18311/jeoh/2024/42116Keywords:
C3 Glomerulopathy, Crescentic Glomerulo Nephritis (GN), FSGS (Focal and Segmental Glomerulonephritis), IgA N (IgA Nephropathy), MCD (Minimal Change Disease), MN (Membranous Nephropathy), MPGN (Membranoproliferative Glomerulonephritis)Abstract
Introduction: Diagnosis of renal diseases through renal biopsy exhibits variability influenced by factors such as geographical location, ethnicity, age, gender and observer subjectivity. Aims: This study aimed to ascertain the frequency and distribution of various renal diseases diagnosed via renal biopsy at a tertiary care hospital in Lucknow, India. Materials and Methods: The study enrolled 187 patients who underwent renal biopsy between January 2020 and January 2023. Biopsies were conducted using percutaneous ultrasound-guided core needle biopsy, yielding two renal biopsy cores per patient. Results: The mean age of the patients was 35.7±16.8 years with a male predominance of 2.46:1. Primary glomerular diseases constituted 61.5% of cases, with IgA nephropathy as the most prevalent (21.4%), followed by focal and segmental glomerulonephritis (13.9%). Secondary glomerular diseases comprised 12.3% of cases with diabetic nephropathy being the most frequent (4.8%). Conclusion: The findings underscore the regional variability in renal disease patterns and highlight the crucial role of renal biopsy in accurate diagnosis and treatment decision-making. Further research is warranted to validate these observations and establish a national renal biopsy registry in India.
Downloads
Metrics
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Sant Kumar Pandey, Dhairya Prakash Prajapati, Amar Deep
This work is licensed under a Creative Commons Attribution 4.0 International License.
Accepted 2024-04-08
Published 2024-05-16
References
Jin DC, Han JS. Renal replacement therapy in Korea, 2012. Kidney Res Clin Pract. 2014; 33(1):9-18. https://doi. org/10.1016/j.krcp.2014.01.002 PMid:26877945 PMCid: PMC4714170. DOI: https://doi.org/10.1016/j.krcp.2014.01.002
Jin DC. Current status of dialysis therapy in Korea. Korean J Intern Med. 2011; 26(2):123-31. https://doi.org/10.3904/ kjim.2011.26.2.123 PMid:21716586 PMCid: PMC3110842. DOI: https://doi.org/10.3904/kjim.2011.26.2.123
Nationwide and long-term survey of primary glomerulonephritis in Japan as observed in 1,850 biopsied cases. Research Group on Progressive Chronic Renal Disease. Nephron. 1999; 82(3):205-13. https://doi. org/10.1159/000045404 PMid:10395992. DOI: https://doi.org/10.1159/000045404
Naumovic R, Pavlovic S, Stojkovic D, et al. Renal biopsy registry from a single centre in Serbia: 20 years of experience. Nephrol Dial Transplant. 2009; 24(3):877-85 https://doi.org/10.1093/ndt/gfn564 PMid:18927123 DOI: https://doi.org/10.1093/ndt/gfn564
Bosan IB. Recommendations for early diagnosis of chronic kidney disease. Ann Afr Med. 2007; 6(3):130-6. https://doi. org/10.4103/1596-3519.55719 PMid:18240503. DOI: https://doi.org/10.4103/1596-3519.55719
Madaio MP. Renal biopsy. Kidney Int. 1990; 38(3):529-43. https://doi.org/10.1038/ki.1990.236 PMid:2232496. DOI: https://doi.org/10.1038/ki.1990.236
Donadio JV, Grande JP. IgA nephropathy. N Engl J Med. 2002; 347(10):738-48 https://doi.org/10.1056/ NEJMra020109 PMid:12213946. DOI: https://doi.org/10.1056/NEJMra020109
Chang JH, Kim DK, Kim HW, et al. Changing prevalence of glomerular diseases in Korean adults: A review of 20 years of experience. Nephrol Dial Transplant. 2009; 24(8):2406-10. https://doi.org/10.1093/ndt/gfp091 PMid:19264742. DOI: https://doi.org/10.1093/ndt/gfp091
Cunningham A, Benediktsson H, Muruve DA, Hildebrand AM, Ravani P. Trends in biopsy-based diagnosis of kidney disease: A population study. Can J Kidney Health Dis. 2018; 5:2054358118799690. https://doi. org/10.1177/2054358118799690 PMid:30263130 PMCid: PMC6149029. DOI: https://doi.org/10.1177/2054358118799690
Rathi M, Bhagat RL, Mukhopadhyay P et al. Changing histologic spectrum of adult nephritic syndrome over five decades in North India: A single centre experience. Indian J Nephrol. 2014; 24(2):86-91. https://doi.org/10.4103/0971- 4065.127892 PMid:24701040 PMCid: PMC3968615. DOI: https://doi.org/10.4103/0971-4065.127892
Das U, Dakshinamurty KV, Prayaga A. Pattern of biopsyproven renal disease in a single centre of South India: 19 years experience. Indian J Nephrol. 2011; 21(4):250-7. https://doi.org/10.4103/0971-4065.85482 PMid:22022085 PMCid: PMC3193668. DOI: https://doi.org/10.4103/0971-4065.85482
Wang YT, Zhou CY, Zhu TC et al. Analysis of kidney biopsy data from a single centre in the midland rural area of China, 1996-2010. Curr Ther Res Clin Exp. 2013; 74:22-5. https://doi.org/10.1016/j.curtheres.2012.12.005 PMid:24384611 PMCid: PMC3862197. DOI: https://doi.org/10.1016/j.curtheres.2012.12.005
Hamdy AS, Gamal AT, Maha A, Mohammed MK. The histopathological profile of kidney diseases in a single centre in Egypt: An overview of 14 years of experience. J Clin Diagn Res. 2011; 5(2):295-300.
Okpechi I, Swanepoel C, Duffield M, Mahala B, Wearne N, Alagbe S et al. Patterns of renal disease in Cape Town South Africa: A 10-year review of a single-centre renal biopsy database. Nephrol Dial Transplant. 2011; 26(6):1853-61. https://doi.org/10.1093/ndt/gfq655 PMid:20980357. DOI: https://doi.org/10.1093/ndt/gfq655
Onwubuya IM, Adeluosa KA, Sabageh D, Ezike KN, Olaofe OO. Biopsy proven renal diseases in Ile-lfe, Nigeria: A histopathological review. Indian J Nephrol. 2016; 26(1):16-22 https://doi.org/10.4103/0971-4065.155732 PMid:26937073 PMCid: PMC4753736. DOI: https://doi.org/10.4103/0971-4065.155732
Covic A, Schiller A, Volovat C, et al. Epidemiology of renal disease in Romania: A 10-year review of two regional renal biopsy databases. Nephrol Dial Transplant. 2006; 21(2):419- 24. https://doi.org/10.1093/ndt/gfi207 PMid:16249204. DOI: https://doi.org/10.1093/ndt/gfi207
Rychlík I, Jancová E, Tesar V, et al. The Czech registry of renal biopsies. Occurrence of renal diseases in the years 1994-2000. Nephrol Dial Transplant. 2004; 19(12):3040-9. https://doi.org/10.1093/ndt/gfh521 PMid:15507479. DOI: https://doi.org/10.1093/ndt/gfh521
Choi IJ, Jeong HJ, Han DS, et al. An analysis of 4,514 cases of renal biopsy in Korea. Yonsei Med J. 2001; 42(2):247-54. https://doi.org/10.3349/ymj.2001.42.2.247 PMid:11371115. DOI: https://doi.org/10.3349/ymj.2001.42.2.247
Rivera F, López-Gómez JM, Pérez-García R; Spanish registry of glomerulonephritis. clinicopathologic correlations of renal pathology in Spain. Kidney Int. 2004; 66(3):898-904. https://doi.org/10.1111/j.1523-1755.2004.00833.x PMid:15327378. DOI: https://doi.org/10.1111/j.1523-1755.2004.00833.x
Sugiyama H, Yokoyama H, Sato H, et al. Japan renal biopsy registry and Japan kidney disease registry: Committee report for 2009 and 2010. Clin Exp Nephrol. 2013; 17(2):155- 73. https://doi.org/10.1007/s10157-012-0746-8 PMid:2338577. DOI: https://doi.org/10.1007/s10157-012-0746-8
Kiryluk K, Li Y, Sanna-Cherchi S, et al. Geographic differences in genetic susceptibility to IgA nephropathy: GWAS replication study and geospatial risk analysis. PLoS Genet. 2012; 8(6):e1002765. https://doi.org/10.1371/ journal.pgen.1002765 PMid:22737082 PMCid: PMC3380840. DOI: https://doi.org/10.1371/journal.pgen.1002765
Mittal P, Agarwal SK, Singh G, et al. Spectrum of biopsy-proven renal disease in northern India: A singlecentre study. Nephrology (Carlton). 2020; 25(1):55-62. https://doi.org/10.1111/nep.13582 PMid:30834630. DOI: https://doi.org/10.1111/nep.13582
Golay V, Trivedi M, Abraham A, et al. The spectrum of glomerular diseases in a single centre: Clinicopathological correlation. Indian J Nephrol. 2013; 23(3):168-75. https://doi.org/10.4103/0971-4065.111833 PMid:23814413 PMCid: PMC3692140. DOI: https://doi.org/10.4103/0971-4065.111833
O’Shaughnessy MM, Hogan SL, Poulton CJ, Falk RJ, Singh HK, Nickeleit V, Jennette JC. Temporal and demographic trends in glomerular disease epidemiology in the southeastern United States, 1986- 2015. Clin J Am SocNephrol. 2017; 12(4):614-623 https://doi.org/10.2215/CJN.10871016 PMid:28325866 PMCid: PMC5383393. DOI: https://doi.org/10.2215/CJN.10871016
Hanko JB, Mullan RN, O’rourke DM, McNamee PT, Maxwell AP, Courtney AE (2009) The changing pattern of adult primary glomerular disease. Nephrol Dial Transplant. 2009; 24(10):3050- 4. https://doi.org/10.1093/ndt/gfp254 PMid:19487734. DOI: https://doi.org/10.1093/ndt/gfp254
Hou J, Zhu H, Zhou M, Le W et al (2018) Changes in the spectrum of kidney diseases: an analysis of 40,759 biopsy-proven cases from 2003 to 2014 in China. Kidney Dis. 2018; 4(1):10-19. https://doi.org/10.1159/000484717 PMid:29594138 PMCid: PMC5848489. DOI: https://doi.org/10.1159/000484717
Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R et al. Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: Phase I results of the Indian Council of Medical Research- INdiaDIABetes (ICMR-INDIAB) study. Diabetologia. 2011; 54(12):3022-7. https://doi.org/10.1007/s00125-011- 2291-5 PMid:21959957. DOI: https://doi.org/10.1007/s00125-011-2291-5