Clinical Spectrum and Epidemiology of Renal Diseases: Insights from Renal Biopsy: A Single Hospital Study
Keywords:
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
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
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.
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.
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.
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
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.
Madaio MP. Renal biopsy. Kidney Int. 1990; 38(3):529-43. https://doi.org/10.1038/ki.1990.236 PMid:2232496.
Donadio JV, Grande JP. IgA nephropathy. N Engl J Med. 2002; 347(10):738-48 https://doi.org/10.1056/ NEJMra020109 PMid:12213946.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.