Back to Search
Start Over
A nationwide survey on clinical practice patterns and bleeding complications of percutaneous native kidney biopsy in Japan.
- Source :
-
Clinical and experimental nephrology [Clin Exp Nephrol] 2020 May; Vol. 24 (5), pp. 389-401. Date of Electronic Publication: 2020 Mar 18. - Publication Year :
- 2020
-
Abstract
- Background: Practice patterns and bleeding complications of percutaneous native kidney biopsy (PNKB) have not recently been investigated and the Japanese Society of Nephrology performed a nationwide questionnaire survey in 2018.<br />Methods: The survey consisted of nine sections about PNKB: (1) general indications; (2) indications for high-risk patients; (3) informed consent; (4) pre-biopsy evaluation; (5) procedures; (6) sedation; (7) post-biopsy hemostasis, bed rest, and examinations; (8) bleeding complications; and (9) specimen processing. A supplementary survey examined bleeding requiring transcatheter arterial embolization (TAE).<br />Results: Overall, 220 directors of facilities (nephrology facility [NF], 168; pediatric nephrology facility [PF], 52) completed the survey. Indications, procedures, and monitoring protocols varied across facilities. Median lengths of hospital stay were 5 days in NFs and 6 days in PFs. Gauge 14, 16, 18 needles were used in 5%, 56%, 33% in NFs and 0%, 63%, 64% in PFs. Mean limits of needle passes were 5 in NFs and 4 in PFs. The bed rest period was 16-24 h in 60% of NFs and 65% of PFs. Based on 17,342 PNKBs, incidence rates of macroscopic hematuria, erythrocyte transfusion, and TAE were 3.1% (NF, 2.8%; PF, 6.2%), 0.7% (NF, 0.8%; PF, 0%), and 0.2% (NF, 0.2%; PF, 0.06%), respectively. Forty-six percent of facilities processed specimens all for light microscopy, immunofluorescence, and electron microscopy, and 21% processed for light microscopy only. Timing of bleeding requiring TAE varied among PNKB cases.<br />Conclusion: Wide variations in practice patterns of PNKB existed among facilities, while PNKBs were performed as safely as previously reported.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Biopsy instrumentation
Biopsy methods
Child
Child, Preschool
Erythrocyte Transfusion statistics & numerical data
Female
Hematuria etiology
Humans
Infant
Infant, Newborn
Informed Consent statistics & numerical data
Japan
Length of Stay statistics & numerical data
Male
Microscopy, Electron statistics & numerical data
Middle Aged
Needles statistics & numerical data
Nephrology statistics & numerical data
Organizational Policy
Patient Selection
Pediatrics statistics & numerical data
Postoperative Hemorrhage etiology
Preoperative Care
Surveys and Questionnaires
Young Adult
Biopsy adverse effects
Embolization, Therapeutic statistics & numerical data
Health Facilities statistics & numerical data
Kidney pathology
Postoperative Hemorrhage therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1437-7799
- Volume :
- 24
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Clinical and experimental nephrology
- Publication Type :
- Academic Journal
- Accession number :
- 32189101
- Full Text :
- https://doi.org/10.1007/s10157-020-01869-w