The impact of renal biopsy in the clinical management of childhood renal disease

This study was carried out to determine whether renal biopsy altered patient management or expected prognosis among children with renal disease. A retrospective analysis of case records of 106 children with renal disease having adequate renal biopsies was made. The diagnosis was altered in 47.2% and...

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Bibliographic Details
Published inSaudi journal of kidney diseases and transplantation Vol. 8; no. 1; pp. 11 - 15
Main Author al-Rashid, Suud A.
Format Journal Article
LanguageEnglish
Published Riyadh, Saudi Arabia Saudi Center for Organ Transplantation 1997
Subjects
Biopsy
Chronic renal failure in children
Diseases
Kidneys
الأطفال
الأمراض
الأمراض المزمنة
التشخيص
التشريح
الخزعة
الفشل الكلوي
الكلى
المرضى
مآلات المرض
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Summary:This study was carried out to determine whether renal biopsy altered patient management or expected prognosis among children with renal disease. A retrospective analysis of case records of 106 children with renal disease having adequate renal biopsies was made. The diagnosis was altered in 47.2% and therapeutic approach was changed in 33% of the patients after obtaining the renal biopsy findings. Also, the estimate of prognosis was altered in 31.1% of the cases. These results were greater for patients with steroid resistant and congenital nephrotic syndrome, acute renal failure, asymptomatic urinary abnormalities and mixed nephritic-nephrotic syndrome. Subsequent management and prognosis was least affected by the biopsy results in patients with steroid sensitive nephrotic syndrome and chronic renal failure.
ISSN:1319-2442
2320-3838