Renal biopsy. clinic-pathological description, complications and evolution in a general hospital in peru

Meneses-Liendo V.H.; Medina-Chávez M.C.; Gómez-Lujan M. · Revista de la Facultad de Medicina Humana (2020) · DOI: 10.25176/rfmh.v20i4.3188

Resumen

introducción: Kidney biopsy is one of the essential tests for the characterization of chronic kidney disease (CKD). Objective: To determine the most frequent primary and secondary glomerulonephritis, the complications of the renal biopsy and the number of patients on hemodialysis when undergoing a renal biopsy. Methods: Observational, descriptive, retrospective, cross-sectional case series study conducted at the E. Rebagliati Matins-Peru National Hospital. The medical records of patients over 15 years of age undergoing kidney biopsy between 2008-2016 were reviewed. The data was processed in Stata 16.1. Results: Of 2278 medical records, 1234 women and 1044 men corresponded. The most frequent primary and secondary glomerulonephritis were focal and segmental glomerulosclerosis (GEFyS) 683 (29.98%) and systemic lupus erythematosus (SLE) 434 (19.04%) respectively . Of 1644 biopsied patients, 36 (2.19%) and 241 (14.66%) had major and minor complications, respectively. The major complications were more frequent when the procedure was performed by radiology with ultrasound guidance in relation to that performed by the nephrologist without ultrasound guidance (p = 0.037). In 1,324 patients, 329 underwent renal biopsy while on hemodialysis; of them 43 (13.07%) managed to get out of this therapy and 144 (51.99%) had major or minor complications. Conclusion: GEFyS and SLE were the most frequent primary and secondary glomerulonephritis, respectively. In 1644 patients the major and minor complications were 36 (2.19%) and 241 (14.66%) respectively. In 1,324 patients, 329 (24.80%) were biopsied while on hemodialysis and of these, 144 (51.99%) had major or minor complications.