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ORIGINAL ARTICLE
Year : 2018  |  Volume : 1  |  Issue : 2  |  Page : 62-66

Nationwide pediatric renal biopsy audit by the Indian Society of Pediatric Nephrology


1 Department of Pediatric Nephrology, Institute of Child Health, Kolkata, West Bengal, India
2 Division of Pediatric Nephrology, Department of Pediatrics, Lady Hardinge Medical College, Kalawati Saran Children's Hospital, Bengaluru, Karnataka, India
3 Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, Bengaluru, Karnataka, India
4 Department of Pediatric Nephrology, St John's Medical College and Hospital, Bengaluru, Karnataka, India
5 Division of Pediatric Nephrology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr Abhijeet Saha
Department of Pediatrics, Division of Pediatric Nephrology, Lady Hardinge Medical College, Kalawati Saran Children's Hospital, Room No. 102, New Delhi - 110001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AJPN.AJPN_25_18

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Objective: The survey was conducted to identify current renal biopsy practices in India and compare them with the British Association of Pediatric Nephrology (BAPN, 2015) standards. Methods: A 53-question survey questionnaire was sent to 48 centers across the country by electronic mail. Questions included were related to the number of biopsies performed, indications, prerequisites and procedure of biopsy, monitoring, and complications. The results were compared against the BAPN 2015 standards. Results: Thirty (62.5%) out of 48 centers responded to the questionnaire. Real-time ultrasound was the favored method at 24 (80%) centers. Most (80%) of the biopsies were performed by nephrologists alone. The biopsy was usually (80%) an inpatient procedure with overnight hospitalization; 20% of the centers performed it as a day-care procedure. The 18-gauge needle was preferred by 60% of the centers. Biopsy was achieved with three or fewer passes in 93% of the centers. Almost half (47%) of the centers considered 10 or more glomeruli on light microscopy as adequate to reach a diagnosis. The rates of gross hematuria were <5% in 80% of the centers surveyed. Death following biopsy was reported by two centers. Conclusion: Majority of the centers surveyed across India achieve BAPN standards in most parameters. Such audit of practices against the standards for kidney biopsy enables comparison between units as well as for monitoring of individual center's performance over time.


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