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Evaluation of kidney biopsies in elderly patients

  • Nephrology - Original Paper
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Abstract

Objective

The renal parenchymal disease spectrum in geriatric patients is similar to that in younger patients and can be controlled by appropriate treatment. We evaluated the clinicopathological features of kidney biopsies from geriatric patients.

Materials and methods

One hundred nine native kidney biopsies from older patients (> 65 years old) obtained from 2005 to 2014 were evaluated retrospectively. The specimens were inspected by the same pathologist in the same laboratory by light microscopy and immunofluorescence.

Results

The mean age of the patients was 72.4 ± 7.8 years (range 65–90 years), and 51.3% were female. The most frequent indication for kidney biopsy was proteinuria at the nephrotic level (56.8%). The most frequent histopathological diagnoses were focal segmental glomerulosclerosis in primary glomerulonephritis and secondary amyloidosis in secondary glomerulonephritis. The rate of major complications due to kidney biopsy was < 1%.

Result

Kidney biopsy is an effective and safe method of evaluating renal parenchymal diseases in older patients.

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Authors and Affiliations

  1. Department of Nephrology, Marmara University Pendik Training and Research Hospital, Fevzi Çakmak Mahallesi, Muhsin Yazıcıoğlu Cd No: 10, 34899, Istanbul, Turkey

    Murat Tuğcu

  2. Department of Nephrology, Agrı Public Hospital, Agrı, Turkey

    Umut Kasapoğlu

  3. Department of Nephrology, Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey

    Gülizar Şahin

  4. Department of Nephrology, Bakirkoy Sadi Konuk Training and Research Hospital, Istanbul, Turkey

    Süheyla Apaydın

  5. Department of Nephrology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey

    Gülistan Gümrükçü

Authors
  1. Murat Tuğcu
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  2. Umut Kasapoğlu
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  3. Gülizar Şahin
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  4. Süheyla Apaydın
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  5. Gülistan Gümrükçü
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Correspondence to Murat Tuğcu.

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Informed consent was obtained from all individual participants included in the study.

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Tuğcu, M., Kasapoğlu, U., Şahin, G. et al. Evaluation of kidney biopsies in elderly patients. Int Urol Nephrol 51, 869–874 (2019). https://doi.org/10.1007/s11255-019-02109-1

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  • DOI: https://doi.org/10.1007/s11255-019-02109-1

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