KIDNEY BIOPSY PROVED DIAGNOSIS OF RENAL DISORDERS IN A TERTIARY CARE HOSPITAL: SHARING A 4 YEARS EXPERIENCE

Abstract

Objective: To evaluate outcome of renal biopsies in patients at a nephrology unit of a tertiary care centre at Rawalpindi over a period of 4 years.
Study Design: Retrospective and cross sectional observational study.
Place and Duration of Study: Department of Nephrology, Military Hospital Rawalpindi, from 2008-2012
Methodology: The study was based upon the data of patients with different renal pathologies who underwent kidney biopsy for establishment of diagnosis. All the patients who underwent successful kidney biopsy from 2008-2012 in our hospital were included in the study.
Results: A total of 235 patients underwent successful kidney biopsy (with conclusive pathological findings). Out of these, 170 (72%) were males and 65 (28%) were females and the age ranged from 06 years to 55 years, with mean age of 28.6 years among males and 31.5 years among females. Out of these 100 (42.6%) patients had mesangioproliferative glomerulonephritis, 65 (27.6%) had membranous nephropathy, 37 (15.7%) patients had
focal and segmental glomerulosclerosis, 11 (4.7%) patients had IgA glomerulopathy, 7 (3%) had minimal change nephropathy whereas 15 (6.4%) patients had other causes of glomerulonephritis (including systemic illnesses, pyelonephritis, acute tubular necrosis and interstitial nephritis).
Conclusion: The most common biopsy proved diagnosis in the patients with different renal disorders was mesangioproliferative glomerulonephritis and the least common was minimal change nephropathy.