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Kidney biopsy practice amongst Australasian nephrologists
1Kidney Health Service, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
BMC Nephrology
|August 27, 2021
Summary
This survey reveals significant discrepancies between current kidney biopsy practices in Australasia and national guidelines. Many nephrologists show a lack of consensus, indicating a need for improved adherence to best practices for kidney biopsies.
Area of Science:
- Nephrology
- Medical Procedures
- Clinical Guidelines
Background:
- Percutaneous kidney biopsy is essential for diagnosing kidney diseases.
- Risks are influenced by proceduralist skill and patient factors.
- Kidney Health Australia - Caring for Australasians with Renal Impairment (KHA-CARI) guidelines are the sole national kidney biopsy guidelines.
Purpose of the Study:
- To survey current kidney biopsy practices in Australasia.
- To assess alignment of these practices with KHA-CARI guidelines.
- To compare practices with international biopsy standards.
Main Methods:
- A cross-sectional, multiple-choice questionnaire was used.
- The survey covered pre-biopsy precautions, medication management, technical aspects, complications, and indications.
- The questionnaire was distributed to members of the Australian and New Zealand Society of Nephrology (ANZSN).
Main Results:
- The survey achieved a 21.4% response rate (182/850).
- Respondents showed over 75% agreement on only six of twelve questions assessing practice against KHA-CARI guidelines (50% agreement).
Conclusions:
- This study is the first to evaluate kidney biopsy practices against a clinical guideline.
- Practices were found to be incongruent with guidelines.
- A lack of consensus on numerous kidney biopsy issues was observed.
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