对肾活检实践态度变化的国际研究。

IF 8.5 1区医学 Q1 UROLOGY & NEPHROLOGY

Clinical Journal of the American Society of Nephrology Pub Date : 2024-12-20 DOI:10.2215/CJN.0000000607

Michael P Toal, Christopher J Hill, Michael P Quinn, Emily P McQuarrie, Ciaran E O'Neill, Alexander P Maxwell

引用次数: 0

摘要

背景：肾活检是诊断的必要检查，但具有侵入性并伴有并发症。延迟或错过诊断肾脏疾病的机会可能导致不良的患者预后。本研究旨在调查世界各地对肾活检的态度。方法：在现有文献的基础上，结合患者的意见，设计肾脏科医师在线问卷。收集了个人和机构的人口统计数据、活检的适应症和禁忌症、态度和准入障碍等匿名数据。从反应中产生了活检倾向评分，使临床医生能够将他们的做法与国际同行进行比较。评分越高，推荐活检的可能性越大。调查问卷通过包括国家肾脏基金会在内的国际肾脏病学会和社交媒体传播。结果：调查问卷的参与者包括来自83个国家的1181名临床医生，使其成为该领域迄今为止规模最大的国际研究。有超过20名临床医生参与的13个国家的活检倾向评分有显著差异(p结论：肾活检实践在国际上各不相同，受人为因素和系统因素的影响。需要进一步的研究来了解临床决策背后的差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

An International Study of Variation in Attitudes to Kidney Biopsy Practice.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Clinical Journal of the American Society of Nephrology 医学-泌尿学与肾脏学

CiteScore

12.20

自引率

3.10%

发文量

514

审稿时长

3-6 weeks

期刊介绍： The Clinical Journal of the American Society of Nephrology strives to establish itself as the foremost authority in communicating and influencing advances in clinical nephrology by (1) swiftly and effectively disseminating pivotal developments in clinical and translational research in nephrology, encompassing innovations in research methods and care delivery; (2) providing context for these advances in relation to future research directions and patient care; and (3) becoming a key voice on issues with potential implications for the clinical practice of nephrology, particularly within the United States. Original manuscript topics cover a range of areas, including Acid/Base and Electrolyte Disorders, Acute Kidney Injury and ICU Nephrology, Chronic Kidney Disease, Clinical Nephrology, Cystic Kidney Disease, Diabetes and the Kidney, Genetics, Geriatric and Palliative Nephrology, Glomerular and Tubulointerstitial Diseases, Hypertension, Maintenance Dialysis, Mineral Metabolism, Nephrolithiasis, and Transplantation.