ArticleAmerican journal of nephrology2012
Impact of ultrasound-guided kidney biopsy simulation on trainee confidence and biopsy outcomes.
Article in American journal of nephrology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Educational impact of a simulation-based renal biopsy workshop for medical students during nephrology clerkship.BMC medical education · 2026Article
- Diagnostic Yield and Safety of Pulmonologist-Performed Ultrasound-Guided Transthoracic Core Biopsy: A Seven-Year Cohort Study.Diagnostics (Basel, Switzerland) · 2026Article
- Training strategies for neck ultrasound examination and ultrasound-guided cervical lymph node biopsies: a narrative review.BMC medical education · 2026Review
- Pediatric Kidney Biopsy: Clinical Perspectives Based on Survey of Pediatric Nephrologists and Interventional Radiologists.Kidney medicine · 2024Article
- Simulation-based learning in nephrology.Clinical kidney journal · 2024Review
- National survey of invasive procedural training for nephrology fellows and residents in France: from bedside mentoring to simulation-based teaching.Clinical kidney journal · 2021Article
- A retrospective analysis of the utility and safety of kidney transplant biopsies by nephrology trainees and consultants.Annals of medicine and surgery (2012) · 2018Article
- The dialysis orders objective structured clinical examination (OSCE): a formative assessment for nephrology fellows.Clinical kidney journal · 2018Article
- An integrated pathology and ultrasonography-based simulation for training in performing kidney biopsy .Clinical nephrology · 2018Article
- Safety and adequacy of percutaneous kidney biopsy performed by nephrology trainees.BMC nephrology · 2018Observational
- The Native Kidney Biopsy: Update and Evidence for Best Practice.Clinical journal of the American Society of Nephrology : CJASN · 2016Review
- Nephrologists as Educators: Clarifying Roles, Seizing Opportunities.Clinical journal of the American Society of Nephrology : CJASN · 2016Article
- Teaching percutaneous renal biopsy using unfixed human cadavers.BMC nephrology · 2015Article
- Effectiveness versus efficiency in a medical skills laboratory.Romanian journal of anaesthesia and intensive care · 2015Article
- Using an abdominal phantom to teach urology residentes ultrasound-guided percutaneous needle placement.International braz j urol : official journal of the Brazilian Society of UrologyArticle
- A low-cost PVC-based dual-modality kidney phantom.Proceedings of SPIE--the International Society for Optical EngineeringArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
BACKGROUND/
aimsTo improve procedural skill competence in real-time ultrasound-guided renal biopsy, we have developed an inexpensive simulation tool (a porcine kidney inserted under a turkey breast) that mimics biopsy conditions in human patients in terms of kidney size, depth, echogenicity and overall structural characteristics. This study investigated the utility of this simulation tool for improving trainees' confidence in performing renal biopsy and biopsy-associated bleeding complications.
methodsWe have quantitatively assessed the confidence level of renal fellows before and after their initial renal biopsy simulation training. Subsequently, we determined the effect of this simulation training on trainees' procedural competence by comparing outcomes of clinical renal biopsies performed by fellows that did versus those who did not participate in the simulation training.
resultsWe show that renal biopsy simulation has improved the confidence level of trainees (23.4 presimulation to 70.3 postsimulation on a 0-100 scale; p = 0.001; η(2) = 0.69). The improvement in trainees' confidence did not vary across their prior experience performing renal biopsies (η(2) = 0.23; p = 0.060). Additionally, fellows who participated in the simulation training demonstrated improved competence in performing the renal biopsy procedure in patients. Successful retrieval of renal tissue per pass was 94% (vs. 73% in fellows who did not participate in this simulation training; p = 0.002) and procedure-related blood loss was reduced as indicated by smaller postbiopsy versus prebiopsy hematocrit decline (1.18 vs. 2.68; p = 0.049).
conclusionRenal biopsy simulation training may improve trainees' confidence and reduce the severity of biopsy-associated bleeding complications in patients.
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