Evidence map›Paper›PMID 33426387›Full record

ArticleKidney international reports2021

A Systematic Review of Complications Associated With Percutaneous Native Kidney Biopsies in Adults in Low- and Middle-Income Countries.

Shepherd Kajawo, Udeme Ekrikpo, Mothusi Walter Moloi, Jean Jacques Noubiap, Mohamed A Osman, Ugochi S Okpechi-Samuel, Andre Pascal Kengne, Aminu K Bello, Ikechi G Okpechi

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Article
  7. Review
  8. Article
  9. Performing a percutaneous kidney biopsy.World journal of nephrology · 2026
    Review
  10. Article
  11. An interpretable machine learning model for preoperative prediction of renal mass malignancy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
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  13. Article
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  15. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 5 countries.

Shepherd KajawoDepartment of Medicine, National University of Science and Technology, Bulawayo, Zimbabwe.
Udeme EkrikpoDivision of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa.
Mothusi Walter MoloiDivision of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa.
Jean Jacques NoubiapCentre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute (SAHMRI), University of Adelaide and Royal Adelaide Hospital, Adelaide, Australia.
Mohamed A OsmanDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Ugochi S Okpechi-SamuelDepartment of Internal Medicine, National Hospital, Abuja, Nigeria.
Andre Pascal KengneNon-communicable Diseases Research Unit, South African Medical Research Council, Cape Town, South Africa.
Aminu K BelloDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Ikechi G OkpechiDivision of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa.
University of Alberta · CAUniversity of Cape Town · ZANational Hospital Abuja · NGSouth African Medical Research Council · ZAUniversity of Adelaide · AUUniversity of Uyo · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionKidney biopsy is an important tool for making diagnoses and for assessing the drug treatment requirements and disease prognosis in the management of kidney diseases. There are variations in the rate of complications associated with kidney biopsies across countries, and this depends on various clinical and technical factors. The aim of this study is to report on complications associated with kidney biopsy performed in low- and middle-income countries.

methodsTwo reviewers searched

resultsWe identified 39 studies reporting on 19,500 kidney biopsies with overall complications (major + minor) rate of 14.9% (95% confidence interval = 11.4%-18.7%). Fewer complications were reported in biopsies performed with real-time ultrasound scans compared to those pre-marked using ultrasound or blind procedures (12.4% vs. 14.9% vs. 24.5%;

conclusionComplications associated with kidney biopsy in low- and middle-income countries are low, are comparable to those in other settings, and occur more sparingly when real-time ultrasound techniques or automated kidney biopsy needles are used. This suggests the need to expand the use of this procedure to improve diagnosis of kidney pathologies and choice of therapy when indicated.

Indexed as

bleedingcomplicationskidney biopsylow-to-middle-income countriesneedle biopsyultrasound-guided biopsy

Identifiers

PMID33426387
PMCPMC7783578
OpenAlexW3097597876

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.