Evidence map›Paper›PMID 37665527›Full record

ArticleJournal of nephrology2023

Diagnostic yield and safety of percutaneous native kidney biopsy in pregnancy: 20-years of single-center experience.

Halil Yazici, Ahmet Burak Dirim, Nurana Garayeva, Seda Safak, Yasemin Ozluk, Ozge Hurdogan, Ozgur Akin Oto, Ayse Serra Artan, Aydin Turkmen

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Article in Journal of nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

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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.

Halil YaziciDivision of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, 34134, Istanbul, Turkey.
Ahmet Burak DirimDivision of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, 34134, Istanbul, Turkey. ahmetburakdirim@gmail.com.
Nurana GarayevaDivision of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, 34134, Istanbul, Turkey.
Seda SafakDivision of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, 34134, Istanbul, Turkey.
Yasemin OzlukDepartment of Pathology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Ozge HurdoganDepartment of Pathology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Ozgur Akin OtoDivision of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, 34134, Istanbul, Turkey.
Ayse Serra ArtanDivision of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, 34134, Istanbul, Turkey.
Aydin TurkmenDivision of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, 34134, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous kidney biopsy is a fundamental procedure in nephrology. Although pregnancy is not a contraindication, a careful risk-benefit assessment is mandatory in pregnancy. We aimed to evaluate safety and diagnostic accuracy of percutaneous kidney biopsy in pregnancy in a single-center retrospective study.

methodsPercutaneous kidney biopsy was performed in 19 pregnant patients. Demographics, estimated glomerular filtration rates, serum albumin levels, and proteinuria levels at the time of biopsy were evaluated. Biopsy-related complications, diagnoses, and treatments during the follow-up were analyzed. In addition, delivery success, preeclampsia, early delivery, low birth weight rates, and long-term outcomes of the patients were retrieved and analyzed.

resultsMean patient age was 27 (range 16-41) years. Median gestational week at kidney biopsy was 20th. All but one biopsies were diagnostic. Median gestational week of delivery was 35 (range 23-39) gestational weeks. Preterm delivery (< 37 gestational weeks) and low birth weight (< 2500 mg) occurred in 73.7% and 52.6% of cases, respectively. Median weight at birth was 2500 mg. The incidence of preeclampsia was 57.9%. Overall 89.5% of the children survived. Median post-biopsy follow-up was 64 months. Maternal mortality was not observed during the follow-up period. End stage kidney disease developed in one patient. The results of percutaneous kidney biopsy led to therapeutic decisions in 73.7% of cases.

conclusionsAlthough percutaneous kidney biopsy is not frequently performed during pregnancy, it is relatively safe and usually diagnostic, and may guide further follow-up.

Indexed as

Pre-EclampsiaPremature BirthAdolescentAdultBiopsyChildFemaleHumansInfant, NewbornKidneyPregnancyRetrospective StudiesYoung AdultComplicationsKidney biopsyPregnancySafety

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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.