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Structure of the primary glomerulopathy among the adult population of the Northwestern Federal District of Russia

https://doi.org/10.17238/PmJ1609-1175.2016.4.35-37

Abstract

In national literature there are only a few papers on the structure and dynamics of kidney disease in the adult population of various regions of the Russian Federation. Methods. We conducted the analysis of the structure of glomerulopathy (GP) in patients older than 18 years old, verified on the basis of 1955 renal biopsy in the Research Institute of Nephrology of Pavlov First Saint Petersburg State Medical University during 15 years. Results. It was shown the increase of frequency nefrobiopsy, reached by 2014 in the region of 20 per million population per year. Primary GP occurred to be the dominant disease group - 72.3 % of cases, secondary GP were diagnosed in 16.2 % of patients. Primary GP incidence decreased within aging, and till 2010 the proliferative pathologies prevailed. However, in the 2010-2014 the number of non-proliferative GP has exceeded the number of proliferative, which was primarily due to focal segmental glomerulosclerosis and membranous nephropathy. Conclusions. The number of renal biopsies in the Northwestern Federal district of Russia exceeds the number of such European countries as Serbia and Romania, and is significantly behind Finland and Denmark. The tendency to the incidence reduction of proliferative GP in recent decades is accounted for the higher living standards, improving the quality of care and the early use of effective antibiotics.

About the Authors

V. G. Sipovskii
Pavlov First Saint Petersburg State Medical University; Federal Almazov North-West Medical Research Centre
Russian Federation


K. I. Lebedev
Pavlov First Saint Petersburg State Medical University
Russian Federation


References

1. Беспалова В.М., Цвирко Т.Н. Соотношение между клиническими и морфологическими формами первичных гломерлупатий // Нефрология и диализ. 2005. Т. 7, № 2. C. 181-185.

2. Ермаков Ю.А., Ковальский Г.Б. Структура непосредственных причин смерти больных с хронической почечной недостаточностью // Нефрология. 2004. Т. 8, прил. 2. С. 116-120.

3. Сиповский В.Г., Хмельницкая Н.М., Смирнов А.В. Методические основы патоморфологической диагностики неопухолевой патологии почек. СПб.: Береста, 2014. 42 с.

4. Сиповский В.Г., Хмельницкая Н.М., Смирнов А.В. Прикладные аспекты ультратсруктурной диагностики гломерулопатий. СПб.: Береста, 2014. 62 с.

5. Смирнов А.В., Добронравов В.А., Сиповский В.Г. [и др.]. Клинические рекомендации по диагностике, лечению и прогнозу мембранопролиферативного гломерулонефрита // Нефрология. 2014. Т. 18, № 6. С. 82-93.

6. Ben Maïz H., Abderrahim E., Ben Moussa F. [et al.]. Epidemiology of glomerular disease in Tunisia from 1975 to 2005. Influence of changes in healthcare and society // Bull. Acad. Natl. Med. 2006. Vol. 190. P. 403-418.

7. Chandrika B.K. Non neoplastic renal disease in Kerala, India-analysis of 1592, a two year retrospective study // Indian. J. Pathol. Microbiol. 2007. Vol. 50, No. 2. P. 300-302.

8. Collins A.J., Foley R.N., Chavers B. [et al.]. US Renal Data System 2013 annual data report // Am. J. Kidney Dis. 2014. Vol. 63, No. 1 (suppl. 1). 420 p.

9. Haas M., Meehan S.M., Karrison T.G., Spargo B.H. Changing etiologies of unexplained adult nephritic syndrome: a comparison of renal biopsy finding from 1876-1979 and 1995-1997 // Am. J. Kidney Dis. 1997. Vol. 30. P. 621-631.

10. Maisonneuve P., Agodoa L., Gellert R. [et al.]. Distribution of primary renal diseases leading to end-stage renal failure in the United States, Europe and Australia/New Zealand: results, from an international comparative study // Am. J. Kidney Dis. 2000. Vol. 35, No. 1. P. 157-165.

11. Malafronte P., Mastroianni-Kirsztajn G., Betônico G.M. [et al.]. Paulista registry of glomerulonephritis: 5-year data report // Nephrol. Dial. Transplant. 2006. Vol. 21, No. 11. P. 3098-3105.

12. Mesquita M., Fosso C., Bakoto Sol E. [et al.]. Renal biopsy findings in Belgium: a retrospective single center analysis // Acta. Clin. Belg. 2011. Vol. 66, No. 2. P. 104-109.

13. Naumovic R., Pavlovic S., Stojkovic D. [et al.]. Renal biopsy registry from a single centre in Serbia 20 years of experience // Nephrol. Dial. Transplant. 2009. Vol. 24, No. 3. P. 877-885.

14. Okpechi I., Swanepoel Ch., Diffield M. [et al.]. Patterns of renal disease in Cape Town South Africa: a 10-year review of singlecentre renal biopsy database // Nephrol. Dial. Transplant. 2011. Vol. 26, No. 6. P. 1853-1861.

15. Zhou F.D., Zhao M.H., Zou W.Z. [et al.]. The changing spectrum of primary glomerular disease within 15 years: A survey of 3331 patients in a single Chinese centre // Nephrol. Dial. Transplant. 2009. Vol. 24, No. 3. P. 870-876.


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For citations:


Sipovskii V.G., Lebedev K.I. Structure of the primary glomerulopathy among the adult population of the Northwestern Federal District of Russia. Pacific Medical Journal. 2016;61(4):35-37. (In Russ.) https://doi.org/10.17238/PmJ1609-1175.2016.4.35-37

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ISSN 1609-1175 (Print)