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Is the art of renal biopsy on the decline in Nigeria?

Okani CO, Ekrikpo UE, Okolo CA, Asinobi AO, Salako B, Akang EE - Ann Ib Postgrad Med (2014)

Bottom Line: Trend of requests of all the biopsies submitted from the Surgery, Paediatrics and Medicine departments was analysed using a test for linear trend.Decrease in biopsy requests significantly cuts across the ages in both genders.Adequate efforts should be made towards reviving this important investigative modality in Nigerian tertiary hospitals.

View Article: PubMed Central - PubMed

Affiliation: Department of Histopathology, Benue State University, Makurdi, Benue State, Nigeria.

ABSTRACT

Background: Renal biopsy remains the means by which definitive parenchymal kidney disease diagnoses are made. With the renal biopsy, the activity, progression and prognosis of renal parenchymal diseases can be studied with objectivity. We investigated the trend of renal histopathology request in a tertiary hospital in Nigeria over 31 years.

Objective: To determine the trend of renal biopsy requests in one of the biggest tertiary hospitals in Nigeria over a 31-year period (1981- 2011).

Methods: We retrospectively analysed all the renal biopsies submitted to the Department of Pathology, University College Hospital (UCH) Ibadan, South-West Nigeria over a 30 year period (1981-2011). Trend of requests of all the biopsies submitted from the Surgery, Paediatrics and Medicine departments was analysed using a test for linear trend. Gender and age groups trends were also studied.

Results: A significant reduction in the rates of renal biopsy request over the 31-year period (p=0.001) was noted which is attributed to diminution in requests from the Medicine and Paediatrics Departments (p<0.001), while the rates of requests from Surgery Department remain fairly uniform over this period (p=0.05). Decrease in biopsy requests significantly cuts across the ages in both genders.

Conclusion: Lack of adequately trained manpower, poor health insurance scheme and lack of facilities may be contributory in renal biopsy requests decline. Adequate efforts should be made towards reviving this important investigative modality in Nigerian tertiary hospitals.

No MeSH data available.


Related in: MedlinePlus

Gender trends of histopathologic requests in Ibadan over 31 yearss
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Figure 2: Gender trends of histopathologic requests in Ibadan over 31 yearss

Mentions: Trend test revealed a significant decrease in the overallkidney biopsy requests over 31 years (p=0.001), figure1. The decline is attributed to reduction in requestsfrom the Paediatrics and Medicine Departments (p<0.001) while the requests from Surgery Departmentsremained unchanged over this period (p=0.05).A significant decline across the ages in both genders(figures 2). Before 1993, an average of 10 to 20 renalbiopsies was performed in a year, but the valuedropped significantly plateauing to average of 1 to 10per year for more than two and half decades.


Is the art of renal biopsy on the decline in Nigeria?

Okani CO, Ekrikpo UE, Okolo CA, Asinobi AO, Salako B, Akang EE - Ann Ib Postgrad Med (2014)

Gender trends of histopathologic requests in Ibadan over 31 yearss
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4201932&req=5

Figure 2: Gender trends of histopathologic requests in Ibadan over 31 yearss
Mentions: Trend test revealed a significant decrease in the overallkidney biopsy requests over 31 years (p=0.001), figure1. The decline is attributed to reduction in requestsfrom the Paediatrics and Medicine Departments (p<0.001) while the requests from Surgery Departmentsremained unchanged over this period (p=0.05).A significant decline across the ages in both genders(figures 2). Before 1993, an average of 10 to 20 renalbiopsies was performed in a year, but the valuedropped significantly plateauing to average of 1 to 10per year for more than two and half decades.

Bottom Line: Trend of requests of all the biopsies submitted from the Surgery, Paediatrics and Medicine departments was analysed using a test for linear trend.Decrease in biopsy requests significantly cuts across the ages in both genders.Adequate efforts should be made towards reviving this important investigative modality in Nigerian tertiary hospitals.

View Article: PubMed Central - PubMed

Affiliation: Department of Histopathology, Benue State University, Makurdi, Benue State, Nigeria.

ABSTRACT

Background: Renal biopsy remains the means by which definitive parenchymal kidney disease diagnoses are made. With the renal biopsy, the activity, progression and prognosis of renal parenchymal diseases can be studied with objectivity. We investigated the trend of renal histopathology request in a tertiary hospital in Nigeria over 31 years.

Objective: To determine the trend of renal biopsy requests in one of the biggest tertiary hospitals in Nigeria over a 31-year period (1981- 2011).

Methods: We retrospectively analysed all the renal biopsies submitted to the Department of Pathology, University College Hospital (UCH) Ibadan, South-West Nigeria over a 30 year period (1981-2011). Trend of requests of all the biopsies submitted from the Surgery, Paediatrics and Medicine departments was analysed using a test for linear trend. Gender and age groups trends were also studied.

Results: A significant reduction in the rates of renal biopsy request over the 31-year period (p=0.001) was noted which is attributed to diminution in requests from the Medicine and Paediatrics Departments (p<0.001), while the rates of requests from Surgery Department remain fairly uniform over this period (p=0.05). Decrease in biopsy requests significantly cuts across the ages in both genders.

Conclusion: Lack of adequately trained manpower, poor health insurance scheme and lack of facilities may be contributory in renal biopsy requests decline. Adequate efforts should be made towards reviving this important investigative modality in Nigerian tertiary hospitals.

No MeSH data available.


Related in: MedlinePlus