Temporal trends in biopsy proven glomerular disease in Uruguay, 1990-2014.

Autor: Garau M; Departamento de Métodos Cuantitativos, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay.; Uruguayan Registry of Glomerulopathies, Montevideo, Uruguay., Cabrera J; Uruguayan Registry of Glomerulopathies, Montevideo, Uruguay., Ottati G; Uruguayan Registry of Glomerulopathies, Montevideo, Uruguay.; Centro de Nefrología, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay., Caorsi H; Uruguayan Registry of Glomerulopathies, Montevideo, Uruguay.; Centro de Nefrología, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay., Gonzalez Martinez F; Uruguayan Registry of Glomerulopathies, Montevideo, Uruguay.; Centro de Nefrología, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay., Acosta N; Uruguayan Registry of Glomerulopathies, Montevideo, Uruguay., Aunchayna MH; Uruguayan Registry of Glomerulopathies, Montevideo, Uruguay.; Departamento de Anatomía Patológica, Hospital de Clínicas Facultad de Medicina, Universidad de la República, Montevideo, Uruguay., Gadola L; Uruguayan Registry of Glomerulopathies, Montevideo, Uruguay.; Centro de Nefrología, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay., Noboa O; Uruguayan Registry of Glomerulopathies, Montevideo, Uruguay.; Centro de Nefrología, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2018 Oct 29; Vol. 13 (10), pp. e0206637. Date of Electronic Publication: 2018 Oct 29 (Print Publication: 2018).
DOI: 10.1371/journal.pone.0206637
Abstrakt: Our aim is to describe variations in the incidence rates of glomerular disease diagnosed by renal biopsies performed in Uruguay over the last 25 years in relation to sex, age, clinical presentation and histological diagnosis. We analyzed all renal biopsies performed in Uruguay during the 25 years period and estimated incidence rates per million people per year (pmp/yr) for the population older than 14 years. Mann Kendall's trend analysis was used to assess incidence trends. In order to identify changes in trends, we compared annual incidence rates with the Joinpoint method. From 1990 to 2014, 3390 biopsies of native kidneys corresponding to glomerular disease were performed in patients older than 14 years. The average biopsy rate was 58 per pmp/yr. The glomerular disease incidence rate increased progressively over the period (p<0.05). Trends analysis over five-year periods demonstrated a progressive increase of IgA nephropathy (3.08 pmp/yr 1990-1994 to 12.53 pmp/yr 2010-2014 p<0.05), membranous nephropathy (2.38 pmp/yr 1990-1994 to 8.04 pmp/yr 2010-2014 p< 0.05) and lupus nephritis (4,23 pmp/yr 1990-1994 to 7,81 pmp/yr 2010-2014 p<0.05). There was a change in the trend of focal segmental glomerular sclerosis (FSGS) which increased until 1996 and decreased afterwards. The incidence rates of glomerular disease have doubled globally in the last quarter of a century in Uruguay, mainly related to the increase of IgA nephropathy, membranous nephropathy and lupus nephritis. There was a change in the slope of the incidence rate of FSGS.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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