Japan Renal Biopsy Registry: the first nationwide, web-based, and prospective registry system of renal biopsies in Japan

Background The Committee for the Standardization of Renal Pathological Diagnosis and the Working Group for Renal Biopsy Database of the Japanese Society of Nephrology started the first nationwide, web-based, and prospective registry system, the Japan Renal Biopsy Registry (J-RBR), to record the path...

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Veröffentlicht in:Clinical and experimental nephrology 2011-08, Vol.15 (4), p.493-503
Hauptverfasser: Sugiyama, Hitoshi, Yokoyama, Hitoshi, Sato, Hiroshi, Saito, Takao, Kohda, Yukimasa, Nishi, Shinichi, Tsuruya, Kazuhiko, Kiyomoto, Hideyasu, Iida, Hiroyuki, Sasaki, Tamaki, Higuchi, Makoto, Hattori, Motoshi, Oka, Kazumasa, Kagami, Shoji, Nagata, Michio, Kawamura, Tetsuya, Honda, Masataka, Fukasawa, Yuichiro, Fukatsu, Atsushi, Morozumi, Kunio, Yoshikawa, Norishige, Yuzawa, Yukio, Matsuo, Seiichi, Kiyohara, Yutaka, Joh, Kensuke, Taguchi, Takashi, Makino, Hirofumi
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container_issue 4
container_start_page 493
container_title Clinical and experimental nephrology
container_volume 15
creator Sugiyama, Hitoshi
Yokoyama, Hitoshi
Sato, Hiroshi
Saito, Takao
Kohda, Yukimasa
Nishi, Shinichi
Tsuruya, Kazuhiko
Kiyomoto, Hideyasu
Iida, Hiroyuki
Sasaki, Tamaki
Higuchi, Makoto
Hattori, Motoshi
Oka, Kazumasa
Kagami, Shoji
Nagata, Michio
Kawamura, Tetsuya
Honda, Masataka
Fukasawa, Yuichiro
Fukatsu, Atsushi
Morozumi, Kunio
Yoshikawa, Norishige
Yuzawa, Yukio
Matsuo, Seiichi
Kiyohara, Yutaka
Joh, Kensuke
Taguchi, Takashi
Makino, Hirofumi
description Background The Committee for the Standardization of Renal Pathological Diagnosis and the Working Group for Renal Biopsy Database of the Japanese Society of Nephrology started the first nationwide, web-based, and prospective registry system, the Japan Renal Biopsy Registry (J-RBR), to record the pathological, clinical, and laboratory data of renal biopsies in 2007. Methods The patient data including age, gender, laboratory data, and clinical and pathological diagnoses were recorded on the web page of the J-RBR, which utilizes the system of the Internet Data and Information Center for Medical Research in the University Hospital Medical Information Network. We analyzed the clinical and pathological diagnoses registered on the J-RBR in 2007 and 2008. Results Data were collected from 818 patients from 18 centers in 2007 and 1582 patients from 23 centers in 2008, including the affiliated hospitals. Renal biopsies were obtained from 726 native kidneys (88.8%) and 92 renal grafts (11.2%) in 2007, and 1400 native kidneys (88.5%) and 182 renal grafts (11.5%) in 2008. The most common clinical diagnosis was chronic nephritic syndrome (47.4%), followed by nephrotic syndrome (16.8%) and renal transplantation (11.2%) in 2007. A similar frequency of the clinical diagnoses was recognized in 2008. Of the native kidneys, the most frequent pathological diagnosis as classified by pathogenesis was immunoglobulin (Ig) A nephropathy (IgAN) both in 2007 (32.9%) and 2008 (30.2%). Among the primary glomerular diseases (except IgAN), membranous nephropathy (MN) was the most common disease both in 2007 (31.4%) and 2008 (25.7%). Conclusions In a cross-sectional study, the J-RBR has shown IgAN to be the most common disease in renal biopsies in 2007 and 2008, consistent with previous Japanese studies. MN predominated in the primary glomerular diseases (except for IgAN). The frequency of the disease and the clinical and demographic correlations should be investigated in further analyses by the J-RBR.
doi_str_mv 10.1007/s10157-011-0430-4
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Methods The patient data including age, gender, laboratory data, and clinical and pathological diagnoses were recorded on the web page of the J-RBR, which utilizes the system of the Internet Data and Information Center for Medical Research in the University Hospital Medical Information Network. We analyzed the clinical and pathological diagnoses registered on the J-RBR in 2007 and 2008. Results Data were collected from 818 patients from 18 centers in 2007 and 1582 patients from 23 centers in 2008, including the affiliated hospitals. Renal biopsies were obtained from 726 native kidneys (88.8%) and 92 renal grafts (11.2%) in 2007, and 1400 native kidneys (88.5%) and 182 renal grafts (11.5%) in 2008. The most common clinical diagnosis was chronic nephritic syndrome (47.4%), followed by nephrotic syndrome (16.8%) and renal transplantation (11.2%) in 2007. A similar frequency of the clinical diagnoses was recognized in 2008. Of the native kidneys, the most frequent pathological diagnosis as classified by pathogenesis was immunoglobulin (Ig) A nephropathy (IgAN) both in 2007 (32.9%) and 2008 (30.2%). Among the primary glomerular diseases (except IgAN), membranous nephropathy (MN) was the most common disease both in 2007 (31.4%) and 2008 (25.7%). Conclusions In a cross-sectional study, the J-RBR has shown IgAN to be the most common disease in renal biopsies in 2007 and 2008, consistent with previous Japanese studies. MN predominated in the primary glomerular diseases (except for IgAN). The frequency of the disease and the clinical and demographic correlations should be investigated in further analyses by the J-RBR.</description><identifier>ISSN: 1342-1751</identifier><identifier>EISSN: 1437-7799</identifier><identifier>DOI: 10.1007/s10157-011-0430-4</identifier><identifier>PMID: 21437579</identifier><identifier>CODEN: CENPFV</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biopsy ; Child ; Child, Preschool ; Cross-Sectional Studies ; Female ; Glomerulonephritis, IGA - epidemiology ; Glomerulonephritis, IGA - pathology ; Glomerulonephritis, Membranous - epidemiology ; Glomerulonephritis, Membranous - pathology ; Humans ; Infant ; Internet ; Japan - epidemiology ; Kidney - pathology ; Kidney Diseases - epidemiology ; Kidney Diseases - pathology ; Kidney Failure, Chronic - epidemiology ; Kidney Failure, Chronic - pathology ; Kidney Transplantation ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nephrology ; Nephrotic Syndrome - epidemiology ; Nephrotic Syndrome - pathology ; Original Article ; Registries ; Urology</subject><ispartof>Clinical and experimental nephrology, 2011-08, Vol.15 (4), p.493-503</ispartof><rights>Japanese Society of Nephrology 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c587t-8a0bd3537d06076a0f72f87aae5ca03384d75d96ba2ec1a2ce2fc4bbe3fc0eb93</citedby><cites>FETCH-LOGICAL-c587t-8a0bd3537d06076a0f72f87aae5ca03384d75d96ba2ec1a2ce2fc4bbe3fc0eb93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10157-011-0430-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10157-011-0430-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21437579$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sugiyama, Hitoshi</creatorcontrib><creatorcontrib>Yokoyama, Hitoshi</creatorcontrib><creatorcontrib>Sato, Hiroshi</creatorcontrib><creatorcontrib>Saito, Takao</creatorcontrib><creatorcontrib>Kohda, Yukimasa</creatorcontrib><creatorcontrib>Nishi, Shinichi</creatorcontrib><creatorcontrib>Tsuruya, Kazuhiko</creatorcontrib><creatorcontrib>Kiyomoto, Hideyasu</creatorcontrib><creatorcontrib>Iida, Hiroyuki</creatorcontrib><creatorcontrib>Sasaki, Tamaki</creatorcontrib><creatorcontrib>Higuchi, Makoto</creatorcontrib><creatorcontrib>Hattori, Motoshi</creatorcontrib><creatorcontrib>Oka, Kazumasa</creatorcontrib><creatorcontrib>Kagami, Shoji</creatorcontrib><creatorcontrib>Nagata, Michio</creatorcontrib><creatorcontrib>Kawamura, Tetsuya</creatorcontrib><creatorcontrib>Honda, Masataka</creatorcontrib><creatorcontrib>Fukasawa, Yuichiro</creatorcontrib><creatorcontrib>Fukatsu, Atsushi</creatorcontrib><creatorcontrib>Morozumi, Kunio</creatorcontrib><creatorcontrib>Yoshikawa, Norishige</creatorcontrib><creatorcontrib>Yuzawa, Yukio</creatorcontrib><creatorcontrib>Matsuo, Seiichi</creatorcontrib><creatorcontrib>Kiyohara, Yutaka</creatorcontrib><creatorcontrib>Joh, Kensuke</creatorcontrib><creatorcontrib>Taguchi, Takashi</creatorcontrib><creatorcontrib>Makino, Hirofumi</creatorcontrib><creatorcontrib>Committee for Standardization of Renal Pathological Diagnosis and Working Group for Renal Biopsy Database, Japanese Society of Nephrology, Tokyo, Japan</creatorcontrib><title>Japan Renal Biopsy Registry: the first nationwide, web-based, and prospective registry system of renal biopsies in Japan</title><title>Clinical and experimental nephrology</title><addtitle>Clin Exp Nephrol</addtitle><addtitle>Clin Exp Nephrol</addtitle><description>Background The Committee for the Standardization of Renal Pathological Diagnosis and the Working Group for Renal Biopsy Database of the Japanese Society of Nephrology started the first nationwide, web-based, and prospective registry system, the Japan Renal Biopsy Registry (J-RBR), to record the pathological, clinical, and laboratory data of renal biopsies in 2007. Methods The patient data including age, gender, laboratory data, and clinical and pathological diagnoses were recorded on the web page of the J-RBR, which utilizes the system of the Internet Data and Information Center for Medical Research in the University Hospital Medical Information Network. We analyzed the clinical and pathological diagnoses registered on the J-RBR in 2007 and 2008. Results Data were collected from 818 patients from 18 centers in 2007 and 1582 patients from 23 centers in 2008, including the affiliated hospitals. Renal biopsies were obtained from 726 native kidneys (88.8%) and 92 renal grafts (11.2%) in 2007, and 1400 native kidneys (88.5%) and 182 renal grafts (11.5%) in 2008. The most common clinical diagnosis was chronic nephritic syndrome (47.4%), followed by nephrotic syndrome (16.8%) and renal transplantation (11.2%) in 2007. A similar frequency of the clinical diagnoses was recognized in 2008. Of the native kidneys, the most frequent pathological diagnosis as classified by pathogenesis was immunoglobulin (Ig) A nephropathy (IgAN) both in 2007 (32.9%) and 2008 (30.2%). Among the primary glomerular diseases (except IgAN), membranous nephropathy (MN) was the most common disease both in 2007 (31.4%) and 2008 (25.7%). Conclusions In a cross-sectional study, the J-RBR has shown IgAN to be the most common disease in renal biopsies in 2007 and 2008, consistent with previous Japanese studies. MN predominated in the primary glomerular diseases (except for IgAN). The frequency of the disease and the clinical and demographic correlations should be investigated in further analyses by the J-RBR.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biopsy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Glomerulonephritis, IGA - epidemiology</subject><subject>Glomerulonephritis, IGA - pathology</subject><subject>Glomerulonephritis, Membranous - epidemiology</subject><subject>Glomerulonephritis, Membranous - pathology</subject><subject>Humans</subject><subject>Infant</subject><subject>Internet</subject><subject>Japan - epidemiology</subject><subject>Kidney - pathology</subject><subject>Kidney Diseases - epidemiology</subject><subject>Kidney Diseases - pathology</subject><subject>Kidney Failure, Chronic - epidemiology</subject><subject>Kidney Failure, Chronic - pathology</subject><subject>Kidney Transplantation</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Nephrotic Syndrome - epidemiology</subject><subject>Nephrotic Syndrome - pathology</subject><subject>Original Article</subject><subject>Registries</subject><subject>Urology</subject><issn>1342-1751</issn><issn>1437-7799</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU1v1DAQhi1ERUvhB3BBFhcudRl_rRNupeKjVSUkBGfLdibF1W4SPFnK_nscdgEJiZPt8fO-M6OXsWcSziWAe0USpHUCpBRgNAjzgJ1Io51wrm0f1rs2Skhn5TF7THQHAE1r20fsWC2Ude0J-3EdpjDwTziENX-Tx4l29XGbaS6713z-irzPhWY-hDmPw33u8IzfYxQxEHZnPAwdn8pIE6Y5f0deDlJOO5pxw8e-lhbruFhnJJ4H_qvlE3bUhzXh08N5yr68e_v58oO4-fj-6vLiRiTbuFk0AWKnrXYdrMCtAvRO9Y0LAW0KoHVjOme7dhWDwiSDSqj6ZGJE3SfA2OpT9nLvW8f8tkWa_SZTwvU6DDhuyTeNUavWGlvJF_-Qd-O21OEXSDfWKqsrJPdQqltTwd5PJW9C2XkJfgnF70PxNRS_hOJN1Tw_GG_jBrs_it8pVEDtAapfwy2Wv53_7_oTr6eYtQ</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>Sugiyama, Hitoshi</creator><creator>Yokoyama, Hitoshi</creator><creator>Sato, Hiroshi</creator><creator>Saito, Takao</creator><creator>Kohda, Yukimasa</creator><creator>Nishi, Shinichi</creator><creator>Tsuruya, Kazuhiko</creator><creator>Kiyomoto, Hideyasu</creator><creator>Iida, Hiroyuki</creator><creator>Sasaki, Tamaki</creator><creator>Higuchi, Makoto</creator><creator>Hattori, Motoshi</creator><creator>Oka, Kazumasa</creator><creator>Kagami, Shoji</creator><creator>Nagata, Michio</creator><creator>Kawamura, Tetsuya</creator><creator>Honda, Masataka</creator><creator>Fukasawa, Yuichiro</creator><creator>Fukatsu, Atsushi</creator><creator>Morozumi, Kunio</creator><creator>Yoshikawa, Norishige</creator><creator>Yuzawa, Yukio</creator><creator>Matsuo, Seiichi</creator><creator>Kiyohara, Yutaka</creator><creator>Joh, Kensuke</creator><creator>Taguchi, Takashi</creator><creator>Makino, Hirofumi</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20110801</creationdate><title>Japan Renal Biopsy Registry: the first nationwide, web-based, and prospective registry system of renal biopsies in Japan</title><author>Sugiyama, Hitoshi ; Yokoyama, Hitoshi ; Sato, Hiroshi ; Saito, Takao ; Kohda, Yukimasa ; Nishi, Shinichi ; Tsuruya, Kazuhiko ; Kiyomoto, Hideyasu ; Iida, Hiroyuki ; Sasaki, Tamaki ; Higuchi, Makoto ; Hattori, Motoshi ; Oka, Kazumasa ; Kagami, Shoji ; Nagata, Michio ; Kawamura, Tetsuya ; Honda, Masataka ; Fukasawa, Yuichiro ; Fukatsu, Atsushi ; Morozumi, Kunio ; Yoshikawa, Norishige ; Yuzawa, Yukio ; Matsuo, Seiichi ; Kiyohara, Yutaka ; Joh, Kensuke ; Taguchi, Takashi ; Makino, Hirofumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c587t-8a0bd3537d06076a0f72f87aae5ca03384d75d96ba2ec1a2ce2fc4bbe3fc0eb93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biopsy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Glomerulonephritis, IGA - epidemiology</topic><topic>Glomerulonephritis, IGA - pathology</topic><topic>Glomerulonephritis, Membranous - epidemiology</topic><topic>Glomerulonephritis, Membranous - pathology</topic><topic>Humans</topic><topic>Infant</topic><topic>Internet</topic><topic>Japan - epidemiology</topic><topic>Kidney - pathology</topic><topic>Kidney Diseases - epidemiology</topic><topic>Kidney Diseases - pathology</topic><topic>Kidney Failure, Chronic - epidemiology</topic><topic>Kidney Failure, Chronic - pathology</topic><topic>Kidney Transplantation</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Nephrotic Syndrome - epidemiology</topic><topic>Nephrotic Syndrome - pathology</topic><topic>Original Article</topic><topic>Registries</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sugiyama, Hitoshi</creatorcontrib><creatorcontrib>Yokoyama, Hitoshi</creatorcontrib><creatorcontrib>Sato, Hiroshi</creatorcontrib><creatorcontrib>Saito, Takao</creatorcontrib><creatorcontrib>Kohda, Yukimasa</creatorcontrib><creatorcontrib>Nishi, Shinichi</creatorcontrib><creatorcontrib>Tsuruya, Kazuhiko</creatorcontrib><creatorcontrib>Kiyomoto, Hideyasu</creatorcontrib><creatorcontrib>Iida, Hiroyuki</creatorcontrib><creatorcontrib>Sasaki, Tamaki</creatorcontrib><creatorcontrib>Higuchi, Makoto</creatorcontrib><creatorcontrib>Hattori, Motoshi</creatorcontrib><creatorcontrib>Oka, Kazumasa</creatorcontrib><creatorcontrib>Kagami, Shoji</creatorcontrib><creatorcontrib>Nagata, Michio</creatorcontrib><creatorcontrib>Kawamura, Tetsuya</creatorcontrib><creatorcontrib>Honda, Masataka</creatorcontrib><creatorcontrib>Fukasawa, Yuichiro</creatorcontrib><creatorcontrib>Fukatsu, Atsushi</creatorcontrib><creatorcontrib>Morozumi, Kunio</creatorcontrib><creatorcontrib>Yoshikawa, Norishige</creatorcontrib><creatorcontrib>Yuzawa, Yukio</creatorcontrib><creatorcontrib>Matsuo, Seiichi</creatorcontrib><creatorcontrib>Kiyohara, Yutaka</creatorcontrib><creatorcontrib>Joh, Kensuke</creatorcontrib><creatorcontrib>Taguchi, Takashi</creatorcontrib><creatorcontrib>Makino, Hirofumi</creatorcontrib><creatorcontrib>Committee for Standardization of Renal Pathological Diagnosis and Working Group for Renal Biopsy Database, Japanese Society of Nephrology, Tokyo, Japan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical and experimental nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sugiyama, Hitoshi</au><au>Yokoyama, Hitoshi</au><au>Sato, Hiroshi</au><au>Saito, Takao</au><au>Kohda, Yukimasa</au><au>Nishi, Shinichi</au><au>Tsuruya, Kazuhiko</au><au>Kiyomoto, Hideyasu</au><au>Iida, Hiroyuki</au><au>Sasaki, Tamaki</au><au>Higuchi, Makoto</au><au>Hattori, Motoshi</au><au>Oka, Kazumasa</au><au>Kagami, Shoji</au><au>Nagata, Michio</au><au>Kawamura, Tetsuya</au><au>Honda, Masataka</au><au>Fukasawa, Yuichiro</au><au>Fukatsu, Atsushi</au><au>Morozumi, Kunio</au><au>Yoshikawa, Norishige</au><au>Yuzawa, Yukio</au><au>Matsuo, Seiichi</au><au>Kiyohara, Yutaka</au><au>Joh, Kensuke</au><au>Taguchi, Takashi</au><au>Makino, Hirofumi</au><aucorp>Committee for Standardization of Renal Pathological Diagnosis and Working Group for Renal Biopsy Database, Japanese Society of Nephrology, Tokyo, Japan</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Japan Renal Biopsy Registry: the first nationwide, web-based, and prospective registry system of renal biopsies in Japan</atitle><jtitle>Clinical and experimental nephrology</jtitle><stitle>Clin Exp Nephrol</stitle><addtitle>Clin Exp Nephrol</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>15</volume><issue>4</issue><spage>493</spage><epage>503</epage><pages>493-503</pages><issn>1342-1751</issn><eissn>1437-7799</eissn><coden>CENPFV</coden><abstract>Background The Committee for the Standardization of Renal Pathological Diagnosis and the Working Group for Renal Biopsy Database of the Japanese Society of Nephrology started the first nationwide, web-based, and prospective registry system, the Japan Renal Biopsy Registry (J-RBR), to record the pathological, clinical, and laboratory data of renal biopsies in 2007. Methods The patient data including age, gender, laboratory data, and clinical and pathological diagnoses were recorded on the web page of the J-RBR, which utilizes the system of the Internet Data and Information Center for Medical Research in the University Hospital Medical Information Network. We analyzed the clinical and pathological diagnoses registered on the J-RBR in 2007 and 2008. Results Data were collected from 818 patients from 18 centers in 2007 and 1582 patients from 23 centers in 2008, including the affiliated hospitals. Renal biopsies were obtained from 726 native kidneys (88.8%) and 92 renal grafts (11.2%) in 2007, and 1400 native kidneys (88.5%) and 182 renal grafts (11.5%) in 2008. The most common clinical diagnosis was chronic nephritic syndrome (47.4%), followed by nephrotic syndrome (16.8%) and renal transplantation (11.2%) in 2007. A similar frequency of the clinical diagnoses was recognized in 2008. Of the native kidneys, the most frequent pathological diagnosis as classified by pathogenesis was immunoglobulin (Ig) A nephropathy (IgAN) both in 2007 (32.9%) and 2008 (30.2%). Among the primary glomerular diseases (except IgAN), membranous nephropathy (MN) was the most common disease both in 2007 (31.4%) and 2008 (25.7%). Conclusions In a cross-sectional study, the J-RBR has shown IgAN to be the most common disease in renal biopsies in 2007 and 2008, consistent with previous Japanese studies. MN predominated in the primary glomerular diseases (except for IgAN). The frequency of the disease and the clinical and demographic correlations should be investigated in further analyses by the J-RBR.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>21437579</pmid><doi>10.1007/s10157-011-0430-4</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; SpringerNature Complete Journals
subjects Adolescent
Adult
Aged
Aged, 80 and over
Biopsy
Child
Child, Preschool
Cross-Sectional Studies
Female
Glomerulonephritis, IGA - epidemiology
Glomerulonephritis, IGA - pathology
Glomerulonephritis, Membranous - epidemiology
Glomerulonephritis, Membranous - pathology
Humans
Infant
Internet
Japan - epidemiology
Kidney - pathology
Kidney Diseases - epidemiology
Kidney Diseases - pathology
Kidney Failure, Chronic - epidemiology
Kidney Failure, Chronic - pathology
Kidney Transplantation
Male
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Nephrotic Syndrome - epidemiology
Nephrotic Syndrome - pathology
Original Article
Registries
Urology
title Japan Renal Biopsy Registry: the first nationwide, web-based, and prospective registry system of renal biopsies in Japan
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