[Prognosis of chronic renal failure in patients with membranous nephropathy]

Medicina (Kaunas). 2003:39 Suppl 1:9-15.
[Article in Lithuanian]

Abstract

Two hundred eighty patients underwent renal biopsy during the period of 1995-1999 in five nephrological centers of Lithuania. All renal biopsies materials were examined in the State Center of Pathology. In 20 patients (7.1%) membranous nephropathy was found. The main clinical presentation at the moment of renal biopsy were nephrotic syndrome (55%) and arterial hypertension (55%). Glomerulosclerosis was found in 30% of patients, interstitial fibrosis--in 40% of patients. The results of analysis showed multiple risk factors for renal failure progression: initial renal failure (p=0.000), systolic and diastolic hypertension (p=0.009 and p=0.009), proteinuria (=1 g/l, =3 g/l) (p=0.026). Membranous nephropathy was found to have a relatively good long-term prognosis - the renal survival rate in 5 years was 84.2%. Kaplan-Meier survival analysis showed that initial renal failure was risk factor (logrank p=0.018, Breslov p=0.032) associated with development of end-stage renal disease in 5 years.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Acute Kidney Injury / pathology
  • Adult
  • Aged
  • Biopsy
  • Chi-Square Distribution
  • Data Interpretation, Statistical
  • Diastole
  • Disease Progression
  • Female
  • Glomerulonephritis, Membranous / complications
  • Glomerulonephritis, Membranous / pathology*
  • Humans
  • Hypertension / diagnosis
  • Hypertension / pathology
  • Kaplan-Meier Estimate
  • Kidney / pathology
  • Kidney Failure, Chronic / diagnosis*
  • Kidney Failure, Chronic / etiology
  • Kidney Failure, Chronic / mortality
  • Kidney Failure, Chronic / pathology*
  • Male
  • Middle Aged
  • Nephrotic Syndrome / pathology
  • Prognosis
  • Risk Factors
  • Surveys and Questionnaires
  • Systole