The existence of a national renal biopsy register and a national terminal uraemia status register in Denmark provides an opportunity to study the prognosis of glomerulonephritis (GN), and factors influencing prognosis.
Multivariate analysis of 2380 renal biopsies with GN performed between 1985 and 1997 was done to determine the influence of clinical and histological factors on prognosis.
The incidence of GN (39/mio/year) and individual diagnoses did not change during the period.
After 10 years, 32% were dead, 13% terminally uraemic, 5% uraemic and 50% well.
Older age increased mortality, but not the incidence of renal failure after the first year.
Male sex increased both mortality and incidence of renal failure (34 vs 24% at 10 years, P<0.001).
The diagnoses could be divided into three prognostic groups compared with the general population :
a good prognostic group (minimal change GN and membranous GN), with a relative mortality of three and a combined renal and patient mortality of four ;
a poor prognostic group [crescentic GN,
HUS/TTP, chronic GN] with relative mortalities of 8-19 and 13-33, respectively ;
and the remainder with mortalities of 4-7 and 6-12.
The presence of multiple glomerular pathology, chronic GN, nephrosclerosis and chronic interstitial nephropathy worsened the prognosis, while the presence of immune deposits only worsened the prognosis of focal segmental glomerulopathy. (...)
Mots-clés Pascal : Néphropathie glomérulaire, Urémie, Granulomatose Wegener, Lupus érythémateux, Disséminé, Hémodialyse, Danemark, Europe, Complication, Traitement, Epidémiologie, Homme, Appareil urinaire pathologie, Rein pathologie, Insuffisance rénale, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Vascularite, Maladie système, Peau pathologie, Tissu conjonctif pathologie, Maladie autoimmune, Immunopathologie, Epuration extrarénale
Mots-clés Pascal anglais : Glomerulonephritis, Uremia, Wegener granulomatosis, Lupus erythematosus, Disseminated, Hemodialysis, Denmark, Europe, Complication, Treatment, Epidemiology, Human, Urinary system disease, Kidney disease, Renal failure, Cardiovascular disease, Vascular disease, Vasculitis, Systemic disease, Skin disease, Connective tissue disease, Autoimmune disease, Immunopathology, Extrarenal dialysis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0436577
Code Inist : 002B14A01. Création : 22/03/2000.