Clinical outcomes and predictors for ESRD and mortality in primary GN

Yu Hsiang Chou, Yu Chung Lien, Fu Chang Hu, Wei Chou Lin, Chih Chin Kao, Chun Fu Lai, Wen Chih Chiang, Shuei Liong Lin, Tun Jun Tsai, Kwan Dun Wu, Yung Ming Chen

研究成果: 雜誌貢獻文章同行評審

60 引文 斯高帕斯(Scopus)


Background and objectives Relatively little is known about the long-termoutcomes of different histologic types of primary glomerulonephritis in Asian populations. Design, setting, participants, & measurements From 1993 to 2006, 987 patients undergoing renal biopsy were studied, and 580 patients (mean age=44.4 years, male=58.5%) with the four most common forms of glomerulonephritis (membranous nephropathy, focal and segmental glomerulosclerosis, IgA nephropathy, and minimal change disease) were selected for analysis. Median follow-up period was 5.9 (interquartile range=5.7) years. Results The focal and segmental glomerulosclerosis group displayed the highest incidence of ESRD (25.8%) and the fastest decline of estimated GFR (4.6 ml/min per 1.73 m2 per year). The IgA nephropathy group also had a higher rate of ESRD than the membranous nephropathy patients (19.2% versus 4.3%, P<0.001). In contrast, the membranous nephropathy group exhibited an overall death rate similar to the focal and segmental glomerulosclerosis group (17.2% versus 14.4%) but higher than the IgA nephropathy and minimal change disease patients (4.6% and 3.7%, respectively, P<0.001). The most powerful predictor for ESRD was focal and segmental glomerulosclerosis, whereas the strongest predictor for all-cause mortality was membranous nephropathy with higher proteinuria. Protectors against ESRD included male sex and higher hemoglobin. Conclusions Most predictors for ESRD and overall mortality found in this ethnic Chinese cohort were similar to other studies. However, some risk factors linked with distinct glomerular pathologies displayed differential clinical outcomes.
頁(從 - 到)1401-1408
期刊Clinical Journal of the American Society of Nephrology
出版狀態已發佈 - 9月 1 2012

ASJC Scopus subject areas

  • 流行病學
  • 重症監護和重症監護醫學
  • 腎臟病學
  • 移植


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