Evaluation of kidney biopsies in elderly patients

Clinicopathological Evaluation of Elderly Biopsies in Turkish Society

“…In our study, the most common chronic systemic diseases in patients who underwent kidney biopsy were found to be HT (83.3%), DM (24.3%), CAD (22.7%) and CKD (21.2%). Studies have reported that HT is the most common chronic disease in elderly patients who underwent biopsy, with rates ranging from 24.1% to 78% [20][21][22][23][24] . The rate of DM was reported to be 15.3% by Ozturk et al 20 and 29.4% by Tuğcu et al 23 , similar to that in our study.…”

“…Studies have reported that HT is the most common chronic disease in elderly patients who underwent biopsy, with rates ranging from 24.1% to 78% [20][21][22][23][24] . The rate of DM was reported to be 15.3% by Ozturk et al 20 and 29.4% by Tuğcu et al 23 , similar to that in our study. As renal reserves decrease with aging, additional diseases that may cause kidney disease, especially DM, atherosclerotic vascular diseases and HT, facilitate the development of new kidney pathologies.…”

“…Although biopsy indications vary on a national or center basis in the literature, it has been reported in many biopsy series that the most common indication in the elderly is nephrotic proteinuria 11,23,24,26,27 . In our study, nephrotic proteinuria (56.1%) was found to be the most common biopsy indication in the elderly.…”

“…In our study, nephrotic proteinuria (56.1%) was found to be the most common biopsy indication in the elderly. Studies conducted in our country have reported that the rate of kidney biopsy performed with the indication of nephrotic proteinuria in the elderly is between 41.38% and 60% 11,[21][22][23][24]26,28 . The fact that nephrotic proteinuria is the most common biopsy indication may be due to the fact that the elderly see the symptoms as a part of the natural process of aging and apply to the hospital late.…”

Pathologic Spectrum of Kidney Diseases Within Very Elderly Patients who Underwent Kidney Biopsy

“…In a study of >30,000 adults with chronic kidney disease, patients ≥85 years had 25-fold increased mortality. 1 The gold standard to diagnose kidney disease is a biopsy and multiple studies have demonstrated that kidney biopsy in elderly individuals is safe 2 , 3 , 4 , 5 and without poorer diagnostic yield. 6 , 7 Therefore, kidney biopsy within this age group has increased.…”