Download - Registro Siciliano Biopsie Renali RSBR
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D. Santoro UOC Nefrologia e Dialisi
Università degli Studi di Messina
REGISTRO SICILIANO BIOPSIE RENALI
RSBR
XII Congresso Interregionale Società Campano-Siciliana di Nefrologia
Napoli, 30 Maggio – 1 Giugno 2011
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Registro Italiano Biopsie Renali (IRRB)
14607 renal biopsies, provided by 128 renal units in Italy.
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Il Nuovo Registro Italiano Biopsie Renali
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Scheda Centro (username e password)
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Scheda Centro (username e password)
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Inserimento dati
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Analisi descrittiva sui dati di
prevalenza
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Analisi descrittiva
Dati su 1103 pazienti Dati su 27791 pazienti
SICILIA ITALIA
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ETA ANAGRAFICA
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Incidenza
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Pazi
ent
i p.
m.p
Sicilia e Italia PTS p.m.p. INSERITI NEL REGISTRO.
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Pazi
ent
i p.
m.p
Sicilia e Italia PTS p.m.p. INSERITI NEL REGISTRO.
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Pazi
ent
i p.
m.p
Sicilia e Italia PTS p.m.p. INSERITI NEL REGISTRO.
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Prevalenza biopsie renali in Sicilia: 45 p.m.p
Risultato aspettato : 90-100 p.m.p
1. Bias nelle politiche di biopsia renale
2. Mancanza di centri per la biopsia
renale in alcune aree della Sicilia
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Prevalenza biopsie renali in Sicilia: 45 p.m.p
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Procedure durante l’esecuzione
della biopsia renale
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Aghi per biopsia
Gauge Dati su :582 pazienti Sicilia “ “ :9234 pazienti Italia
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Tipologia di Ago
Dati su :611 pazienti Sicilia “ “ :9468 pazienti Italia
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Ecografia
Dati su :582 pazienti Sicilia “ “ :9234 pazienti Italia
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Utilizzo microscopio elettronico %
paz
ient
i
Dati su :1103 pazienti Sicilia “ “ :27791 pazienti Italia
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Comorbidità e Biopsia renale
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Pressione Arteriosa e biopsie renali
0
5
10
15
20
25
30
35
40
Pas>=140 Pad>=90
37,3
26,1930,3
22,4Italy
Sicily
Pressione arteriosa alla biopsia renale
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Anemia e Glomerulonefriti
0 20 40 60 80
>11
10,1-10,9
9,1-10
<9
73,5
14,4
7,5
4,6
70,7
11,8
9,9
7,5
Sicily
Italy
% livelli di Hb nel pazienti con biopsia renale
Dati su :584 pazienti Sicilia “ “ :16284 pazienti Italia
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Prevalenza ed Incidenza delle
Glomerulonefriti nel Registro Siciliano di
Emodialisi
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Glomerulonefriti in Dialisi
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Glomerulonefriti in Dialisi
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Glomerulonefriti in Dialisi
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Diagnosi Glomerulopatie
n°602 su 4685 (12.9%) Nefr.Diab (17%)
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n°113 su 1075 (10,5%) Nefr.Diab (16.9%)
Diagnosi Glomerulopatie
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Prevalenza ed Incidenza delle
Glomerulonefriti nel Registro Siciliano di
Biopsie Renali
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Registro Biopsie Renali:
Glomerulopatie primitive
n°600 su 1013 (59,23%)
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n°379 su 1013 (37,4%)
Registro Biopsie Renali:
Altre diagnosi (second. , etc..)
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Sicilia (%) Italia (%) GN Primitive 59,2 57,4 Mesangiale non-IgA 3,4 3,6 Diabetica 5,5 4,3 Post-infettiva 0,3 1 LES 6,5 6,1 Amiloidosi e gamm. monocl. 5,3 4,8 Crioglobulinemia 0,5 1,4 Vasculiti 5,7 7,7 Nefroangiosclerosi 4,1 4 Interstiziali 3,5 3,9 Ereditarie 1,1 1 ESRD 1,8 1,6 altro 3,1 3,9
Registro Biopsie Renali: Sicilia e Italia (IgAN 19,8% vs 21,6%)
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Grazie!