The Native Kidney Biopsy: Update and Evidence for Best Practice

Clin J Am Soc Nephrol. 2016 Feb 5;11(2):354-62. doi: 10.2215/CJN.05750515. Epub 2015 Sep 2.

Abstract

The kidney biopsy is the gold standard in the diagnosis and management of many diseases. Since its introduction in the 1950s, advancements have been made in biopsy technique to improve diagnostic yield while minimizing complications. Here, we review kidney biopsy indications, techniques, and complications in the modern era. We also discuss patient populations in whom special consideration must be given when considering a kidney biopsy and the important role that the kidney biopsy plays in nephrology training. These data are presented to develop best practice strategies for this essential procedure.

Keywords: biopsy; disease management; glomerular disease; humans; kidney; kidney biopsy; kidney disease; nephrectomy; nephrology.

Publication types

  • Review

MeSH terms

  • Benchmarking
  • Biopsy / adverse effects
  • Biopsy / standards*
  • Clinical Competence / standards
  • Evidence-Based Medicine
  • Humans
  • Kidney / pathology*
  • Kidney Diseases / diagnosis*
  • Kidney Diseases / pathology
  • Practice Guidelines as Topic
  • Predictive Value of Tests
  • Prognosis
  • Risk Factors
  • Severity of Illness Index