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Nephrol Dial Transplant (2001) 16: 1364-1367
© 2001 European Renal Association-European Dialysis and Transplant Association

The incidence of biopsy-proven glomerulonephritis in Australia

Esther M. Briganti1, John Dowling2,3, Moira Finlay4, Prue A. Hill5, Colin L. Jones6, Priscilla S. Kincaid-Smith7, Roger Sinclair8, John J. McNeil1 and Robert C. Atkins9,

1 Department of Epidemiology and Preventive Medicine, Monash University, 2 Department of Pathology, Monash Medical Centre, 3 Department of Pathology, Alfred Hospital, 4 Department of Pathology, Royal Melbourne Hospital, 5 Department of Pathology, St Vincent's Hospital, 6 Department of Nephrology, Royal Children's Hospital, 7 Department of Medicine, Epworth Hospital, 8 Department of Pathology, Austin and Repatriation Medical Centre 9 Department of Nephrology, Monash Medical Centre, Australia

Background. There is limited population-based epidemiological data on renal disease. An insight into the spectrum of clinically significant glomerulonephritis can be obtained from renal biopsy diagnoses. This is a descriptive report of biopsy-proven glomerulonephritis within a defined population.

Methods. A retrospective review of the pathology reports of all native renal biopsies performed in the Australian state of Victoria in 1995 and 1997 was undertaken. Trends in the average annual age- and sex-specific incidence rates for biopsy-proven glomerulonephritis were calculated. Comparisons were made with the incidence of end-stage renal disease due to glomerulonephritis confirmed on renal biopsy.

Results. The most common glomerulonephritides in adults are IgA disease, focal glomerulosclerosis, lupus nephritis and vasculitis, and in children are lupus nephritis, focal glomerulosclerosis, IgA disease and minimal change disease. A male predominance is seen for all glomerulonephritides, except lupus nephritis, in both adults and children. An increase in incidence of disease with age, particularly in males, is seen for vasculitis and focal glomerulosclerosis. The most common glomerulonephritides on renal biopsy are reflected in the most common causes of end-stage renal disease due to glomerulonephritis.

Conclusions. This review has provided population-based descriptive epidemiological data on clinically significant glomerulonephritis. This data provides important clues for further studies relating to the identification of risk factors for the various types of glomerulonephritis.

Keywords: epidemiology; glomerulonephritis; renal biopsy

Correspondence and offprint requests to: Robert Atkins, Department of Nephrology, Monash Medical Centre, 246 Clayton Road, Clayton, VIC 3168, Australia.


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