Journal
SEMINARS IN NEPHROLOGY
Volume 38, Issue 1, Pages 12-20Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.semnephrol.2017.09.001
Keywords
Acute kidney injury; biopsy; histopathology; pathogenesis
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Funding
- NIDDK NIH HHS [R01 DK093574, UH3 DK114915] Funding Source: Medline
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Acute kidney injury (AKI) is a highly heterogeneous, common, and potentially devastating condition associated with markedly increased hospital length of stay, cost, mortality, and morbidity. Expanding the role for kidney biopsies in AKI may offer fresh insights into disease heterogeneity, molecular mechanisms, and therapeutic targets. A number of challenges face investigators and clinicians considering research biopsies in AKI: ensuring patient safety, ensuring the ethical conduct of research studies, and maximizing the scientific yield of the kidney tissue obtained. The societal benefits of research that lead to novel strategies for preventing and treating AKI would be enormous. Rethinking our current approach to the role of kidney biopsy for AKI diagnosis and research may be a major step toward the promise of personalized medicine in nephrology. (C) 2017 Elsevier Inc. All rights reserved.
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