| Unique ID issued by UMIN | UMIN000037490 |
|---|---|
| Receipt number | R000042734 |
| Scientific Title | Examination of the quality and complications of diagnosis in percutaneous kidney biopsy affected by difference of biopsy needle |
| Date of disclosure of the study information | 2019/07/31 |
| Last modified on | 2019/07/25 15:56:43 |
Examination of the quality and complications of diagnosis in percutaneous kidney biopsy affected by difference of biopsy needle
Are there differences in quality and complications due to differences in biopsy needles?
Examination of the quality and complications of diagnosis in percutaneous kidney biopsy affected by difference of biopsy needle
Are there differences in quality and complications due to differences in biopsy needles?
| Japan |
CKD
| Nephrology |
Others
NO
In patients with kidney disease, kidney biopsy is an important test for identifying the cause of kidney disease, predicting prognosis, and determining treatment. Percutaneous kidney biopsy has been started since 1951 and safe and efficient kidney biopsy has become possible by introducing an echo guide and an automatic biopsy needle, but it is still an examination with a risk of complications . It is important in renal biopsy practice to minimize complications such as pain and hemorrhage while securing kidney tissue fragments useful for diagnosis. A piece of kidney tissue useful for diagnosis is one of the conditions having more glomeruli in the piece of tissue, which is considered to be correlated to the size of the piece of kidney tissue. However, obtaining larger pieces of kidney tissue may increase the risk of damage to arteries and surrounding tissues, and may increase complications. In overseas RCT reports, there are two reports on the examination quality and complications of renal biopsy influenced by the size of the needle for biopsy of the kidney. It is reported that the larger the size of the kidney biopsy needle, the better the quality of diagnosis, but the pain is increased as a complication. There is no choice but to consider it an inadequate review. Japanese people are smaller in physical size and smaller in kidney size than in foreign countries, so it may be difficult to adapt as is the case with foreign RCT background factors. In this study, we will compare the quality and complication of diagnosis of kidney biopsy using 16G and 18G kidney biopsy needles, and aim to help selection of more effective biopsy needles.
Safety
Confirmatory
Pragmatic
Not applicable
Is there a difference in safety regardless of the difference in the biopsy needle? In particular, is the amount of bleeding different between two groups? Is there a difference in the number of collected glomeruli?
Interventional
Parallel
Randomized
Cluster
Open -no one is blinded
Active
NO
NO
Pseudo-randomization
2
Diagnosis
| Device,equipment |
We randomly assign renal biopsy patients to be performed at our hospital to those using a 16G puncture needle and those using an 18G puncture needle. All other methods are performed with the same protocol in both groups, with the only difference being the gauge of the needle. Record changes in bleeding volume, Hb, renal function, etc. in both groups. Count the number of glomeruli of collected samples and examine whether there is a difference between the two groups
We randomly assign renal biopsy patients to be performed at our hospital to those using a 16G puncture needle and those using an 18G puncture needle. All other methods are performed with the same protocol in both groups, with the only difference being the gauge of the needle. Record changes in bleeding volume, Hb, renal function, etc. in both groups. Count the number of glomeruli of collected samples and examine whether there is a difference between the two groups
| 16 | years-old | <= |
| Not applicable |
Male and Female
Patients with chronic kidney disease who undergo a kidney biopsy at our hospital are included in this study. Patients should be informed after sufficient explanation.
Patients who do not give consent.
Those who have a tendency to bleed. Specifically, those who are abnormal in the platelet count and PT and APTT tests are excluded.
100
| 1st name | Seiji |
| Middle name | |
| Last name | Hashimoto |
Kinan Hospital
Department of Nephrology
646-8588
46-70 Shinjyou-machi, Tanabe
0739-22-5000
seijinih@med.hokudai.ac.jp
| 1st name | seiji |
| Middle name | |
| Last name | Hashimoto |
Kinan Hospital
Department Of Nephrology
646-8588
46-70 Shinjyou-machi, Tanabe
0739-22-5000
seijinih@med.hokudai.ac.jp
Kinan Hospital, Deprtment of Nephrology
Kinan Hospital, Deprtment of Nephrology
Other
Kinan
46-70 Shinjyou-machi, Tanabe
0739-22-5000
shomu@kinan-hp.tanabe.wakayama.jp
NO
| 2019 | Year | 07 | Month | 31 | Day |
Unpublished
Preinitiation
| 2019 | Year | 07 | Month | 25 | Day |
| 2019 | Year | 08 | Month | 01 | Day |
| 2029 | Year | 07 | Month | 31 | Day |
| 2019 | Year | 07 | Month | 25 | Day |
| 2019 | Year | 07 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042734