Epidemiology of Biopsy Proven Glomerular Disorders and Effect of Severe Cyclone on Its Incidence in Central Queensland Region of Australia — Oak Academic Publishing
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Epidemiology of Biopsy Proven Glomerular Disorders and Effect of Severe Cyclone on Its Incidence in Central Queensland Region of Australia
Department of Nephrology, Central Queensland Hospital and Health Service, Queensland, Australia
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Department of Nephrology, Central Queensland Hospital and Health Service, Queensland, Australia
,
Department of Nephrology, Central Queensland Hospital and Health Service, Queensland, Australia
,
The University of Queensland, Rural Clinical School, Rockhampton, Queensland, Australia
,
The University of Queensland, Rural Clinical School, Rockhampton, Queensland, Australia
,
Department of Nephrology, Central Queensland Hospital and Health Service, Queensland, Australia
,
Department of Nephrology, Royal Brisbane and Women’s Hospital, Queensland, Australia
,
The Griffith University, Queensland, Australia
1 Department of Nephrology, Central Queensland Hospital and Health Service, Queensland, Australia
2 Department of Nephrology, Central Queensland Hospital and Health Service, Queensland, Australia
3 Department of Nephrology, Central Queensland Hospital and Health Service, Queensland, Australia
4 The University of Queensland, Rural Clinical School, Rockhampton, Queensland, Australia
5 The University of Queensland, Rural Clinical School, Rockhampton, Queensland, Australia
6 Department of Nephrology, Central Queensland Hospital and Health Service, Queensland, Australia
7 Department of Nephrology, Royal Brisbane and Women’s Hospital, Queensland, Australia
Aim: The objectives of this study are to determine the epidemiology of biopsy-proven glomerular disease (GD) in Central Queensland and the effect of a severe cyclone on its incidence and clinical phenotype. Background: Central Queensland (CQ) has a relatively high incidence of kidney disease. Since its biopsy service commenced in 2005, there have been no data on biopsy-proven GD. It has been suggested that GD incidence changes around times of natural disasters. In February 2015, the CQ region was affected by a category 5 Cyclone Marcia. This provides an opportunity to explore possible environmental triggers of GD. Methods: This was a single-centre retrospective observational study on biopsy-proven kidney disease in CQ. All kidney biopsies performed between January 2005 and December 2019 were included. Patients with biopsy-proven GD during 3 years before and after Cyclone Marcia (from 2012 to 2018) were analysed. Results: 170 native kidney biopsies occurred during the 15 years. The number of annual biopsies steadily increased from 7 to 16. The most common biopsy-proven kidney disease was IgA Nephropathy (27%) followed by diabetic nephropathy (20%). GD comprised 64% of biopsies. Unlike other GD, the incidence of ANCA-associated vasculitis (AAV) significantly increased after cyclone (one pre- and eight post-cyclone, P value = 0.039). The majority of AAV cases occurred in the first year after the cyclone. Conclusion: Kidney biopsies in CQ provide important epidemiological data on biopsy-proven kidney disease. Cyclones have a possible effect on the incidence and clinical phenotype of ANCA associated vasculitis.
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