Characteristics of primary glomerular diseases patients with hematuria in Turkey: The data from TSN-GOLD Working Group
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2021Author
Şumnu, AbdullahTürkmen, Kültigin
Cebeci, Egemen
Türkmen, Aydın
Eren, Necmi
Seyahi, Nurhan
Oruç, Ayşegül
Dede, Fatih
Derici, Ülver
Baştürk, Taner
Şahin, Garip
Sipahioğlu, Murat
Manga Şahin, Gülizar
Tatar, Erhan
Dursun, Belda
Sipahi, Savaş
Yılmaz, Mürvet
Süleymanlar, Gültekin
Ulu, Sena
Güngör, Özkan
Kutlay, Sim
Bicik Bahçebaşı, Zerrin
Şahin, İdris
Kurultak, İlhan
Sevinç, Can
Yılmaz, Zülfikar
Turan Kazancıoğlu, Rümeyza
Çavdar, Caner
Candan, Ferhan
Aydın, Zeki
Oygar, Deren
Gül, Bülent
Altun, Bülent
Paydaş, Saime
Uzun, Sami
İstemihan, Zulal
Ergül, Metin
Dinçer, Mevlüt Tamer
Güllülü, Mustafa
Pişkinpaşa, Serhan
Akçay, Ömer Faruk
Ünsal, Abdulkadir
Koyuncu, Sümeyra
Gök, Mahmut
Öztürk, Savaş
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Şumnu, A., Türkmen, K., Cebeci, E., Türkmen, A., Eren, N., Seyahi, N. ... Öztürk, S. (2021). Characteristics of primary glomerular diseases patients with hematuria in Turkey: The data from TSN-GOLD Working Group. International Urology and Nephrology, 53(5), 945-954. https://dx.doi.org/10.1007/s11255-020-02690-wAbstract
Purpose Hematuria is one of the most common laboratory findings in nephrology practice. To date, there is no enough data regarding the clinical and histopathologic characteristics of primary glomerular disease (PGD) patients with hematuria in our country. Methods Data were obtained from national multicenter (47 centers) data entered into the Turkish Society of Nephrology Glomerular Diseases (TSN-GOLD) database between May 2009 and June 2019. The data of all PGD patients over the age of 16 years who were diagnosed with renal biopsy and had hematuria data were included in the study. Demographic characteristics, laboratory and biopsy findings were also recorded. Results Data of 3394 PGD patients were included in the study. While 1699 (50.1%) patients had hematuria, 1695 (49.9%) patients did not have hematuria. Patients with hematuria had statistically higher systolic blood pressure, serum blood urea nitrogen, creatinine, albumin, levels and urine pyuria. However, these patients had statistically lower age, body mass index, presence of hypertension and diabetes, eGFR, 24-h proteinuria, serum total, HDL and LDL cholesterol, and C3 levels when compared with patients without hematuria. Hematuria was present 609 of 1733 patients (35.8%) among the patients presenting with nephrotic syndrome, while it was presented in 1090 of 1661 (64.2%) patients in non-nephrotics (p < 0.001). Conclusion This is the first multicenter national report regarding the demographic and histopathologic data of PGD patients with or without hematuria. Hematuria, a feature of nephritic syndrome, was found at a higher than expected in the PGDs presenting with nephrotic syndrome in our national database.
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