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在美国一家三级医疗学术机构创建肾活检项目时遇到的挑战。

Challenges encountered to creating a renal biopsy program at a tertiary care academic institution in the United States.

作者信息

Hayes Eily, Mai Erik, Uflacker Andre, Freidin Natalie

机构信息

Division of Nephrology, Medical University of South Carolina, Charleston, SC, USA.

Vascular and Interventional Radiology, Savannah Vascular Institute, Savannah, GA, USA.

出版信息

Ren Fail. 2025 Dec;47(1):2449576. doi: 10.1080/0886022X.2024.2449576. Epub 2025 Jan 16.

DOI:10.1080/0886022X.2024.2449576
PMID:39819352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11748854/
Abstract

Biopsy is the gold standard for diagnosing renal pathology and the procedure is required to be learned per ACGME guidelines for Nephrology Fellowship graduation. We describe the process for the planning and development of a new Nephrologist directed native renal biopsy program to increase the opportunity to train Nephrology fellows in this procedure. The article outlines the barriers, complications and lessons learned to developing the program, highlighting the key challenges and progress that has been made within a single American tertiary academic medical center.

摘要

活检是诊断肾脏病理学的金标准,根据美国医学研究生教育认证委员会(ACGME)关于肾脏病学 fellowship 毕业的指南,该操作是必须掌握的。我们描述了一个由新的肾脏病专家指导的自体肾活检项目的规划和开发过程,以增加肾脏病学 fellows 在该操作方面的培训机会。本文概述了开发该项目过程中遇到的障碍、并发症及经验教训,突出了美国一家三级学术医疗中心在这方面所面临的关键挑战和取得的进展。

相似文献

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Challenges encountered to creating a renal biopsy program at a tertiary care academic institution in the United States.在美国一家三级医疗学术机构创建肾活检项目时遇到的挑战。
Ren Fail. 2025 Dec;47(1):2449576. doi: 10.1080/0886022X.2024.2449576. Epub 2025 Jan 16.
2
Renal Ultrasound, Dialysis Catheter Placement, and Kidney Biopsy Experience of US Nephrology Fellows.美国肾脏病学研究员的肾脏超声、透析导管放置和肾脏活检经验。
Am J Kidney Dis. 2016 Aug;68(2):187-192. doi: 10.1053/j.ajkd.2016.02.054. Epub 2016 Apr 22.
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Survey of Kidney Biopsy Clinical Practice and Training in the United States.美国肾脏活检临床实践与培训调查。
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Training Nephrology Fellows in Temporary Hemodialysis Catheters and Kidney Biopsies Is Not Needed and Should Not Be Required.无需对肾科住院医师进行临时血液透析导管及肾活检方面的培训,也不应要求他们接受此类培训。
Clin J Am Soc Nephrol. 2018 Jul 6;13(7):1102-1104. doi: 10.2215/CJN.01260118. Epub 2018 Jun 15.
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Point-of-Care Ultrasound Training during Nephrology Fellowship: A National Survey of Fellows and Program Directors.肾脏病学住院医师培训期间的即时超声培训:住院医师和项目主任的全国调查。
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Performance of procedures by nephrologists and nephrology fellows at U.S. nephrology training programs.美国肾脏病学培训项目中肾脏病学家和肾脏病学研究员的操作表现。
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Changing Trends in the Performance of Percutaneous Renal Biopsy from Nephrologist to Interventional Radiologist: A Single-Center Experience.经肾内科医生到介入放射科医生行经皮肾活检术操作表现的变化趋势:单中心经验。
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Kidney360. 2022 Feb 15;3(10):1667-1669. doi: 10.34067/KID.0007762021. eCollection 2022 Oct 27.

本文引用的文献

1
Percutaneous Renal Biopsy Using an 18-Gauge Automated Needle Is Not Optimal.经皮肾活检使用 18 号自动活检针并不理想。
Am J Nephrol. 2020;51(12):982-987. doi: 10.1159/000512902. Epub 2021 Jan 15.
2
Update on the Native Kidney Biopsy: Core Curriculum 2019.更新后的原发性肾脏活检:2019 年核心课程。
Am J Kidney Dis. 2019 Mar;73(3):404-415. doi: 10.1053/j.ajkd.2018.10.011. Epub 2019 Jan 17.
3
Changing Trends in the Performance of Percutaneous Renal Biopsy from Nephrologist to Interventional Radiologist: A Single-Center Experience.
经肾内科医生到介入放射科医生行经皮肾活检术操作表现的变化趋势:单中心经验。
Am J Nephrol. 2018;48(5):326-329. doi: 10.1159/000493925. Epub 2018 Oct 24.
4
Percutaneous Renal Biopsy: Comparison of Blind and Real-time Ultrasound Guided Technique.经皮肾活检:盲法与实时超声引导技术的比较
J Nepal Health Res Counc. 2018 Mar 13;16(1):66-72.
5
Sixteen Gauge biopsy needles are better and safer than 18 Gauge in native and transplant kidney biopsies.在自体肾活检和移植肾活检中,16号活检针比18号活检针更好且更安全。
Acta Radiol. 2017 Feb;58(2):240-248. doi: 10.1177/0284185116641349. Epub 2016 Jul 20.
6
Safety and efficacy of percutaneous renal biopsy by physicians-in-training in an academic teaching setting.在学术教学环境中,实习医生进行经皮肾活检的安全性和有效性。
South Med J. 2014 Aug;107(8):520-5. doi: 10.14423/SMJ.0000000000000148.
7
Safety and tissue yield for percutaneous native kidney biopsy according to practitioner and ultrasound technique.根据术者和超声技术行经皮肾穿刺活检的安全性和组织获取量。
BMC Nephrol. 2014 Jun 23;15:96. doi: 10.1186/1471-2369-15-96.
8
Who should perform the percutaneous renal biopsy: a nephrologist or radiologist?经皮肾活检应由谁来操作:肾病科医生还是放射科医生?
Semin Dial. 2014 May-Jun;27(3):243-5. doi: 10.1111/sdi.12215. Epub 2014 Mar 13.
9
Percutaneous renal biopsy: comparison of blind and real-time ultrasound-guided technique.经皮肾活检:盲法与实时超声引导技术的比较
Semin Dial. 2007 Jul-Aug;20(4):355-8. doi: 10.1111/j.1525-139X.2007.00295.x.