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<p>Age-related and general aspects must both be taken into account when determining the indications for a&#xa0;kidney biopsy in older people. Is it rather a&#xa0;specific kidney disease or the result of kidney aging or chronic kidney damage? Is a&#xa0;kidney biopsy necessary for the diagnosis? Will the individual life span and quality of life be significantly altered by the suspected diagnosis? Are there specific treatments and does their selection require a&#xa0;biopsy? Is the patient suitable for these treatments and is the individual risk of the biopsy acceptable for this person? The article provides a&#xa0;structured guide through this decision-making process, suggests less invasive approaches for finding a&#xa0;diagnosis, helps with risk assessment, and summarizes the most frequent biopsy findings for the well-established clinical indications for kidney biopsy in older age.</p>

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Wann gibt es eine Indikation zur Nierenbiopsie beim älteren Menschen?

  • 期刊论文

  • 发表日期：

    2025年1月31日

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  • Tobias Schunke,
  • Clemens D. Cohen

摘要

Age-related and general aspects must both be taken into account when determining the indications for a kidney biopsy in older people. Is it rather a specific kidney disease or the result of kidney aging or chronic kidney damage? Is a kidney biopsy necessary for the diagnosis? Will the individual life span and quality of life be significantly altered by the suspected diagnosis? Are there specific treatments and does their selection require a biopsy? Is the patient suitable for these treatments and is the individual risk of the biopsy acceptable for this person? The article provides a structured guide through this decision-making process, suggests less invasive approaches for finding a diagnosis, helps with risk assessment, and summarizes the most frequent biopsy findings for the well-established clinical indications for kidney biopsy in older age.