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Table 3 Tendency to agree on when to deviate from ACR guidelines for first biopsy in pSLE

From: Practice patterns and approach to kidney biopsy in lupus: a collaboration of the Midwest pediatric nephrology consortium and the childhood arthritis and rheumatology research alliance

 

Pediatric Rheumatologists

Pediatric Nephrologists

Respondents

108

69

“Do you follow ACR guidelines for deciding to obtain a first kidney biopsy in a SLE patient” *

Yes

83 (77 %)

56 (81 %)

No

25 (23 %)

13 (19 %)

Affirmative responses, sub-divided by years in practice

<5

17 (68 %)

15 (83 %)

6-10

21 (78 %)

14 (78 %)

11-20

26 (90 %)

14 (100 %)

>20

19 (70 %)

12 (67 %)

unspecified

 

1 (100 %)

“Do you deviate from the ACR guidelines in your decision to obtain a first kidney biopsy? If so under which circumstances?”

Affirmative responses for hematuria only

37 (34 %)

7 (10 %)

Affirmative responses for proteinuria only (>150mg/day and/or UPC > 0.2mg/mg)

64 (59 %)

40 (58 %)

  1. *American College of Rheumatology (ACR) guidelines (see Table 1)were provided in the survey