title: [Renal biopsy practice: results of a French study and recommendations].
abstract: BACKGROUND
  Although several risk factors associated with complications after renal biopsy (RB) have been identified, recommendations for RB procedures are still lacking. Our working group, appointed by the scientific commission of the Société de néphrologie in France, aimed to depict the main aspects of the practice of RB in adults in France, before establishing some guidelines.
  
  
  METHODS
  Members of the Société de néphrologie in France were asked to participate to a questionnaire survey on RB procedures.
  
  
  RESULTS
  Eighty-eight nephrologists from 74 units (27 in teaching hospitals, 35 in public general hospitals, and 12 in private centers) participated in our study. Native kidney and graft biopsies were performed in 73 and 35 units, respectively. RB activity was highly variable among units, ranging from several hundred to less than ten per year. Transjugular RB was judged to be smoothly accessible in 28 out of 73 units (38.4%). Significant variations in practices were observed regarding patient information before RB, assessment of hemorrhagic risk factors, care of patients with antiplatelet agents and hemorrhagic risk factors, and radiological guidance. Early discharge (<12 hours) was the rule in three (4.1%) units for native kidney biopsies and in ten (28.6%) units for graft biopsies.
  
  
  CONCLUSIONS
  Our study is the first to provide a representative picture of "everyday" RB practices in a country. Consensual recommendations on all points mentioned are provided here.
authors.affiliation: UMR970, Inserm, université Paris-Descartes, Paris, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Bollée
authors.forename: Bruno
authors.initials: B
authors.lastname: Moulin
authors.forename: Frank
authors.initials: F
authors.lastname: Martinez
authors.forename: Quentin
authors.initials: Q
authors.lastname: Meulders
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Rougier
authors.forename: Alain
authors.initials: A
authors.lastname: Baumelou
authors.forename: Denis
authors.initials: D
authors.lastname: Glotz
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Subra
authors.forename: Tim
authors.initials: T
authors.lastname: Ulinski
authors.forename: Laurence
authors.initials: L
authors.lastname: Vrigneaud
authors.forename: José
authors.initials: J
authors.lastname: Brasseur
authors.forename: Martine
authors.initials: M
authors.lastname: Alhenc-Gelas
authors.forename: Laurent
authors.initials: L
authors.lastname: Martin
authors.forename: Laurent
authors.initials: L
authors.lastname: Daniel
authors.forename: Olivier
authors.initials: O
authors.lastname: Kourilsky
authors.forename: Patrice
authors.initials: P
authors.lastname: Deteix
authors.forename: Pierre
authors.initials: P
authors.lastname: Sie
authors.forename: Pierre
authors.initials: P
authors.lastname: Ronco
authors.forename: Pascal
authors.initials: P
authors.lastname: Houillier
mesh_terms: D001706:Biopsy / Q000379:methods / Q000592:standards; D005602:France; D006801:Humans; D007668:Kidney / Q000473:pathology*; D007674:Kidney Diseases / Q000473:pathology*; D010818:Practice Patterns, Physicians'