title: Consensus statement on screening, diagnosis, classification and treatment of endemic (Balkan) nephropathy.
abstract: Currently used diagnostic criteria in different endemic (Balkan) nephropathy (EN) centers involve different combinations of parameters, various cut-off values and many of them are not in agreement with proposed international guidelines. Leaders of EN centers began to address these problems at scientific meetings, and this paper is the outgrowth of those discussions. The main aim is to provide recommendations for clinical work on current knowledge and expertise. This document is developed for use by general physicians, nephrologists, urologist, public health experts and epidemiologist, and it is hoped that it will be adopted by responsible institutions in countries harboring EN. National medical providers should cover costs of screening and diagnostic procedures and treatment of EN patients with or without upper urothelial cancers.
authors.affiliation: School of Medicine, University of Zagreb, Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, University Hospital Center Zagreb, Zagreb, Croatia.
authors.forename: Bojan
authors.initials: B
authors.lastname: Jelaković
authors.affiliation: Clinic of Urology Institute of Urology and Nephrology, Clinical Centre of Serbia, Belgrade, Serbia.
authors.forename: Jovan
authors.initials: J
authors.lastname: Nikolić
authors.affiliation: Schools of Medicine, University of Belgrade, Belgrade, Serbia.
authors.forename: Zoran
authors.initials: Z
authors.lastname: Radovanović
authors.affiliation: Department of Nephrology, Erasme Hospital Universite Libre Bruxelles, Bruxelles, Belgium.
authors.forename: Joelle
authors.initials: J
authors.lastname: Nortier
authors.affiliation: Department of Pathology, Cliniques Universitaires St-Luc Université Catholique de Louvain Medical School, Brussels, Belgium.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Cosyns
authors.affiliation: Department of Pharmacological Sciences, State University of New York at Stony Brook, New York, USA.
authors.forename: Arthur P
authors.initials: AP
authors.lastname: Grollman
authors.affiliation: School of Medicine, University of Zagreb, Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, University Hospital Center Zagreb, Zagreb, Croatia.
authors.forename: Nikolina
authors.initials: N
authors.lastname: Bašić-Jukić
authors.affiliation: Department for Pathology, Clinical Hospital 'Sestre Milosrdnice' University of Zagreb, School of Medicine, Zagreb, Croatia.
authors.forename: Mladen
authors.initials: M
authors.lastname: Belicza
authors.affiliation: Institute for Endemic Nephropathy, Lazarevac, Serbia.
authors.forename: Danica
authors.initials: D
authors.lastname: Bukvić
authors.affiliation: Institute for Epidemiology, University of Sarajevo, Sarajevo, Bosnia and Hercegovina.
authors.forename: Semra
authors.initials: S
authors.lastname: Čavaljuga
authors.affiliation: Department of Clinical Laboratory Diagnostics, University Hospital Center Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia.
authors.forename: Dubravka
authors.initials: D
authors.lastname: Čvorišćec
authors.affiliation: Institute for Public Health, Brodsko Posavska County, Slavonski Brod, Croatia.
authors.forename: Ante
authors.initials: A
authors.lastname: Cvitković
authors.affiliation: School of Medicine, University of Zagreb, Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, University Hospital Center Zagreb, Zagreb, Croatia.
authors.forename: Živka
authors.initials: Ž
authors.lastname: Dika
authors.affiliation: Department of Biostatistics and Social Epidemiology, National Center for Public Health Protection, Sofia, Bulgaria.
authors.forename: Plamen
authors.initials: P
authors.lastname: Dimitrov
authors.affiliation: Schools of Medicine, University of Belgrade, Belgrade, Serbia.
authors.forename: Ljubica
authors.initials: L
authors.lastname: Đukanović
authors.affiliation: Department of Epidemiology and Institute for Public Health Genetics, School of Public Health and Community Medicine University of Washington, Seattle, WA, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Edwards
authors.affiliation: School of Medicine, University of Ljubljana, Ljubljana, Slovenia.
authors.forename: Dušan
authors.initials: D
authors.lastname: Ferluga
authors.affiliation: Department for Pathology and Forensic Medicine, General Hospital 'Dr.Josip Benčević' Slavonski Brod, Croatia.
authors.forename: Ljubica
authors.initials: L
authors.lastname: Fuštar-Preradović
authors.affiliation: University of Medicine and Pharmacy, Timisoara, Romania.
authors.forename: Gheorghe
authors.initials: G
authors.lastname: Gluhovschi
authors.affiliation: University Medical Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Goran
authors.initials: G
authors.lastname: Imamović
authors.affiliation: Department for Pathology and Forensic Medicine, General Hospital 'Dr.Josip Benčević' Slavonski Brod, Croatia.
authors.forename: Tratinčica
authors.initials: T
authors.lastname: Jakovina
authors.affiliation: School of Medicine, University of Zagreb, Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, University Hospital Center Zagreb, Zagreb, Croatia.
authors.forename: Petar
authors.initials: P
authors.lastname: Kes
authors.affiliation: Department for Nephrology, General Hospital 'Dr.Josip Benčević' Slavonski Brod, Slavonski Brod, Croatia.
authors.forename: Ninoslav
authors.initials: N
authors.lastname: Leko
authors.affiliation: Department for Urology, General Hospital 'Dr. Josip Benčević' Slavonski Brod, Slavonski Brod, Croatia.
authors.forename: Zvonimir
authors.initials: Z
authors.lastname: Medverec
authors.affiliation: University Medical Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Enisa
authors.initials: E
authors.lastname: Mesić
authors.affiliation: Institute for Public Health, Brodsko Posavska County, Slavonski Brod, Croatia.
authors.forename: Marica
authors.initials: M
authors.lastname: Miletić-Medved
authors.affiliation: Department of Pathology, State University of New York at Stony Brook, New York, USA.
authors.forename: Frederick
authors.initials: F
authors.lastname: Miller
authors.affiliation: Institute for Nephrology and Hemodialysis, Clinical Center, University of Niš, Niš, Serbia.
authors.forename: Nikola
authors.initials: N
authors.lastname: Pavlović
authors.affiliation: Department for Urology, School of Medicine University of Zagreb, University Hospital Center Zagreb, Zagreb, Croatia.
authors.forename: Josip
authors.initials: J
authors.lastname: Pasini
authors.affiliation: Department for Oncology, University Hospital Center Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia.
authors.forename: Stjepko
authors.initials: S
authors.lastname: Pleština
authors.affiliation: Department of Nephrology, University 'Sts Ciril and Methodius' Faculty of Medicine and Macedonian Academy of Sciences and Arts, Skopje, Republic of Macedonia.
authors.forename: Momir
authors.initials: M
authors.lastname: Polenaković
authors.affiliation: Institute of Nephrology, Faculty of Medicine, Niš, Serbia.
authors.forename: Vladislav
authors.initials: V
authors.lastname: Stefanović
authors.affiliation: Department for Pathology and Forensic Medicine, General Hospital 'Dr.Josip Benčević' Slavonski Brod, Croatia.
authors.forename: Karla
authors.initials: K
authors.lastname: Tomić
authors.affiliation: University Medical Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Senaid
authors.initials: S
authors.lastname: Trnačević
authors.affiliation: School of Medicine, University of Zagreb, Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, University Hospital Center Zagreb, Zagreb, Croatia.
authors.forename: Ivana
authors.initials: I
authors.lastname: Vuković Lela
authors.affiliation: Department for Radiology, University Hospital Center Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia.
authors.forename: Ranka
authors.initials: R
authors.lastname: Štern-Padovan
mesh_terms: D001449:Balkan Nephropathy / Q000145:classification / Q000175:diagnosis / Q000628:therapy; D032921:Consensus; D019468:Disease Management; D006801:Humans; D008403:Mass Screening / Q000379:methods*
keywords: aristolochic acid nephropathy; consensus statement; diagnostic criteria; endemic nephropathy; upper urothelial cancer