Glomerular diseases in pregnancy: pragmatic recommendations for clinical management

Fadi Fakhouri; Nora Schwotzer; Gianfranca Cabiddu; Jonathan Barratt; Hélène Legardeur; Vesna Garovic; Alejandra Orozco-Guillen; Jack Wetzels; Eric Daugas; Gabriella Moroni; Marina Noris; Vincent Audard; Manuel Praga; Elisa Llurba; Grégoire Wuerzner; Rossella Attini; David Desseauve; Elena Zakharova; Claudio Luders; Kate Wiles; Filomena Leone; Shilpanjali Jesudason; Nathalie Costedoat-Chalumeau; Andrea Kattah; Virgilia Soto-Abraham; Alexandre Karras; Jai Prakash; Liz Lightstone; Pierre Ronco; Claudio Ponticelli; Gerald Appel; Giuseppe Remuzzi; Vassilis Tsatsaris; Giorgina Barbara Piccoli

doi:10.1016/j.kint.2022.10.029

Glomerular diseases in pregnancy: pragmatic recommendations for clinical management

Fadi Fakhouri, Nora Schwotzer, Gianfranca Cabiddu, Jonathan Barratt, Hélène Legardeur, Vesna Garovic, Alejandra Orozco-Guillen, Jack Wetzels, Eric Daugas, Gabriella Moroni, Marina Noris, Vincent Audard, Manuel Praga, Elisa Llurba, Grégoire Wuerzner, Rossella Attini, David Desseauve, Elena Zakharova, Claudio Luders, Kate WilesFilomena Leone, Shilpanjali Jesudason, Nathalie Costedoat-Chalumeau, Andrea Kattah, Virgilia Soto-Abraham, Alexandre Karras, Jai Prakash, Liz Lightstone, Pierre Ronco, Claudio Ponticelli, Gerald Appel, Giuseppe Remuzzi, Vassilis Tsatsaris, Giorgina Barbara Piccoli

Nephrology and Hypertension

Research output: Contribution to journal › Review article › peer-review

Abstract

Our understanding of the various aspects of pregnancy in women with kidney diseases has significantly improved in the last decades. Nevertheless, little is known about specific kidney diseases. Glomerular diseases are not only a frequent cause of chronic kidney disease in young women, but combine many challenges in pregnancy: immunologic diseases, hypertension, proteinuria, and kidney tissue damage. An international working group undertook the review of available current literature and elicited expert opinions on glomerular diseases in pregnancy with the aim to provide pragmatic information for nephrologists according to the present state-of-the-art knowledge. This work also highlights areas of clinical uncertainty and emphasizes the need for further collaborative studies to improve maternal and fetal health.

Original language	English (US)
Pages (from-to)	264-281
Number of pages	18
Journal	Kidney international
Volume	103
Issue number	2
DOIs	https://doi.org/10.1016/j.kint.2022.10.029
State	Published - Feb 2023

Keywords

fetal complications
glomerular diseases
immunosuppressive drugs
kidney biopsy
pregnancy

ASJC Scopus subject areas

Nephrology

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10.1016/j.kint.2022.10.029

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Fakhouri, F., Schwotzer, N., Cabiddu, G., Barratt, J., Legardeur, H., Garovic, V., Orozco-Guillen, A., Wetzels, J., Daugas, E., Moroni, G., Noris, M., Audard, V., Praga, M., Llurba, E., Wuerzner, G., Attini, R., Desseauve, D., Zakharova, E., Luders, C., ... Piccoli, G. B. (2023). Glomerular diseases in pregnancy: pragmatic recommendations for clinical management. Kidney international, 103(2), 264-281. https://doi.org/10.1016/j.kint.2022.10.029

Fakhouri, F, Schwotzer, N, Cabiddu, G, Barratt, J, Legardeur, H, Garovic, V, Orozco-Guillen, A, Wetzels, J, Daugas, E, Moroni, G, Noris, M, Audard, V, Praga, M, Llurba, E, Wuerzner, G, Attini, R, Desseauve, D, Zakharova, E, Luders, C, Wiles, K, Leone, F, Jesudason, S, Costedoat-Chalumeau, N, Kattah, A, Soto-Abraham, V, Karras, A, Prakash, J, Lightstone, L, Ronco, P, Ponticelli, C, Appel, G, Remuzzi, G, Tsatsaris, V & Piccoli, GB 2023, 'Glomerular diseases in pregnancy: pragmatic recommendations for clinical management', Kidney international, vol. 103, no. 2, pp. 264-281. https://doi.org/10.1016/j.kint.2022.10.029

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abstract = "Our understanding of the various aspects of pregnancy in women with kidney diseases has significantly improved in the last decades. Nevertheless, little is known about specific kidney diseases. Glomerular diseases are not only a frequent cause of chronic kidney disease in young women, but combine many challenges in pregnancy: immunologic diseases, hypertension, proteinuria, and kidney tissue damage. An international working group undertook the review of available current literature and elicited expert opinions on glomerular diseases in pregnancy with the aim to provide pragmatic information for nephrologists according to the present state-of-the-art knowledge. This work also highlights areas of clinical uncertainty and emphasizes the need for further collaborative studies to improve maternal and fetal health.",

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AU - Schwotzer, Nora

AU - Cabiddu, Gianfranca

AU - Barratt, Jonathan

AU - Legardeur, Hélène

AU - Garovic, Vesna

AU - Orozco-Guillen, Alejandra

AU - Wetzels, Jack

AU - Daugas, Eric

AU - Moroni, Gabriella

AU - Noris, Marina

AU - Audard, Vincent

AU - Praga, Manuel

AU - Llurba, Elisa

AU - Wuerzner, Grégoire

AU - Attini, Rossella

AU - Desseauve, David

AU - Zakharova, Elena

AU - Luders, Claudio

AU - Wiles, Kate

AU - Leone, Filomena

AU - Jesudason, Shilpanjali

AU - Costedoat-Chalumeau, Nathalie

AU - Kattah, Andrea

AU - Soto-Abraham, Virgilia

AU - Karras, Alexandre

AU - Prakash, Jai

AU - Lightstone, Liz

AU - Ronco, Pierre

AU - Ponticelli, Claudio

AU - Appel, Gerald

AU - Remuzzi, Giuseppe

AU - Tsatsaris, Vassilis

AU - Piccoli, Giorgina Barbara

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AB - Our understanding of the various aspects of pregnancy in women with kidney diseases has significantly improved in the last decades. Nevertheless, little is known about specific kidney diseases. Glomerular diseases are not only a frequent cause of chronic kidney disease in young women, but combine many challenges in pregnancy: immunologic diseases, hypertension, proteinuria, and kidney tissue damage. An international working group undertook the review of available current literature and elicited expert opinions on glomerular diseases in pregnancy with the aim to provide pragmatic information for nephrologists according to the present state-of-the-art knowledge. This work also highlights areas of clinical uncertainty and emphasizes the need for further collaborative studies to improve maternal and fetal health.

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KW - glomerular diseases

KW - immunosuppressive drugs

KW - kidney biopsy

KW - pregnancy

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Glomerular diseases in pregnancy: pragmatic recommendations for clinical management

Abstract

Keywords

ASJC Scopus subject areas

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