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. 2025 Feb;57(2):553-559.
doi: 10.1007/s11255-024-04196-1. Epub 2024 Sep 6.

Ultrasound-guided kidney biopsy: a ten-year retrospective single-center experience and the promising role of clinical hypnosis

Andrea Angioi  1 , Giacomo Mascia  2 , Danilo Sirigu  2 , Riccardo Cao  2 , Paola Bianco  3 , Daniela Onnis  3 , Matteo Floris  2 , Gianfranca Cabiddu  4 , Antonello Pani  4 , Nicola Lepori  4
Affiliations

Ultrasound-guided kidney biopsy: a ten-year retrospective single-center experience and the promising role of clinical hypnosis

Andrea Angioi et al. Int Urol Nephrol. 2025 Feb.

Abstract

This retrospective analysis investigates the outcomes and complications of 682 kidney biopsies performed at ARNAS G. Brotzu from 2010 to 2021. Our findings indicate a minor complication rate of 9.1%, with severe complications being exceedingly rare at 0.3%. Age did not contribute to an increased risk, underscoring the procedure's safety across age groups. Clinical hypnosis was incorporated into the biopsy protocol in a subset of patients (n = 45) from April 2019 to December 2023. Over 90% of these patients reported no perception of the procedure, and 60% experienced no pain. According to STAY-Y test scores, this approach significantly reduced anxiety post-procedure (p = 0.001); no major or minor complications were observed in this group. While our study reaffirms the very low risk of severe complications in kidney biopsies, it also highlights the potential benefits of adjunct clinical hypnosis in enhancing patient comfort and cooperation during the procedure. This exploration opens a promising avenue for further investigation to improve patient experiences and procedural outcomes in kidney biopsies.

Keywords: Fine needle biopsy; Glomerular diseases; Hypnosis; Kidney biopsy; Ultrasound.

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Conflict of interest statement

Declarations. Conflict of interest: The authors declare that there are no conflicts of interest regarding the publication of this paper. This research was conducted without commercial or financial relationships that could be construed as a potential conflict of interest. Ethical approval: This study was conducted in strict accordance with the principles of the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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