- specialize in nephropathology
- 3 months fellowships supported by the European Society of Pathology
- advanced training in nephropathology (or other specialized fields)
- for young ESP-members at the beginning of their careers
- next application deadline: June 2023
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Our Mission
The mission of our working group is the advancement of nephropathology, including transplant pathology in Europe. The working group supports continuous education and training in renal pathology. It promotes research, organizes collaborative studies, and offers help in diagnostic cases.
Who We Are
We are pathologists with a special training and expertise in nephropathology. We are organized as a working group within the European Society of Patholgy (ESP). The working group is run by an elected chair and co-chair as well as all active members that want to be involved. Read more …
What We Do
Together, we organize the nephropathology content of the annual European Congresses of Pathology (read more …). Our members are involved in educational activites and scientific meetings within Europe and worldwide. We provide technical information about the work-up of native and transplant kidney biopsies. We train and mentor young pathologists in our field to achieve the best diagnostic service for our clinical colleagues. Our group represents the European Society of Pathology(ESP) in affiliated learned societies and congresses and serves as knowledge provider to the ESP in the field of nephropathology.
Membership
The working group is open to all members of the European Society of Pathology at no additional cost. To become an ESP member, please visit the ESP website. To apply for the working group membership, use the membership login on the ESP website, go to profile, and press the “membership in working group” button.
History
The Nephropathology Working Group was founded at the occasion of the 19th Congress of the ESP on the initiative of Dusan Ferluga (Slovenia) in 2003. Past chairmen were Dusan Ferluga, Slovenia (2003-2007), Michael J. Mihatsch, Switzerland (2007-2013), Ian S. Roberts, United Kingdom (2013-2016), and Kerstin Amann, Germany (2016-2021).
Information for Laymen
Pathology is the study and diagnosis of disease through examination of organs, tissues, cells, and body fluids. The term encompasses both the medical specialty which uses tissues and body fluids to obtain clinically useful information, as well as the related scientific study of disease processes. Anatomical pathologists diagnose disease and gain other clinically significant information through the gross and microscopic visual examination of tissues, with special stains and immunohistochemistry employed to visualize specific proteins and other substances in and around cells, and electron microscopy to visualize ultrastructural changes. More recently, molecular biology techniques are also included in the study of tissues to gain additional clinical information. Anatomic pathologists serve as the definitive diagnosticians for most cancers, as well as numerous other diseases. Nephropathologists are specialized anatomical pathologists. They have special expertise for the study of renal diseases in native and transplanted kidneys.
A collaborative scientific project by Amélie Dendooven, Sabine Leh, and Mark Helbert.
Denic, Aleksandar; Bogojevic, Marija; Mullan, Aidan F.; Sabov, Moldovan; Asghar, Muhammad S.; Sethi, Sanjeev; Smith, Maxwell L.; Fervenza, Fernando C.; Glassock, Richard J.; Hommos, Musab S.; Rule, Andrew D.
JASN October 2022, 33 (10) 1927-1941; DOI: https://doi.org/10.1681/ASN.2022030234
Chronic damage as assessed in the kidney biopsy is an independent predictor of renal function decline (doi: 10.1681/ASN.2017121260, doi: 10.1681/ASN.2021010044). Different grading systems for chronicity have been published: some are diagnosis-specific, others can be used regardless of disease etiology.
The success of histologic grading schemes partly depends on ease-of-use; too detailed or time-intensive systems generally do not make it to diagnostic practice. In a recent study published in JASN, the authors examine a morphometry-based approach (with quantification of chronicity parameters assisted by software) to a standard, commonly used ‘eyeballing’ or visual estimation approach based on glomerulosclerosis, interstitial fibrosis/ tubular atrophy (IFTA) and arteriosclerosis (DOI: 10.1016/j.kint.2017.01.002). The study population consisted of a historical cohort of 353 biopsies with follow-up data, making evaluation on hard end points possible (namely, evolution to end-stage kidney disease or progressive chronic kidney disease, respectively emerging in 21% and 44% of patients, over a median follow-up of 7.5 years). Interestingly, morphometry for the above-described features did not substantially differ in predicting outcomes compared to eyeballing.
Additionally, the authors took the opportunity to examine less ‘classical’ measures of chronicity such as IFTA foci density and arteriolar hyalinosis by morphometry. A ten-point score using percentage of glomerulosclerosis, percentage of IFTA, IFTA foci density and arteriolar hyalinosis showed a superior performance. In the discussion, the authors hypothesize that this actually reflects pathogenesis of chronic damage better. The authors also claim they will work on translating this into a new visual estimation approach and as such, close the circle.
Blogged by Amélie Dendooven