This Month in Pediatric Urology

You have accessJournal of UrologyThis Month in Pediatric Urology1 Apr 2021This Urology Stacy T. Tanaka TanakaStacy More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001623AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail In the idealized “scientific method,” scientist designs an experiment and then collects data support or refute a hypothesis. With increasing use registries repositories pediatric urology, prospective collection is often started (or completed) before idea for particular research question arises. Three issue The Journal demonstrate how urologists are using these registries/repositories improve urology care. Selecting Children with Vesicoureteral Reflux Most Likely Benefit from Antibiotic Prophylaxis Randomized Intervention (RIVUR) trial was randomized, double-blind, placebo-controlled continuous antibiotic prophylaxis (CAP) that showed CAP decreases recurrent urinary tract infections (UTIs). real life, when family calls about diaper rash after starting CAP, clinical intuition, rather than objective data, drives decisions personalized risk/benefit. Clearly, some children vesicoureteral reflux will benefit more others. MIT ORC Personalized Medicine Group Advanced Analytics (page 1170) Cambridge Boston, Massachusetts applied machine learning RIVUR predict which individuals most CAP.1 By only patients suggested model, they achieved same low rate febrile UTI treating half as many individuals. This work help guide objective, approach treatment. Antireflux Surgery at National Surgical Quality Improvement Program-Pediatric Hospitals American College Surgeons Program (ACS NSQIP) registry designed measure surgical care based on 30-day patient outcomes. version ACS NSQIP has been limited event absence urological variables. study group 12 institutions, Johnson et al 1189) worked develop collect procedure specific variables make useful quality improvement.2 sites collected urology-specific such prior procedures, comorbidities, urine cultures, utilization. Data also extended 60 days. noted wide variability type treatment among hospitals. Additionally, 60-day rates were not insignificant emergency department visits 12.9% re-admissions 5.5%. provides point further address inform best practices reflux. Ultrasound-Based Hydronephrosis Identifying Low Kidney Function Young Patients Spina Bifida As part Patient Registry (NSPBR), multiple clinics demographics, treatment, outcomes spina bifida. Because high risk chronic kidney disease population, renal including hydronephrosis serum creatinine collected. practice, well published research, presence used proxy worsening function. Chu 1180) Lurie Children’s Hospital Chicago Chicago, Illinois, participates NSPBR, retrospectively reviewed single institution evaluate performs screening estimated glomerular filtration (eGFR), both cystatin C equations.3 Not surprisingly, associated lower eGFR. surprising result badly screens eGFR, particularly children. had 4%–15% sensitivity eGFR <90 concerning likely be falsely elevated due decreased muscle mass inaccurate height measurement. References 1. Urology:Selecting who prophylaxis: application RIVUR. J Urol 2021; 205: 1170. Google Scholar 2. : surgery 1189. Link, 3. Diagnostic test characteristics ultrasound identifying function young bifida: retrospective cohort study. 1180. © 2021 Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 205Issue 4April 2021Page: 953-953 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...