Premium
Vesico‐ureteric reflux ( VUR ) management and screening patterns: are paediatric urologists following the 2010 A merican U rological A ssociation ( AUA ) guidelines?
Author(s) -
Sunaryo Peter L.,
Cambareri Gina M.,
Winston Dock G.,
Hanna Moneer K.,
Stock Jeffrey A.
Publication year - 2014
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/bju.12588
Subject(s) - medicine , reflux , vesicoureteral reflux , guideline , pediatrics , clinical practice , urology , family medicine , disease , pathology
Objective To evaluate the current practice patterns of vesico‐ureteric reflux ( VUR ) management and screening among paediatric urologists and their relationship with the current A merican U rological A ssociation ( AUA ) guidelines in managing and treating VUR . Subjects and Methods A 17‐question survey was sent out to 476 paediatric urologists who are members of the S ociety for P ediatric U rology ( SPU ). In all, 133 respondents answered the survey and results were included for all questions. Results Paediatric urologists who were surveyed were consistent with the 2010 AUA guidelines in the initial evaluation of children with VUR , continuous antibiotic prophylaxis for the child aged < or >1 year, and follow‐up evaluation in children with VUR . Most paediatric urologists do not obtain a serum creatinine on initial screening of children with VUR . The new guidelines address screening of siblings of patients with VUR and most paediatric urologists were consistent with these recommendations. Almost one third of responders screened all neonates diagnosed with prenatal hydronephrosis regardless of clinical history or findings on imaging despite the recommendations of the new guidelines. Conclusion We conclude that based on our present sample, most paediatric urologists follow the 2010 AUA guidelines on VUR management.