Hydronephrosis classifications: Has UTD overtaken APD and SFU? A worldwide survey
Author
dc.contributor.author
Vallasciani, Santiago
Author
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Tur, Anna Bujons
Author
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Gatti, John
Author
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Machado, Marcos
Author
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Cooper, Christopher S.
Author
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Farrugia, Marie Klaire
Author
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Zhou, Huixia
Author
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El Anbari, Mohammed
Author
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López Egaña, Pedro José
Admission date
dc.date.accessioned
2022-03-25T13:05:47Z
Available date
dc.date.available
2022-03-25T13:05:47Z
Publication date
dc.date.issued
2021
Cita de ítem
dc.identifier.citation
Frontiers in Pediatrics April 2021 Volume 9 Article 646517
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Identifier
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10.3389/fped.2021.646517
Identifier
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https://repositorio.uchile.cl/handle/2250/184481
Abstract
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Objective: To collect baseline information on the ultrasonographic reporting preferences.
Method: A 13-multiple choice questionnaire was designed and distributed worldwide
among pediatric urologists, pediatric surgeons, and urologists. The statistical analysis
of the survey data consisted of 3 steps: a univariate analysis, a bivariate and a
multivariate analysis.
Results: Three hundred eighty participants responded from all the continents.
The bivariate analysis showed the significant differences in the geographical area,
the years of experience and the volume of cases. Most of the physicians prefer
the SFU and APD systems because of familiarity and simplicity (37 and 34%,
respectively). Respondents noted that their imaging providers most often report findings
utilizing the mild-moderate-severe system or the APD measurements (28 and 39%,
respectively) except for North America (SFU in 50%). Multivariate analysis did not provide
significant differences.
Conclusion: Our study evaluates the opinions regarding the various pediatric
hydronephrosis classification systems from a large number of specialists and
demonstrates that there is no single preferred grading system. The greatest reported
shortcoming of all the systems was the lack of universal utilization. The observations
taken from this study may serve as basis for the construction of a common worldwide
system. As APD and SFU are the preferred systems and the UTD a newer combination of
both, it is possible that with time, UTD may become the universal language for reporting
hydronephrosis. This time, based on the result of this survey, seems not arrived yet.
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Lenguage
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en
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Publisher
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Frontiers Media
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Type of license
dc.rights
Attribution-NonCommercial-NoDerivs 3.0 United States