Utilization of Radiographic Imaging for Infant Hydronephrosis over the First 12 Months of Life
المؤلفون المشاركون
Schaeffer, Anthony J.
Cartwright, Patrick C.
Lau, Glen A.
Ebert, Mark D.
Fino, Nora F.
Nkoy, Flory L.
Hess, Rachel
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-07-30
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Purpose.
The workup and surveillance strategies for infant hydronephrosis (HN) vary, although this could be due to grade-dependent differences in imaging intensity.
We aimed to describe the frequency of imaging studies for HN within the first year of life, stratified by initial HN grade, within a large regional healthcare system.
Study Design and Data Source.
Retrospective cohort using Intermountain Healthcare Data Warehouse.
Inclusion criteria: (1) birth between 1/1/2005 and 12/31/2013, (2) CPT code for HN, and (3) ultrasound (U/S) confirmed HN within four months of birth.
Data Collection.
Grade of HN on initial postnatal U/S; number of HN-associated radiologic studies (renal U/Ss, voiding cystourethrograms (VCUGs), and diuretic renal scans); demographic and medical variables.
Primary Outcome.
Sum of radiologic studies within the first year of life or prior to pyeloplasty.
Statistical Analysis.
Multivariate poisson regression to analyze association between the primary outcome and the initial HN grade.
Results.
Of 1,380 subjects (993 males and 387 females), 990 (72%), 230 (17%), and 160 (12%) had mild, moderate, and severe HN, respectively.
Compared with those with mild HN, patients with moderate (RR: 1.57; 95% CI: 1.42–1.73) and severe (RR: 2.09; 95% CI: 1.88–2.32) HN had a significantly higher rate of imaging use over 12 months (or prior to surgery) after controlling for potential confounders.
Conclusions.
In a large regional healthcare system, imaging use for HN is proportional to its initial grade.
This suggests that within our system, clinicians treating this condition are using a risk-stratified approach to imaging.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Schaeffer, Anthony J.& Cartwright, Patrick C.& Lau, Glen A.& Ebert, Mark D.& Fino, Nora F.& Nkoy, Flory L.…[et al.]. 2020. Utilization of Radiographic Imaging for Infant Hydronephrosis over the First 12 Months of Life. Advances in Urology،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1130637
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Schaeffer, Anthony J.…[et al.]. Utilization of Radiographic Imaging for Infant Hydronephrosis over the First 12 Months of Life. Advances in Urology No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1130637
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Schaeffer, Anthony J.& Cartwright, Patrick C.& Lau, Glen A.& Ebert, Mark D.& Fino, Nora F.& Nkoy, Flory L.…[et al.]. Utilization of Radiographic Imaging for Infant Hydronephrosis over the First 12 Months of Life. Advances in Urology. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1130637
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1130637
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر