Treatment of infants with ureteropelvic junction obstruction: findings from the PURSUIT network
| العنوان: | Treatment of infants with ureteropelvic junction obstruction: findings from the PURSUIT network |
|---|---|
| المؤلفون: | Jordon C. King, Elizabeth Juarez-Colunga, Gemma Beltran, Nicolette K. Janzen, Parker Adams, George Chiang, Vijaya M. Vemulakonda, Carter Sevick, Emily Ewing, Allison Kempe, Alison W. Saville |
| المصدر: | Int Urol Nephrol |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Nephrology, Pyeloplasty, medicine.medical_specialty, Pediatrics, Urology, medicine.medical_treatment, 030232 urology & nephrology, Ureteropelvic junction, Hydronephrosis, 030204 cardiovascular system & hematology, Article, 03 medical and health sciences, 0302 clinical medicine, Initial visit, Electronic health record, Internal medicine, medicine, Humans, Kidney Pelvis, In patient, business.industry, Infant, medicine.disease, Prenatal Hydronephrosis, Treatment Outcome, medicine.anatomical_structure, Urologic Surgical Procedures, business, Ureteral Obstruction |
| الوصف: | PURPOSE: Studies based on administrative databases show that infant pyeloplasty is associated with minority race/ethnicity but lack clinical data that may influence treatment. Our objective was to identify clinical and demographic factors associated with pyeloplasty in infants from three large tertiary centers. METHODS: We reviewed infants with unilateral Society for Fetal Urology (SFU) grade 3-4 hydronephrosis seen at three tertiary centers from 2/1/2018-9/30/2019. Patients were excluded if > 6 months old or treated surgically prior to the initial visit. Outcomes were: pyeloplasty < age 1 year and SFU grade on most recent ultrasound (US) within the first year. Covariables included: age at the initial visit, race/ethnicity, treating site, insurance type, febrile UTI, and initial imaging findings. Univariable and multivariable analyses were performed using log-rank tests and Cox proportional hazards models, respectively. RESULTS: 197 patients met study criteria; 19.3% underwent pyeloplasty. Pyeloplasty was associated with: treating site (p=0.03), SFU 4 on initial US (p =0.001), MAG-3 (p 20 minutes (p < 0.001) in patients undergoing a MAG-3 (n=107). MAG-3 (p |
| تدمد: | 1573-2584 0301-1623 |
| DOI: | 10.1007/s11255-021-02866-y |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f6aeb7d1126ec430edf7d6ad2c3659e5 https://doi.org/10.1007/s11255-021-02866-y |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....f6aeb7d1126ec430edf7d6ad2c3659e5 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15732584 03011623 |
|---|---|
| DOI: | 10.1007/s11255-021-02866-y |