Evidence map›Paper›PMID 19018047›Full record

ArticlePediatrics2008

Randomized Intervention for Children With Vesicoureteral Reflux (RIVUR): background commentary of RIVUR investigators.

Russell W Chesney, Myra A Carpenter, Marva Moxey-Mims, Leroy Nyberg, Saul P Greenfield, Alejandro Hoberman, Ron Keren, Ron Matthews, Tej K Matoo, members of the RIVUR Steering Committee

Registry-linked trialAbstract read
In one paragraph

Article in Pediatrics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00405704 (Randomized Intervention for Children With Vesicoureteral Reflux), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
8.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00405704 phase3completednot on this map

Randomized Intervention for Children With Vesicoureteral Reflux (RIVUR)

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran2007 to 2014Enrolled607ConditionsVesicoureteral Reflux, Urinary Tract InfectionsArmsTrimethoprim-Sulfamethoxazole, Placebo
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Interventions for primary vesicoureteric reflux.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Trial
  4. Trial
  5. Urinary tract infections in children.Nature reviews. Urology · 2026
    Review
  6. Observational
  7. Article
  8. Article
  9. [Long-term prognosis of vesicoureteral reflux: a follow-up observation of 138 children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2019
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 1 country.

Russell W ChesneyUniversity of Tennessee Health Science Center, Department of Pediatrics, Memphis, TN 38103, USA. rchesney@utmem.edu
Myra A Carpenter
Marva Moxey-Mims
Leroy Nyberg
Saul P Greenfield
Alejandro Hoberman
Ron Keren
Ron Matthews
Tej K Matoo
members of the RIVUR Steering Committee
Children's Hospital of Michigan · USChildren's Hospital of Philadelphia · USChildren's Hospital of Pittsburgh · USJohns Hopkins University · USNational Institute of Diabetes and Digestive and Kidney Diseases · USNational Institutes of Health · USUniversity of North Carolina at Chapel Hill · USUniversity of Tennessee Health Science Center · USWomen & Children's Hospital of Buffalo · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Randomized Intervention for Vesicoureteral Reflux (RIVUR)U01DK074059 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CARPENTER, MYRA A. · 2005 to 2012
$11.3M
NCATS NIH HHS UL1 TR000005NIDDK NIH HHS U01 DK074059
6 · The paper itself

Abstract

Because of the frequency of urinary tract infections in children, off-label use of antimicrobial prophylaxis is often the usual treatment of children with vesicoureteral reflux, and such use is increasingly being called into question; hence, a definitive study to determine the value of antimicrobial prophylaxis with regard to the recurrence of urinary tract infection and the incidence of renal scarring is essential. The currently recommended follow-up procedures (repeated urine cultures, renal and genitourinary imaging, antimicrobial therapy and prophylaxis, as well as other factors including cleanliness, adequate bladder and bowel emptying, and compliance with protocols) are expensive (in terms of time, attention to detail, and cost) and cumbersome. Such recommendations should be evidence-based.

Indexed as

Multicenter Studies as TopicRandomized Controlled Trials as TopicAnti-Bacterial AgentsChildChild, PreschoolCicatrixDisease ManagementDouble-Blind MethodDrug Administration ScheduleEarly DiagnosisFemaleHumansInfantKidneyMalePyelonephritisAnti-Bacterial Agents

Identifiers

PMID19018047
PMCPMC4336951
OpenAlexW2140476131

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.