ReviewPediatric surgery international2011
Febrile urinary tract infection, vesicoureteral reflux, and renal scarring: current controversies in approach to evaluation.
Review in Pediatric surgery international, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effect of vitamin A on renal damage following acute pyelonephritis in children: a meta-analysis of randomized controlled trials.Pediatric nephrology (Berlin, Germany) · 2016Pooled it
- A comparison of the double hydrodistention implantation technique (HIT) and the HIT with a polyacrylate/polyalcohol copolymer (PPC) for the endoscopic treatment of primary vesicoureteral reflux.International urology and nephrology · 2014Trial
- Automated Grading of Vesicoureteral Reflux (VUR) Using a Dual-Stream CNN Model with Deep Supervision.Journal of imaging informatics in medicine · 2025Article
- What paediatricians need to know about modern urologic management of vesicoureteral reflux.Frontiers in pediatrics · 2025Review
- Conflicting views of physicians and surgeons concerning pediatric urinary tract infection: a comparative review.Pediatric radiology · 2023Review
- Compensatory renal hypertrophy in reflux nephropathy presenting as hypertensive emergency.Oxford medical case reports · 2021Article
- Role of Late DMSA Renal Scan in Detecting High-Grade Vesicoureteral Reflux.Indian journal of pediatrics · 2019Article
- Delayed diagnosis of primary vesicoureteral reflux in children with recurrent urinary tract infections: Diagnostic approach and renal outcomes.Turkish journal of urology · 2018Article
- History of recurrent urinary tract infection is not predictive of abnormality on voiding cystourethrogram.Pediatric surgery international · 2013Article
- Can postpyelonephritic renal scarring be prevented?Pediatric nephrology (Berlin, Germany) · 2013Article
- Observation of patients with vesicoureteral reflux off antibiotic prophylaxis: physician bias on patient selection and risk factors for recurrent febrile urinary tract infection.The Journal of urology · 2012Article
- Radiographic evaluation of children with febrile urinary tract infection: bottom-up, top-down, or none of the above?Advances in urology · 2012Article
- Brazilian consensus on vesicoureteral reflux-recommendations for clinical practice.International braz j urol : official journal of the Brazilian Society of UrologyReview
- The role of voiding cystourethrography in the investigation of children with urinary tract infections.Canadian Urological Association journal = Journal de l'Association des urologues du CanadaReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The ideal approach to the radiological evaluation of children with urinary tract infection (UTI) is in a state of confusion. The conventional bottom-up approach, with its focus on the detection of upper and lower urinary tract abnormalities, including vesicoureteral reflux, has been challenged by the top-down approach, which focuses on confirming the diagnosis of acute pyelonephritis before more invasive imaging is considered. Controversies abound regarding which approach may best assess the ultimate risk for reflux-related renal scarring. Evolving practices motivated by the emerging evidence, the desire to minimize unnecessary interventions, as well as improve compliance with recommended testing, have added to the current controversies. Recent guideline updates and ongoing clinical trials hopefully will help in addressing some of these concerns.
Indexed as
Identifiers
21305381What OpenQuestion holds
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.