ArticleClinical pediatrics2012
Economic and radiation costs of initial imaging approaches after a child's first febrile urinary tract infection.
Article in Clinical pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 32 citations in OpenAlex.
- Management of Pediatric Urinary Tract Infections: A Delphi Study.Antibiotics (Basel, Switzerland) · 2022Article
- Evaluation for Vesicoureteric Reflux Following Febrile Urinary Tract Infections.Indian journal of pediatrics · 2019Article
- Urinary C-megalin for screening of renal scarring in children after febrile urinary tract infection.Pediatric research · 2018Article
- Recurrent urinary tract infections in young children: role of DMSA scintigraphy in detecting vesicoureteric reflux.Pediatric radiology · 2015Article
- Estimating utility values for vesicoureteral reflux in the general public using an online tool.Journal of pediatric urology · 2014Article
- Vesicoureteral reflux: current management in children.Current urology reports · 2014Review
- Relevance of current guidelines in the management of VUR.European journal of pediatrics · 2014Review
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND. The traditional initial imaging approach following pediatric urinary tract infection is the "bottom-up" approach (cystogram and renal ultrasound). Recently, the "top-down" approach (nuclear renal scan followed by cystogram for abnormal scans only) has gained increasing attention. The relative cost and radiation doses of these are unknown METHODS. The authors used a decision model to evaluate these imaging approaches. Cost and effective radiation dose estimates, including sensitivity analyses, were based on one-time imaging only. RESULTS. Comparing hypothetical cohorts of 100 000 children, the top-down imaging approach cost $82.9 million versus $59.2 million for the bottom-up approach. Per-capita effective radiation dose was 0.72 mSv for top-down compared with 0.06 mSv for bottom-up. CONCLUSIONS. Routine use of nuclear renal scans in children following initial urinary tract infection diagnosis would result in increased imaging costs and radiation doses as compared to initial cystogram and ultrasound. Further data are required to clarify the long-term clinical implications of this increase.
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