Evidence map›Paper›PMID 29892489›Full record

ArticleArab journal of urology2018

Influence of postnatal hydroureter in determining the need for voiding cystourethrogram in children with high-grade hydronephrosis.

Amr Hodhod, John-Paul Capolicchio, Roman Jednak, Eid El-Sherif, Abd El-Alim El-Doray, Mohamed El-Sherbiny

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Article in Arab journal of urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 82% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 2 institutions in 2 countries.

Amr HodhodDepartments of Surgery and Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
John-Paul CapolicchioDepartments of Surgery and Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
Roman JednakDepartments of Surgery and Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
Eid El-SherifDepartment of Urology, Faculty of Medicine, Menoufia University, Al Minufya, Egypt.
Abd El-Alim El-DorayDepartment of Urology, Faculty of Medicine, Menoufia University, Al Minufya, Egypt.
Mohamed El-SherbinyDepartments of Surgery and Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
Montreal Children's Hospital · CAMenoufia University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the utility of hydroureter (HU) to identify high-grade vesico-ureteric reflux (VUR) in patients with high-grade postnatal hydronephrosis (PH). PATIENTS AND

methodsWe retrospectively reviewed patients' charts that had antenatal hydronephrosis from 2008 to 2014. Patients were excluded if they presented with febrile urinary tract infection (fUTI), neurogenic bladder, posterior urethral valve, multi-cystic dysplastic kidney, and multiple congenital malformations. We reviewed postnatal ultrasonography images and patients with Society of Fetal Urology (SFU) Grades 3 and 4 hydronephrosis with a renal pelvic antero-posterior diameter of ≥10 mm were included. The ureter was assessed and considered dilated if the ureteric diameter was  ≥4 mm. The voiding cystourethrogram (VCUG) studies, fUTI incidence, and surgical reports were reviewed.

resultsOf the 654 patients reviewed, we included 148 patients (164 renal units) of whom 113 (76.4%) were male and 35 (23.6%) female. SFU Grade 3 PH was identified in 49% of the renal units, with the remaining 51% being SFU Grade 4. HU was found in 50/164 renal units and was not detected in the remaining 114 units. VUR was diagnosed in four units (3.5%) without HU (low-grade VUR); whilst it was detected in 19 units (38%) with HU (72.7% were high-grade VUR) (

conclusionLow-grade uncomplicated VUR was diagnosed in 3.5% of renal units without HU. Our results support limiting the use of VCUG to renal units with PH if associated with HU.

Indexed as

APD, antero-posterior diameterCI, confidence intervalCongenital hydronephrosisfUTI, febrile UTIHGH, high-grade postnatal hydronephrosisHU, hydroureter(N)(P)PV, (negative) (positive) predictive valueNU, normal ureterOR, odds ratioPelvi-ureteric junction obstructionPH, postnatal hydronephrosisPUJO, PUJ obstructionSFU, Society for Fetal UrologyUS, ultrasonographyVCUG, voiding cysto-urethrogramVesico-ureteric refluxVoiding cystourethrography

Identifiers

PMID29892489
PMCPMC5992681
OpenAlexW2775401406

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.