Evidence map›Paper›PMID 31666780›Full record

ArticleEthiopian journal of health sciences2019

Renal Arterial Doppler Resistive Index in Differentiating Obstructive and Non-Obstructive Hydronephrosis in Children at Tikur Anbessa Specialized Hospital, Ethiopia, October, 2018.

Daniel Zewdneh Solomon, Ayana Wasse, Yocabel Gorfu

Open access · diamondAbstract read
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Article in Ethiopian journal of health sciences, 2019. 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
0.7field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Daniel Zewdneh SolomonDepartment of Radiology, School of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia.
Ayana WasseDepartment of Radiology, School of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia.
Yocabel GorfuDepartment of Radiology, School of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia.
Addis Ababa University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost congenital anomalies of the urinary tract present with hydronephrosis. Some are physiological while others pathological. Ultrasound, micturating cyst urethrography, dynamic renal scintigraphy, intravenous urography, dynamic and static magnetic resonance urography are used for examination. Currently, renal arterial Doppler resistance index is used as complimentary mechanism. This study assesses our experience in resistive index measurement in differentiating obstructive from non-obstructive hydronephrosis in children.

methodsA cross-sectional study of forty-two infants and children (<14 years) with hydronephrosis were enrolled using consecutive sampling. Ultrasonography to assess the degree of hydronephrosis and avoiding cystourethrogram were used for the diagnosis of vesicoureteral reflux and posterior urethral valve. Intravenous urogram and surgery were used to confirm causes for obstructive hydronephrosis. Doppler ultrasonography assessed both kidneys to determine mean resistive index for both obstructive and non-obstructive hydronephrosis as well as nonobstructive kidneys. Independent t test was used for analysis at p< 0.005.

resultsThe major cause for obstructive hydronephrosis was pelviuretheric junction obstruction (47.6%) followed by posterior urethral valve (16.7%). For non-obstructive hydronephrosis, vesicoureteral reflux was the main cause followed by prune belly syndrome. The mean resistive index for non-hydronephrotic kidneys was 0.6654 ±0.053, for nonobstructive hydronephrotic ones was 0.6825 ± 0.06668 and obstructive ones was 0.7791 ± 0.11977. The mean resistive index difference between the obstructive and non-obstructive hydronephrosis was 0.09661 with standard error of difference 0.02443. The difference was statistically significant (P-<0.001). A mean RI ROC curve showed sensitivity, specificity and accuracy of 71.1%, 81.2%, 75.4% respectively (p=0.003).

conclusionThis study has shown that the mean renal arterial resistive index was significantly higher in obstructive hydronephrotic kidneys than non-obstructive hydronephrotic kidneys. This can be a valuable tool for diagnosis and follow-up after intervention.

Indexed as

AdolescentChildChild, PreschoolCross-Sectional StudiesDiagnosis, DifferentialEthiopiaFemaleHumansHydronephrosisInfantKidneyMaleSensitivity and SpecificityUltrasonography, Doppler

Identifiers

PMID31666780
PMCPMC6813268
OpenAlexW2975008421

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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.