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Titulo Artículo:
Algorithms imaging tests comparison following the first febrile urinary tract infection in children
Resumen:
OBJETIVES To compare the diagnostic sensitivity, costs and radiation doses of imaging tests algorithms developed by the Argentine Society of Pediatrics in 2003 and 2015, against British and American guidelines after the first febrile urinary tract infection (UTI). POPULATION AND METHODS: Inclusion criteria children ≤ 2 years old with their first febrile UTI and normal ultrasound, voiding cystourethrography and dimercaptosuccinic acid scintigraphy, according to the algorithm established by the Argentine Society of Pediatrics in 2003, treated between 2003 and 2010. The comparisons between algorithms were carried out through retrospective simulation. RESULTS: Eighty (80) patients met the inclusion criteria; 51 (63%) had vesicoureteral reflux (VUR); 6% of the cases were severe. Renal scarring was observed in 6 patients (7.5%). Cost ARS 404,000. Radiation 160 millisieverts. With the Argentine Society of Pediatrics' algorithm developed in 2015, the diagnosis of 4 VURs and 2 cases of renal scarring would have been missed. The cost of this omission would have been ARS 301,800 and 124 millisieverts of radiation. British and American guidelines would have missed the diagnosis of all VURs and all cases of renal scarring, with a related cost of ARS 23,000 and ARS 40,000, respectively and 0 radiation. CONCLUSION: Intensive protocols are highly sensitive to VUR and renal scarring, but they imply high costs and doses of radiation, and result in questionable benefits.
Fecha de publicación:
2017.
Autores :
Laura F. Alconcher;
Lucas Lucarelli;
Agustina Ciccioli;
María M. Tombesi;
Autor corporativo:
Archivos argentinos de pediatría,
Editores:
Biblioteca Virtual en Salud(BVS) ;
Signatura Topográfica:
4
Idioma:
Inglés
Páginas:
370
ISBN:
0325-0075
Existencias:
373
Palabras claves:
Urinary Tract Infections
Algorithms
Diagnostic Imaging
Renal Scarring
Público objetivo:
Posgrado
Docentes
Investigadores
Educadores Medicos
Otros profesionales de la salud
Titulo Artículo:
Algorithms imaging tests comparison following the first febrile urinary tract infection in children
Resumen:
OBJETIVES To compare the diagnostic sensitivity, costs and radiation doses of imaging tests algorithms developed by the Argentine Society of Pediatrics in 2003 and 2015, against British and American guidelines after the first febrile urinary tract infection (UTI). POPULATION AND METHODS: Inclusion criteria children ≤ 2 years old with their first febrile UTI and normal ultrasound, voiding cystourethrography and dimercaptosuccinic acid scintigraphy, according to the algorithm established by the Argentine Society of Pediatrics in 2003, treated between 2003 and 2010. The comparisons between algorithms were carried out through retrospective simulation. RESULTS: Eighty (80) patients met the inclusion criteria; 51 (63%) had vesicoureteral reflux (VUR); 6% of the cases were severe. Renal scarring was observed in 6 patients (7.5%). Cost ARS 404,000. Radiation 160 millisieverts. With the Argentine Society of Pediatrics' algorithm developed in 2015, the diagnosis of 4 VURs and 2 cases of renal scarring would have been missed. The cost of this omission would have been ARS 301,800 and 124 millisieverts of radiation. British and American guidelines would have missed the diagnosis of all VURs and all cases of renal scarring, with a related cost of ARS 23,000 and ARS 40,000, respectively and 0 radiation. CONCLUSION: Intensive protocols are highly sensitive to VUR and renal scarring, but they imply high costs and doses of radiation, and result in questionable benefits.
Fecha de publicación:
2017.
Autores :
Laura F. Alconcher;
Lucas Lucarelli;
Agustina Ciccioli;
María M. Tombesi;
Autor corporativo:
Archivos argentinos de pediatría,
Editores:
Biblioteca Virtual en Salud(BVS) ;
Signatura Topográfica:
4
Idioma:
Inglés
Páginas:
370
Existencias:
373
Palabras claves:
Urinary Tract Infections
Algorithms
Diagnostic Imaging
Renal Scarring
Público objetivo:
Posgrado
Docentes
Investigadores
Educadores Medicos
Otros profesionales de la salud
Titulo Artículo:
Algorithms imaging tests comparison following the first febrile urinary tract infection in children
Resumen:
OBJETIVES To compare the diagnostic sensitivity, costs and radiation doses of imaging tests algorithms developed by the Argentine Society of Pediatrics in 2003 and 2015, against British and American guidelines after the first febrile urinary tract infection (UTI). POPULATION AND METHODS: Inclusion criteria children ≤ 2 years old with their first febrile UTI and normal ultrasound, voiding cystourethrography and dimercaptosuccinic acid scintigraphy, according to the algorithm established by the Argentine Society of Pediatrics in 2003, treated between 2003 and 2010. The comparisons between algorithms were carried out through retrospective simulation. RESULTS: Eighty (80) patients met the inclusion criteria; 51 (63%) had vesicoureteral reflux (VUR); 6% of the cases were severe. Renal scarring was observed in 6 patients (7.5%). Cost ARS 404,000. Radiation 160 millisieverts. With the Argentine Society of Pediatrics' algorithm developed in 2015, the diagnosis of 4 VURs and 2 cases of renal scarring would have been missed. The cost of this omission would have been ARS 301,800 and 124 millisieverts of radiation. British and American guidelines would have missed the diagnosis of all VURs and all cases of renal scarring, with a related cost of ARS 23,000 and ARS 40,000, respectively and 0 radiation. CONCLUSION: Intensive protocols are highly sensitive to VUR and renal scarring, but they imply high costs and doses of radiation, and result in questionable benefits.
Autores:
Laura F. Alconcher
,
Lucas Lucarelli
,
Agustina Ciccioli
,
María M. Tombesi
,
.
Titulo Revista:
Archivos argentinos de pediatría,
.
Numero:
4
Volumen:
115
Fecha de publicación:
2017.
Base de Datos Bibliográfica:
Biblioteca Virtual en Salud(BVS) ,
.
Suplemento:
Idioma:
Inglés
Página Inicial:
370
Página Final:
373
ISBN:
0325-0075
Palabras claves:
Urinary Tract Infections
Algorithms
Diagnostic Imaging
Renal Scarring
Público objetivo:
Posgrado
Docentes
Investigadores
Educadores Medicos
Otros profesionales de la salud
Título Biblioteca Virtual en Salud(BVS) :
Algorithms imaging tests comparison following the first febrile urinary tract infection in children
Resumen:
OBJETIVES To compare the diagnostic sensitivity, costs and radiation doses of imaging tests algorithms developed by the Argentine Society of Pediatrics in 2003 and 2015, against British and American guidelines after the first febrile urinary tract infection (UTI). POPULATION AND METHODS: Inclusion criteria children ≤ 2 years old with their first febrile UTI and normal ultrasound, voiding cystourethrography and dimercaptosuccinic acid scintigraphy, according to the algorithm established by the Argentine Society of Pediatrics in 2003, treated between 2003 and 2010. The comparisons between algorithms were carried out through retrospective simulation. RESULTS: Eighty (80) patients met the inclusion criteria; 51 (63%) had vesicoureteral reflux (VUR); 6% of the cases were severe. Renal scarring was observed in 6 patients (7.5%). Cost ARS 404,000. Radiation 160 millisieverts. With the Argentine Society of Pediatrics' algorithm developed in 2015, the diagnosis of 4 VURs and 2 cases of renal scarring would have been missed. The cost of this omission would have been ARS 301,800 and 124 millisieverts of radiation. British and American guidelines would have missed the diagnosis of all VURs and all cases of renal scarring, with a related cost of ARS 23,000 and ARS 40,000, respectively and 0 radiation. CONCLUSION: Intensive protocols are highly sensitive to VUR and renal scarring, but they imply high costs and doses of radiation, and result in questionable benefits.
Autores :
Laura F. Alconcher;
Lucas Lucarelli;
Agustina Ciccioli;
María M. Tombesi;
Autor corporativo:
Archivos argentinos de pediatría,
Fecha de publicación:
2017.
Tipo :
Biblioteca Virtual en Salud(BVS) .
Idioma:
Inglés
Palabras claves:
Urinary Tract Infections
Algorithms
Diagnostic Imaging
Renal Scarring
Público objetivo:
Posgrado
Docentes
Investigadores
Educadores Medicos
Otros profesionales de la salud
Título Biblioteca Virtual en Salud(BVS) :
Algorithms imaging tests comparison following the first febrile urinary tract infection in children
Resumen:
OBJETIVES To compare the diagnostic sensitivity, costs and radiation doses of imaging tests algorithms developed by the Argentine Society of Pediatrics in 2003 and 2015, against British and American guidelines after the first febrile urinary tract infection (UTI). POPULATION AND METHODS: Inclusion criteria children ≤ 2 years old with their first febrile UTI and normal ultrasound, voiding cystourethrography and dimercaptosuccinic acid scintigraphy, according to the algorithm established by the Argentine Society of Pediatrics in 2003, treated between 2003 and 2010. The comparisons between algorithms were carried out through retrospective simulation. RESULTS: Eighty (80) patients met the inclusion criteria; 51 (63%) had vesicoureteral reflux (VUR); 6% of the cases were severe. Renal scarring was observed in 6 patients (7.5%). Cost ARS 404,000. Radiation 160 millisieverts. With the Argentine Society of Pediatrics' algorithm developed in 2015, the diagnosis of 4 VURs and 2 cases of renal scarring would have been missed. The cost of this omission would have been ARS 301,800 and 124 millisieverts of radiation. British and American guidelines would have missed the diagnosis of all VURs and all cases of renal scarring, with a related cost of ARS 23,000 and ARS 40,000, respectively and 0 radiation. CONCLUSION: Intensive protocols are highly sensitive to VUR and renal scarring, but they imply high costs and doses of radiation, and result in questionable benefits.
Autores :
Laura F. Alconcher;
Lucas Lucarelli;
Agustina Ciccioli;
María M. Tombesi;
Autor corporativo:
Archivos argentinos de pediatría,
Fecha de publicación:
2017.
Paginas:
370.
ISBN:
0325-0075.
Idioma:
Inglés
Palabras claves:
Urinary Tract Infections
Algorithms
Diagnostic Imaging
Renal Scarring
Público objetivo:
Posgrado
Docentes
Investigadores
Educadores Medicos
Otros profesionales de la salud
Titulo Artículo:
Algorithms imaging tests comparison following the first febrile urinary tract infection in children
Resumen:
OBJETIVES To compare the diagnostic sensitivity, costs and radiation doses of imaging tests algorithms developed by the Argentine Society of Pediatrics in 2003 and 2015, against British and American guidelines after the first febrile urinary tract infection (UTI). POPULATION AND METHODS: Inclusion criteria children ≤ 2 years old with their first febrile UTI and normal ultrasound, voiding cystourethrography and dimercaptosuccinic acid scintigraphy, according to the algorithm established by the Argentine Society of Pediatrics in 2003, treated between 2003 and 2010. The comparisons between algorithms were carried out through retrospective simulation. RESULTS: Eighty (80) patients met the inclusion criteria; 51 (63%) had vesicoureteral reflux (VUR); 6% of the cases were severe. Renal scarring was observed in 6 patients (7.5%). Cost ARS 404,000. Radiation 160 millisieverts. With the Argentine Society of Pediatrics' algorithm developed in 2015, the diagnosis of 4 VURs and 2 cases of renal scarring would have been missed. The cost of this omission would have been ARS 301,800 and 124 millisieverts of radiation. British and American guidelines would have missed the diagnosis of all VURs and all cases of renal scarring, with a related cost of ARS 23,000 and ARS 40,000, respectively and 0 radiation. CONCLUSION: Intensive protocols are highly sensitive to VUR and renal scarring, but they imply high costs and doses of radiation, and result in questionable benefits.
Fecha de publicación:
2017.
Autor corporativo:
Archivos argentinos de pediatría,
.
Idioma:
Inglés
Palabras claves:
Urinary Tract Infections
Algorithms
Diagnostic Imaging
Renal Scarring
Público objetivo:
Posgrado
Docentes
Investigadores
Educadores Medicos
Otros profesionales de la salud
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Laura F. Alconcher Lucas Lucarelli Agustina Ciccioli María M. Tombesi Laura F. Alconcher Lucas Lucarelli Agustina Ciccioli María M. Tombesi Algorithms imaging tests comparison following the first febrile urinary tract infection in children. 2017; 115Ed. 370.
