Adherence to the 2011 American Academy of Pediatrics Urinary Tract Infection Guidelines for Voiding Cystourethrogram Ordering by Clinician Specialty

To evaluate rates of guideline adherence and associations with voiding cystourethrogram result. The American Academy of Pediatrics guidelines recommend voiding cystourethrogram after abnormal renal ultrasound or 2 febrile urinary tract infections. It is unclear whether guideline adherence increases...

Full description

Saved in:
Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2019-04, Vol.126, p.180-186
Main Authors: Jacobson, Deborah L., Shannon, Rachel, Cheng, Earl Y., Green, Jared R., Rigsby, Cynthia K., Schroeder, Sangeeta K., Malhotra, Neha R., Rosoklija, Ilina, Holl, Jane L., Johnson, Emilie K.
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Cohort Studies
Cystography - methods
Cystography - standards
Female
Guideline Adherence - statistics & numerical data
Humans
Infant
Male
Pediatrics
Practice Guidelines as Topic
Practice Patterns, Physicians
Retrospective Studies
United States
Urethra - diagnostic imaging
Urinary Tract Infections - diagnostic imaging
Urination
Urology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To evaluate rates of guideline adherence and associations with voiding cystourethrogram result. The American Academy of Pediatrics guidelines recommend voiding cystourethrogram after abnormal renal ultrasound or 2 febrile urinary tract infections. It is unclear whether guideline adherence increases vesicoureteral reflux detection. Additionally, guidelines targeting children 2-24 months are often applied to other ages. Children undergoing voiding cystourethrogram from January 2012 to December 2013 at 1 institution were retrospectively reviewed. Children with known genitourinary abnormalities were excluded. The primary outcome was guideline adherence. Univariate and multivariate analyses were performed. Subgroup analysis of children 2-24 months was completed. Voiding cystourethrograms from 365 children were included in the primary analysis, including 187 (51.2%) aged 2-24 months. Overall, 60.3% of voiding cystourethrograms were ordered in accordance with the guidelines. Urologists/nephrologists were more likely to adhere to ordering guidelines than pediatricians/others (76.4% vs 51.7%, odds ratio 3.0 [1.9-4.9], P
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2018.12.044