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Specialty: Urology & Nephrology

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Total 124459 results found since Jan 2013.

Commentary on: Referral Patterns for Undescended Testis: A 7 Year Comparative Analysis of Primary Care Providers
Lewis et al. present an interesting manuscript regarding the referral patterns from primary care physicians for undescended testicles1. Their study identifies that the majority of providers (including pediatrics, medicine/pediatrics, and family medicine) refer patients outside of the recommended timeframe as stated in the American Urological Association (AUA) guidelines. Additionally, they find that most referring providers cite their residency as their source of education although the majority of the respondents finished their residency prior to the publication of the cryptorchidism guidelines in 2014.
Source: Journal of Pediatric Urology - October 7, 2021 Category: Urology & Nephrology Authors: Tyler Trump, Amr A. Elbakry, Osama Al-Omar Tags: Letter to the Editor Source Type: research

Commentary on: Referral patterns for undescended testis: A 7  Year comparative analysis of primary care providers
Lewis et  al. present an interesting manuscript regarding the referral patterns from primary care physicians for undescended testicles [1]. Their study identifies that the majority of providers (including pediatrics, medicine/pediatrics, and family medicine) refer patients outside of the recommended timefra me as stated in the American Urological Association (AUA) guidelines. Additionally, they find that most referring providers cite their residency as their source of education although the majority of the respondents finished their residency prior to the publication of the cryptorchidism guidelines in 2014.
Source: Journal of Pediatric Urology - October 7, 2021 Category: Urology & Nephrology Authors: Tyler Trump, Amr A. Elbakry, Osama Al-Omar Tags: Letter to the Editor Source Type: research

Factors associated with follow-up outside a transplant center among pediatric kidney transplant recipients
ConclusionFollow-up outside of a transplant center increased risk of poor outcomes, though the likelihood of receiving care outside a transplant center did not vary by race/ethnicity or socioeconomic status. Our results highlight the need to improve continuity of care after KTx and to further understand the mechanisms leading to poor survival rates among minority populations.Graphical AbstractA higher resolution version of the Graphical abstract is available asSupplementary information
Source: Pediatric Nephrology - January 11, 2022 Category: Urology & Nephrology Source Type: research

Care of the pediatric patient on chronic peritoneal dialysis
This article not only reviews current recommendations and advances in the care of pediatric patients on peritoneal dialysis with a focus on the provision of high-quality care and improvement in outcomes, but it also draws attention to health care disparities that exist locally and globally.
Source: Pediatric Nephrology - May 19, 2022 Category: Urology & Nephrology Source Type: research

Potential and risks of artificial intelligence models: common in medicine practice and special in pediatric urology
The rapid development of artificial intelligence (AI) models is expected to bring about a revolutionary transformation in medicine. Recently, the new paradigm Generalist Medical Artificial Intelligence (GMAI) has been proposed by Moor M et al. in Nature [1]. Obviously, the train has left the station. As a pediatric urologist, we present our viewpoint regarding the use of GMAI in medicine practice, with a specific focus on its use in pediatric urology.
Source: Journal of Pediatric Urology - June 13, 2023 Category: Urology & Nephrology Authors: Yi Wen, Huajie Di Tags: Letter to the Editor Source Type: research

Editorial Comment
The authors have demonstrated a positive correlation between prenatal and postnatal renal pelvic dilatation, Society for Fetal Urology grading and the need for surgical intervention for UPJO. Noteworthy is the diligence required to successfully identify prenatally and evaluate postnatally 312 of 371 patients with hydronephrosis. Paramount to the success of such a program is the multidisciplinary approach which transcends departmental and at some institutions physical boundaries that separate adult and pediatric health care centers. This approach should serve as a model for other programs pursuing research endeavors in the ...
Source: The Journal of Urology - May 6, 2013 Category: Urology & Nephrology Authors: C.D. Anthony Herndon Tags: Pediatric Urology Source Type: research

Epidemiology of acute kidney injury in children worldwide, including developing countries
AbstractIn this review we summarize the world-wide epidemiology of acute kidney injury (AKI) in children with special emphasis on low-income countries, notably those of the sub-Saharan continent. We discuss definitions and classification systems used in pediatric AKI literature. At present, despite some shortcomings, traditional Pediatric Risk Injury Failure Loss and End Stage Kidney Disease (pRIFLE) and Kidney Disease Improving Global Outcomes (KDIGO) systems are the most clinically useful. Alternative definitions, such as monitoring serum cystatin or novel urinary biomarkers, including cell cycle inhibitors, require more...
Source: Pediatric Nephrology - June 22, 2017 Category: Urology & Nephrology Source Type: research

Derivation of new equations to estimate glomerular filtration rate in pediatric oncology patients
ConclusionsTwo new equations were developed to estimate GFR in pediatric oncology patients, both of which did a better job at estimating mGFR than published equations.
Source: Pediatric Nephrology - August 25, 2017 Category: Urology & Nephrology Source Type: research

This Month in Pediatric Urology
The practice of medicine occurs on an individual level and a group level. For an individual, medical care must account for variations in physiology, anatomy and personal autonomy. On a group level, the efficacy of evaluation and treatment options, and allocation of available resources focus on groups of patients by their unifying diagnoses, symptoms or signs. In this issue are 2 articles on individual and group management issues in patients with posterior urethral valves (PUV) and febrile urinary tract infections (UTI).
Source: The Journal of Urology - December 8, 2017 Category: Urology & Nephrology Authors: Julian Wan Tags: This Month in Pediatric Urology Source Type: research

Fungal peritonitis in the Standardizing Care to Improve Outcomes in Pediatric End Stage Renal Disease (SCOPE) Collaborative
ConclusionFungal infections were responsible for 8.0% of peritonitis episodes in the SCOPE collaborative, with the majority of fungal peritonitis episodes occurring in children aged< 2  years. Although no risk factors for infection other than young age were identified, fungal peritonitis was associated with an increased risk of hospitalization, longer hospital stay and an increased frequency of technique failure.
Source: Pediatric Nephrology - January 8, 2018 Category: Urology & Nephrology Source Type: research

This Month in Pediatric Urology
Multispecialty care of patients born with neural tube defects has advanced considerably in the last several decades, increasing the need for effective transition of care from pediatric/adolescent caregivers to a more adult oriented medical home. This advancement in care has created a new specialty in urology but uncertainty remains regarding the timing of transition and exact medical needs of this unique group of patients. Shepard et  al (page 000) from Ann Arbor, Michigan evaluated healthcare utilization of pediatric and adult patients with spina bifida within their established integrated healthcare systems for a year.
Source: The Journal of Urology - January 19, 2018 Category: Urology & Nephrology Authors: Mark P. Cain Tags: This Month in Pediatric Urology Source Type: research

Describing pediatric acute kidney injury in children admitted from the emergency department
ConclusionsOne in 10 children who had SCr measured and were admitted to a tertiary pediatric hospital had AKI on or within 48  h of presentation. Inherent characteristics, identifiable in the ED, are associated with an increased risk of AKI. Future research should focus on improving AKI recognition in the ED by the development of a risk stratification tool.
Source: Pediatric Nephrology - March 17, 2018 Category: Urology & Nephrology Source Type: research

Combination of pediatric and adult formulas yield valid glomerular filtration rate estimates in young adults with a history of pediatric chronic kidney disease
As patients with chronic kidney disease (CKD) transition from pediatric nephrology care to adult care, their kidney function is clinically assessed by estimated glomerular filtration rate (eGFR) using both pediatric and adult equations, which may not be congruent. Here we evaluated commonly used eGFR equations and directly measured iohexol GFR (iGFR) among participants between ages 18 and 26 with a diagnosis of pediatric CKD in the Chronic Kidney Disease in Children (CKiD) cohort. The bedside serum creatinine (SCr)-only equation (CKiDSCr), the SCr-only CKD-EPI (CKD-EPISCr), the cystatin C (Cys)-only CKD-EPI (CKD-EPICys) an...
Source: Kidney International - May 5, 2018 Category: Urology & Nephrology Authors: Derek K. Ng, George J. Schwartz, Michael F. Schneider, Susan L. Furth, Bradley A. Warady Tags: Clinical Investigation Source Type: research

Road to Pediatric Urology Subcertification: A 25-year Journey
Subcertification in pediatric urology was not an overnight success story. In fact, it was a 25-year process in which critical elements were put into place which eventually culminated in a change in philosophy and attitude toward subspecialization in urology. Most importantly, it required unanimity of all the subgroups and leadership in pediatric urology to come together with a single voice in pursuit of a common goal. At each step a new bar was established in the road to subcertification.
Source: Journal of Pediatric Urology - March 14, 2019 Category: Urology & Nephrology Authors: Anthony A. Caldamone, George W. Kaplan, Michael E. Mitchell, H. Gil Rushton Source Type: research

Ensuring Affirming Care for Youth with Variations of Sex Development
It would behoove physicians like Dr. Diamond ( “Commentary to variations of sex development: first German interdisciplinary consensus paper”[1]) to recognize that medicine does not exist in a vacuum that exempts pediatric urologists from the purview of ethics, human rights, and the law. Unfortunately, physicians who wish to continue to perfo rm cosmetic surgeries on infants with variations in their sex characteristics continue, as they have for many years, to ignore the mounting condemnation of the performance of non-emergent medical procedures prior to the ability of an individual to participate in the decision-making process.
Source: Journal of Pediatric Urology - June 3, 2019 Category: Urology & Nephrology Authors: Alesdair H. Ittelson Tags: Letter to the Editor Source Type: research