Key result
SFU ultrasound grading effectively guides hydronephrosis management by predicting spontaneous clearance versus further imaging.
Why the study?
Ultrasonography using the SFU grading system is evaluated to identify newborns and children at risk for renal scarring and need for surgical intervention in hydronephrosis.
Does ultrasonography using the SFU grading system identify newborns and young children at risk for renal scarring and need for further intervention?
Population
320 infants and newborns with unilateral or bilateral hydronephrosis
Comparison
Ultrasonography SFU grading system vs further imaging tests (voiding cystourethrogram and isotope scanning)
Design
Retrospective cohort study
Authors
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US may stratify renal scarring risk in hydronephrotic infants; leaves open whether findings change surgical decisions or outcomes.
Cohort (n=320)
Does ultrasonography using the SFU grading system identify newborns and young children at risk for renal scarring and need for further intervention?
p-value: p=<0.001
The SFU ultrasound grading system effectively stratifies the risk of recurrent UTI and the need for further imaging in pediatric hydronephrosis.
Affifi et al. (2023) conducted a cohort in Neonatal and Childhood Hydronephrosis (n=320). Ultrasound with Society of Fetal Urology (SFU) grading system vs. Grade I and II vs Grade III and IV was evaluated on Spontaneous clearance vs requirement for further imaging (isotope scanning and voiding cystourethrogram) (p=<0.001). Ultrasound using the SFU grading system effectively guided management, as Grade I and II hydronephrosis spontaneously cleared while Grade III and IV required further imaging (P<0.001).
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