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PICO
Question: Among infants with postnatally confirmed but prenatally detected hydronephrosis, is screening for vesicoureteral reflux necessary to predict the risk of urinary tract infection?
Question type: Screening/Prognosis
Study design: Retrospective cohort
Investigators at Montreal Children’s Hospital sought to determine the necessity of vesicoureteral reflux (VUR) screening in children with prenatally detected hydronephrosis (PHN). They report their experience with consecutive infants seen at their institution with postnatally confirmed PHN from 1998 to 2003. All patients with anatomic abnormalities of the urinary system were excluded from the analysis.
At the authors’ institution, some children with low-grade hydronephrosis (grades I and II) underwent screening for VUR with a voiding cystourethrogram (VCUG) while others …
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