Quality of life in children with vesicoureteral reflux as perceived by children and parents

Yao, David F.; Weinberg, Aaron; Penna, Frank J.; Huang, Lin; Freilich, Drew A.; Minnillo, Brian J.; Shoag, Jonathan; Retik, Alan B.; Nguyen, Hiep T.

doi:10.1016/j.jpurol.2011.02.026

Cited by 11 publications

(9 citation statements)

References 21 publications

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“…Based on the chronicity of the therapy and management of VUR, a potential impact on HRQoL can be anticipated, but the literature on HRQoL in paediatric VUR is still sparse. Previous studies have reported diverse and somewhat contradictory results, both regarding the families' HRQoL [66][67][68] as well as the parents' satisfaction and preferences [69][70][71][72][73].…”

Section: Vur and Quality Of Lifementioning

confidence: 99%

The Swedish infant high-grade reflux trial: Study presentation and vesicoureteral reflux outcome

Nordenström

Holmdahl

Brandström

et al. 2016

Journal of Pediatric Urology

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Section: Vur and Quality Of Lifementioning

confidence: 99%

The Swedish infant high-grade reflux trial: Study presentation and vesicoureteral reflux outcome

Nordenström

Holmdahl

Brandström

et al. 2016

Journal of Pediatric Urology

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“…In contradiction to the above, Yao et al [5] found no major significant differences in QOL scores between patients with and without VUR and concluded that VUR per se acted as a benign entity, without affecting quality of life of children affected. They, however, stated that few patients had lower QOL because they were taking antibiotics and undergoing surveillance tests, such as radionuclide cystogram (RNC) or MCU.…”

Section: Discussionmentioning

confidence: 94%

“…[45] Due to the overwhelming advantages most parents primarily select endoscopic therapy,[3] but very less is yet known about the subjective impact of this minimally invasive treatment on children's well being in terms of their quality of life. [45] Generally, HRQOL is defined as “the extent to which one's usual or expected physical, emotional, and social well being are affected by a medical condition or its treatment”. [4]…”

Section: Discussionmentioning

confidence: 99%

“…They, however, stated that few patients had lower QOL because they were taking antibiotics and undergoing surveillance tests, such as radionuclide cystogram (RNC) or MCU. [5] Kiddoo et al , found that anxiety and social functioning scores were significantly worse in patients with VUR. The VUR group had worse scores in problem behavior, stomach complaints, and communication.…”

Section: Discussionmentioning

confidence: 99%

“…[3] The minimal invasive nature supersedes the cost constraints, and parents prefer to choose endoscopic treatment rather than open surgery. [3–5] In this study, we compared the health related quality of life of patients after endoscopic treatment for reflux, dividing them in groups according to the resolution of reflux and status of renal scars.…”

Section: Introductionmentioning

confidence: 99%

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Vesicoureteral reflux: Endoscopic therapy and impact on health related quality of life

Garge

Menon

Rao

et al. 2013

J Indian Assoc Pediatr Surg

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Aim:To evaluate the health related quality of life (HRQOL) after endoscopic injection treatment for vesico ureteral reflux (VUR) in children.Materials and Methods:Fifty four children received treatment and were prospectively evaluated for their quality of life scores, according to resolution of reflux on cystograms and status of renal scars.Results:Of the 81 refluxing units, 72 (89%) had resolution of reflux whereas 9 (11%) did not resolve. The total average QOL was higher for the patients in the resolved group as compared to the non resolved group. Comparison of pre and post procedure renal DMSA scans in 44 patients showed status quo in 26, regression of scars in six, progression in two and formation of new scars in 6. The total increase in HRQOL was highest in regression group (67.91), and lowest in progression group (36.45).Conclusions:Successful endoscopic treatment of VUR is associated with improved quality of life, as indicated by higher HRQOL scores in the resolved group.

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Conflicting views of physicians and surgeons concerning pediatric urinary tract infection: a comparative review

Hewitt,

Roebuck,

Montini

2023

Pediatr Radiol

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Background A first febrile urinary tract infection (UTI) is a common condition in children, and pathways of management have evolved over time. Objective To determine the extent to which pediatricians and surgeons differ in their investigation and management of a first febrile UTI, and to evaluate the justifications for any divergence of approach. Materials and methods A literature search was conducted for papers addressing investigation and/or management following a first febrile UTI in children published between 2011 and 2021. Searches were conducted on Medline, Embase, and the Cochrane Controlled Trials Register. To be eligible for inclusion, a paper was required to provide recommendations on one or more of the following: ultrasound (US) and voiding cystourethrogram (VCUG), the need for continuous antibiotic prophylaxis and surgery when vesicoureteral reflux (VUR) was detected. The authorship required at least one pediatrician or surgeon. Authorship was categorized as medical, surgical, or combined. Results Pediatricians advocated less imaging and intervention and were more inclined to adopt a “watchful-waiting” approach, confident that any significant abnormality, grades IV–V VUR in particular, should be detected following a second febrile UTI. In contrast, surgeons were more likely to recommend imaging to detect VUR (p<0.00001), and antibiotic prophylaxis (p<0.001) and/or surgical correction (p=0.004) if it was detected, concerned that any delay in diagnosis and treatment could place the child at risk of kidney damage. Papers with combined authorship displayed intermediate results. Conclusion There are two distinct directions in the literature regarding the investigation of an uncomplicated first febrile UTI in a child. In general, when presented with a first febrile UTI in a child, physicians recommend fewer investigations and less treatment, in contrast to surgeons who advocate extensive investigation and aggressive intervention in the event that imaging detects an abnormality. This has the potential to confuse the carers of affected children.

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Quality of life in children with vesicoureteral reflux as perceived by children and parents

Abstract: In terms of HRQoL, VUR is a benign clinical entity and neither antibiotic use nor UR is associated with lower HRQoL. Disease-specific quality of life surveys are needed to accurately evaluate patient and parent satisfaction in the management of VUR.

Cited by 11 publications

References 21 publications

The Swedish infant high-grade reflux trial: Study presentation and vesicoureteral reflux outcome

The Swedish infant high-grade reflux trial: Study presentation and vesicoureteral reflux outcome

Vesicoureteral reflux: Endoscopic therapy and impact on health related quality of life

Conflicting views of physicians and surgeons concerning pediatric urinary tract infection: a comparative review

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