A questionnaire survey of radiological diagnosis and management of renal dysplasia in children

Giovanni Montini, Marco Busutti, Fatos Yalcinkaya, Adrian S. Woolf, Stefanie Weber, Harika Alpay, Gema Ariceta, An Bael, Marjolein Bonthuis, Salim Caliskan, Elene Gotsiridze, Kaan Gulleroglu, Zubeyde Gunduz, Duygu Ovunc Hacihamdioglu, Julia Hoefele, Khalid Ismaili, Helena Jardim, Silvio Maringhini, Giovanni Montini, Luisa MurerBirsin Ozcakar, Paloma Parvex, Svetlana Paunova, Amira Peco Antic, Ann Raes, Irakli Rtskhiladze, Thierry Schurmans, Fatma Lale Sever, Velibor Tasic, Kjell Tullus, Albertien van Eerde, Stefanie Weber, Adrian S. Woolf, Fatos Yalcinkaya, Nurdan Yildiz, Alev Yilmaz, Selcuk Yuksel, Marcin Zaniew, On Behalf Of The European Society For Paediatric Nephrology Working Group On Congenital Anomalies Of The Kidney And Urinary Tract

Research output: Contribution to journalArticle

Abstract

Background: The condition called renal dysplasia is considered to be a frequent cause of chronic kidney disease in children. Formally, it is defined by histological parameters. In current nephrology practice, however, the appearance of the kidneys on ultrasound scanning is often used as a basis for the diagnosis. Methods: The European Society for Pediatric Nephrology Working Group on Congenital Anomalies of the Kidney and Urinary Tract hypothesized that the current diagnostic approach with regard to renal dysplasia was not homogeneous. Accordingly, we here report the results of a survey targeting pediatric nephrologists with 12 questions regarding their perceptions of the ultrasonographic characteristics of renal dysplasia and further tests that they might undertake. Results: Of almost 1200 physicians who successfully received the invitation, 248 from 54 countries completed the survey. There was a notable lack of homogeneity regarding the ultrasonographic diagnosis of renal dysplasia and also of follow-up tests, including genetic testing and further radiology. Conclusions: Based on the responses to this large survey, a picture emerges of nephrologists’ current clinical practice with regard to renal dysplasia. The Working Group considers that these results serve as an important sounding board which can provide the basis for more definitive recommendations regarding the challenges to clinical diagnosis and diagnostic follow-up of this important condition.

Original languageEnglish
Pages (from-to)95-102
Number of pages8
JournalJournal of Nephrology
Volume31
Issue number1
DOIs
Publication statusPublished - 2018

Keywords

  • CAKUT
  • Children
  • Chronic kidney disease
  • Genetic testing
  • Renal dysplasia
  • Ultrasonography

ASJC Scopus subject areas

  • Nephrology

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  • Cite this

    Montini, G., Busutti, M., Yalcinkaya, F., Woolf, A. S., Weber, S., Alpay, H., Ariceta, G., Bael, A., Bonthuis, M., Caliskan, S., Gotsiridze, E., Gulleroglu, K., Gunduz, Z., Hacihamdioglu, D. O., Hoefele, J., Ismaili, K., Jardim, H., Maringhini, S., Montini, G., ... On Behalf Of The European Society For Paediatric Nephrology Working Group On Congenital Anomalies Of The Kidney And Urinary Tract (2018). A questionnaire survey of radiological diagnosis and management of renal dysplasia in children. Journal of Nephrology, 31(1), 95-102. https://doi.org/10.1007/s40620-017-0417-7