Guideline Adherence of Paediatric Urolithiasis

An EAU Members’ Survey and Expert Panel Roundtable Discussion

Bibliographic Data

ID15713725
AuthorsBeatriz Bañuelos Marco (0000-0002-9333-9358, Charité - Universitätsmedizin Berlin, corresponding author), Bernhard Haid (0000-0003-1691-7510, Department of Paediatric Urology, Ordensklinikum Linz Hospital of the Sisters of Charity Linz, 4010 Linz, Austria), Anna Radford (0000-0003-1542-4888, University of Hull), Thomas Knoll (0000-0001-7475-1526, Klinikum Sindelfingen-Böblingen), Sajid Sultan (Sindh Institute of Urology and Transplantation), Anne‐Françoise Spinoit (0000-0002-9045-9127, Ghent University Hospital), Anne-Françoise Spinoit (Department Urology ERN Centre, Ghent University Hospital, Ghent University, 9000 Ghent, Belgium), Manuela Hiess (0000-0001-8049-7907, Department of Paediatric Urology, Ordensklinikum Linz Hospital of the Sisters of Charity Linz, 4010 Linz, Austria), Simone Sforza (0000-0001-8613-3995, Meyer Children's Hospital), Rianne J M Lammers (0000-0002-4276-0337, University Medical Center Groningen), Lisette ’t Hoen (0000-0002-4882-4311, Erasmus MC), Lisette Aimée ‘t Hoen (Erasmus MC), Edoardo Bindi (0000-0001-5412-7267, Fondazione Ospedale Salesi), Fardod O’Kelly (0000-0002-4992-7689, University College Dublin), Mesrur Selçuk Sılay (Biruni University), Mesrur Selçuk Silay (Biruni University)
Year2022
Volume9
Issue4
Pages504-504
Publication date2022-04-02
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children9040504
PMID35455549
OpenAlexW4224326720
LanguageEN
Citations received1
References cited27

Background: Paediatric nephrolithiasis has increased globally, requiring standardized recommendations. This study aims to assess the paediatric urolithiasis care between EAU members along with the statements of three experts in this field. Methods: The results of an electronic survey among EAU members comparing the guideline recommendations to their current practice managing paediatric nephrolithiasis in 74 centres are contrasted with insights from an expert-panel. The survey consisted of 20 questions in four main sections: demographics, instrument availability, surgical preferences and follow-up preferences. Experts were asked to give insights on the same topics. Results: A total of 74 responses were received. Computerised Tomography was predominantly used as the main imaging modality over ultrasound. Lack of gonadal protection during operations was identified as an issue. Adult instruments were used frequently instead of paediatric instruments. Stone and metabolic analysis were performed by 83% and 63% of the respondents respectively. Conclusions: Percutaneous Nephrolithotomy is the recommended standard treatment for stones > 20 mm, 12% of respondents were still performing shockwave lithotripsy despite PNL, mini and micro-PNL being available. Children have a high risk for recurrence yet stone and metabolic analysis was not performed in all patients. Expert recommendations may guide clinicians towards best practice

Demographics · Family medicine · Guideline · Medical physics · MEDLINE · Panel discussion · Pathology · Percutaneous · Percutaneous nephrolithotomy · Gallbladder and Bile Duct Disorders · Kidney Stones and Urolithiasis Treatments · Medicine · Pediatric Urology and Nephrology Studies · Surgery

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