Expert Consensus on Pediatric Urodynamics Reporting Using Modified Delphi Technique.

Autor:	Meier KM; Division of Urology, Children's Mercy Hospital, Children's Mercy Kansas City, Kansas City, Missouri., Mata C; Children's Hospital of Colorado, University of Colorado Anschutz Medical Campus, School of Medicine, Aurora, Colorado., Kaar JL; Children's Hospital of Colorado, University of Colorado Anschutz Medical Campus, School of Medicine, Aurora, Colorado., Rensing AJ; Department of Urology, Oklahoma University Health Sciences Center, Oklahoma City, Oklahoma., Dudley AG; Division of Urology, Connecticut Children's Hospital, Hartford, Connecticut., Carrasco A Jr; Pediatric Urology, Children's Minnesota, Minneapolis, Minnesota., Drzewiecki BA; Division of Urology, Massachusetts General for Children, Boston, Massachusetts., VanderBrink BA; Division of Urology, Cincinnati Children's Hospital, Cincinnati, Ohio., Streur CS; Department of Urology, University of Michigan, Ann Arbor, Michigan., Bagli DJ; Division of Urology, The Hospital for Sick Children and Research Institute, Toronto, Ontario, Canada., Chalmers DJ; Division of Urology, Maine Medical Center, Portland, Maine., Wilcox DT; Department of Pediatric Urology, Children's Hospital Colorado, Aurora, Colorado., Yerkes EB; Division of Urology, Lurie Children's Hospital, Chicago, Illinois., Lau GA; Division of Urology, University of Utah Health, Salt Lake City, Utah., Vricella GJ; Division of Urology, Children's Mercy Hospital, Kansas City, Missouri., Hecht SL; Department of Pediatric Urology, Oregon Health & Science University Doernbecher Children's Hospital, Portland, Oregon., Copp HL; Department of Urology, University of California, San Francisco Benioff Children's Hospitals, San Francisco, California., Pohl HG; Division of Urology, Children's National Hospital, Washington, District of Columbia., Franco I; Section of Pediatric Urology, Yale School of Medicine, New Haven, Connecticut., Ahn J; Division of Urology, Seattle Children's Hospital, Seattle, Washington., Wiener JS; Section of Pediatric Urology, Duke University Medical Center, Durham, North Carolina., Singer JS; Department of Urology, University of California, Los Angeles Health, Los Angeles, California., Long CJ; Division of Pediatric Urology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Keays MA; Department of Urology, Boston Children's Hospital, Boston, Massachusetts., Daugherty MR; Division of Urology, Cincinnati Children's Hospital, Cincinnati, Ohio., Fuchs ME; Department of Urology, Nationwide Children's Hospital, Columbus, Ohio., Austin PF; Division of Urology, Texas Children's Hospital, Houston, Texas., Wu CQ; Division of Pediatric Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland., Zee RS; Department of Urology, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia., Misseri R; Department of Pediatric Urology, Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana., Tanaka ST; Department of Urology, Children's Hospital of Alabama, Birmingham, Alabama., Bauer SB; Department of Urology, Boston Children's Hospital, Boston, Massachusetts., Rove KO; Department of Pediatric Urology, Children's Hospital Colorado, Aurora, Colorado.
Jazyk:	angličtina
Zdroj:	The Journal of urology [J Urol] 2024 Jul; Vol. 212 (1), pp. 165-174. Date of Electronic Publication: 2024 May 03.
DOI:	10.1097/JU.0000000000004000
Abstrakt:	Purpose: Urodynamic testing (UDS) is an important tool in the management of pediatric lower urinary tract conditions. There have been notable efforts to standardize pediatric UDS nomenclature and technique, but no formal guidelines exist on essential elements to include in a clinical report. We sought to identify ideal structure and elements of a pediatric UDS assessment based on expert consensus. Materials and Methods: Pediatric urologists regularly performing UDS were queried using a Delphi process. Participants were invited representing varied geographic, experience, and societal involvement. Participants underwent 3 rounds of questionnaires between November 2022 and August 2023 focusing on report organization, elements, definitions, and automated electronic health record clinical decision support. Professional billing requirements were also considered. Consensus was defined as 80% agreeing either in favor of or against a topic. Elements without consensus were discussed in subsequent rounds. Results: A diverse sample of 30 providers, representing 27 institutions across 21 US states; Washington, District of Columbia; and Canada completed the study. Participants reported interpreting an average number of 5 UDS reports per week (range 1-22). The finalized consensus report identifies 93 elements that should be included in a pediatric UDS report based on applicable study conditions and findings. Conclusions: This consensus report details the key elements and structure agreed upon by an expert panel of pediatric urologists. Further standardization of documentation should aid collaboration and research for patients undergoing UDS. Based on this information, development of a standardized UDS report template using electronic health record implementation principles is underway, which will be openly available for pediatric urologists.
Databáze:	MEDLINE
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