NDLI: Characteristics of primary vesico-ureteral reflux in Thai children.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Vachvanichsanong, Prayong Dissaneewate, Pornsak Lim, Apiradee
Spatial Coverage	Thailand
Description	Country affiliation: Thailand Author Affiliation: Vachvanichsanong P ( Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand. vprayong@msn.com)
Abstract	BACKGROUND: The purpose of the present paper was to evaluate the clinical features of primary vesico-ureteral reflux (VUR) in Thai children. METHODS: Children with primary VUR attending in the Nephrology Division, Department of Pediatrics, Prince of Songkla University between 1987-2002 were studied. RESULTS: Sixty-five girls and 60 boys with primary VUR were evaluated. Age of diagnosis was significantly younger in boys than girls (median 0.6 and 2.2 years respectively, P < 0.001). In 73% of boys and 34% of girls VUR diagnosis was made in the first year of life. Hydronephrosis was found in 22% of boys and 8% of girls (P = 0.004). Five per cent of children who had VUR grades I-III had hydronephrosis (6/121). Only children who had VUR grades IV and V had significant hydronephrosis: 33% (14/42) and 53% (10/19), respectively. Bilateral VUR was 60% overall and was significantly more common in boys (70% vs 40% P < 0.028), found in grades I-V at 33%, 61%, 60%, 65%, and 77%, respectively. Of 200 refluxing ureters, the total numbers of VUR grades I-V were 32, 37, 67, 45 and 19 respectively. VUR grade was significantly different by age (P = 0.014) but not by left-right side or sex. CONCLUSION: Primary VUR occurs equally in boys and girls, but in boys at a younger age. Bilateral VUR and hydronephrosis were significantly more common in boys, and VUR in boys was more severe. But hydronephrosis is a poor indicator for VUR screening even in high-grade VUR.
File Format	HTM / HTML
ISSN	13288067
Issue Number	3
Volume Number	50
e-ISSN	1442200X
Journal	Pediatrics International
Language	English
Publisher	Wiley
Publisher Date	2008-06-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Pediatrics Vesico-ureteral Reflux Diagnosis Adolescent Adult Age Distribution Age Factors Child Child, Preschool Diagnosis, Differential Female Follow-up Studies Humans Hydronephrosis Epidemiology Etiology Incidence Infant Kidney Physiopathology Male Prognosis Retrospective Studies Severity Of Illness Index Sex Distribution Sex Factors Thailand Ultrasonography Urography Complications Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health

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