[Relationship between prenatal and postnatal echographic diagnosis of uropathy: is mass screening useful?].
Urinary tract malformations have a 1-2% incidence. An early diagnosis of these defects allows to realize as fast as possible the best medical and/or surgical treatment, preventing or at least slowing down the evolution toward chronic renal failure. Urinary tract malformations are particularly suitable for a "prevention" program due to their elevated incidence, to the "silent period" preceding complications and to the therapeutic possibilities strictly related to an early diagnosis. Ultrasound screening can easily identify congenital urinary tract abnormalities, especially obstructive ones, but unfortunately almost half of the cases escape even the most expert "eye". It is necessary a complete check-up right after birth. We tried to compare the method and the results of prenatal screening with the postnatal one, already used in many hospitals. We believe, even following our experience, that the screening for urinary tract malformations of all the neonatal population is a goal to pursue and achieve as soon as possible for its high sensitivity and specificity.
Cacciari
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A
Clinica Chirurgica Pediatrica, Università degli Studi di Bologna.
Ruggeri
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G
D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008403:Mass Screening / Q000191:economics; D011247:Pregnancy; D016216:Ultrasonography, Prenatal / Q000191:economics; D014551:Urinary Tract / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000196:embryology; D014570:Urologic Diseases / Q000000981:diagnostic imaging* / Q000196:embryology / Q000517:prevention & control
Correlazione tra diagnosi ecografica prenatale e postnatale delle uropatie: ha valore uno screening di massa?