title: Evaluation and management of renal injuries: consensus statement of the renal trauma subcommittee.
abstract: OBJECTIVE
  To determine the optimal evaluation and management of renal injuries by review of the world's English-language literature on the subject.
  
  
  METHODS
  A consensus conference convened by the World Health Organization and the Societé Internationale d'Urologie met to critically review reports of the diagnosis and treatment of renal trauma. The English-language literature about renal trauma was identified using Medline, and additional cited works not detected in the initial search obtained. Evidence-based recommendations for the diagnosis and management of renal trauma were made with reference to a five-point scale.
  
  
  RESULTS
  There were many Level 3 and 4 citations, few Level 2, and one Level 1 which supported clinical practice patterns. Findings of nearly 200 reviewed citations are summarized.
  
  
  CONCLUSIONS
  Published reports on renal trauma still rely heavily on expert opinion and single-institution retrospective case series. Prospective trials of the most significant issues, when possible, might improve the quality of evidence that dictates the behaviour of practitioners.
authors.affiliation: Department of Urology, Wayne State University School of Medicine, Detroit, USA.
authors.forename: R A
authors.initials: RA
authors.lastname: Santucci
authors.forename: H
authors.initials: H
authors.lastname: Wessells
authors.forename: G
authors.initials: G
authors.lastname: Bartsch
authors.forename: J
authors.initials: J
authors.lastname: Descotes
authors.forename: C F
authors.initials: CF
authors.lastname: Heyns
authors.forename: J W
authors.initials: JW
authors.lastname: McAninch
authors.forename: P
authors.initials: P
authors.lastname: Nash
authors.forename: F
authors.initials: F
authors.lastname: Schmidlin
mesh_terms: D003952:Diagnostic Imaging / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods; D006801:Humans; D015601:Injury Severity Score; D007668:Kidney / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000601:surgery*; D014950:Wounds, Penetrating / Q000150:complications / Q000601:surgery*