title: Vesico-ureteric reflux (VUR) management and screening patterns: are paediatric urologists following the 2010 American Urological Association (AUA) guidelines?
abstract: OBJECTIVE
  To evaluate the current practice patterns of vesico-ureteric reflux (VUR) management and screening among paediatric urologists and their relationship with the current American Urological Association (AUA) guidelines in managing and treating VUR.
  
  
  METHODS
  A 17-question survey was sent out to 476 paediatric urologists who are members of the Society for Pediatric Urology (SPU). In all, 133 respondents answered the survey and results were included for all questions.
  
  
  RESULTS
  Paediatric urologists who were surveyed were consistent with the 2010 AUA guidelines in the initial evaluation of children with VUR, continuous antibiotic prophylaxis for the child aged < or >1 year, and follow-up evaluation in children with VUR. Most paediatric urologists do not obtain a serum creatinine on initial screening of children with VUR. The new guidelines address screening of siblings of patients with VUR and most paediatric urologists were consistent with these recommendations. Almost one third of responders screened all neonates diagnosed with prenatal hydronephrosis regardless of clinical history or findings on imaging despite the recommendations of the new guidelines.
  
  
  CONCLUSIONS
  We conclude that based on our present sample, most paediatric urologists follow the 2010 AUA guidelines on VUR management.
authors.affiliation: Division of Urology, Rutgers-New Jersey Medical School, Newark, NJ.
authors.forename: Peter L
authors.initials: PL
authors.lastname: Sunaryo
authors.forename: Gina M
authors.initials: GM
authors.lastname: Cambareri
authors.forename: Dock G
authors.initials: DG
authors.lastname: Winston
authors.forename: Moneer K
authors.initials: MK
authors.lastname: Hanna
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Stock
mesh_terms: D019983:Guideline Adherence; D006801:Humans; D010372:Pediatrics / Q000592:standards*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D012955:Societies, Medical; D014481:United States; D014572:Urology / Q000592:standards*; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis* / Q000628:therapy*
keywords: American Urological Association (AUA); guidelines; management; vesico-ureteric reflux (VUR)