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소아 수신증에 대한 한국 비뇨기과 봉직의의 진료의식 조사

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Author(s)
백민기손동완오경진이택장혁수한상원이상돈
Keimyung Author(s)
Chang, Hyuk Soo
Department
Dept. of Urology (비뇨의학)
Journal Title
Korean Journal of Urology
Issued Date
2009
Volume
50
Issue
12
Keyword
HydronephrosisPediatricsUrologySurvey
Abstract
Purpose: To evaluate practice patterns for pediatric hydronephrosis of Korean urologists practicing at secondary or university hospitals.
Materials and Methods: The subjects were asked to complete questionnaires sent by postal mail or e-mail that explored practicing diagnostic
and therapeutic strategies in the management of pediatric hydronephrosis and ureteropelvic junction obstruction. The questionnaires of those
responding were analyzed according to whether the respondent practiced at a secondary or university hospital, how long they had been urologists, and whether they specialized in pediatric urology or other specific field of urology. Results: Of the 354 questionnaires sent, 97 were returned (response rate 27.4%). Voiding cystourethrography was not routinely recommended by 95.7% of respondents, and diuretic renal scanning was considered necessary for postnatal evaluation of prenatal hydronephrosis by 78.5%. In addition, 72.2% of these doctors did not routinely recommend antibiotic prophylaxis. Follow-up ultrasonography was recommended at 3 to 6 months (61.1%), and follow-up diuretic renal scanning was recommended at 3 to 6 months (38.6%) or 6 to 12 months (32.7%). The reported length of time it took to deem an operation as a success was 3 to 6 months (49.5% and 60.7%) and within 3 months (34.1% and 19.1%) by ultrasonography and diuretic renal scanning, respectively. Conclusions: This survey documented a certain degree of variability among Korean urologists concerning standard practices of the assessment, follow-up, and treatment for pediatric hydronephrosis. Results from this survey might contribute useful data for establishing proper guidelines for the management of pediatric hydronephrosis.
Alternative Title
Nationwide Questionnaire Survey on Practice Patterns for Pediatric Hydronephrosis of Korean Urologists at Secondary or University Hospitals
Keimyung Author(s)(Kor)
장혁수
Publisher
School of Medicine
Citation
백민기 et al. (2009). 소아 수신증에 대한 한국 비뇨기과 봉직의의 진료의식 조사. Korean Journal of Urology, 50(12), 1231–1247. doi: 10.4111/kju.2009.50.12.1231
Type
Article
ISSN
2005-6737
DOI
10.4111/kju.2009.50.12.1231
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36269
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
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