{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T21:13:33Z","timestamp":1786310013579,"version":"build-2736575974"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background Antenatal hydronephrosis refers to the dilation of the renal\n                    pelvis and\/or calyces in the developing fetus. The challenge lies in\n                    distinguishing between cases that warrant long-term follow-up or surgical\n                    intervention and those with transient hydronephrosis that require minimal\n                    invasive investigations.<\/jats:p>\n                  <jats:p>Materials and Methods Our study aimed to assess and contrast the efficacy\n                    of the 2015 Congenital Anomalies of Kidney and Urinary Tract Guideline from the\n                    Turkish Society of Pediatric Nephrology with the Tepecik Antenatal\n                    Hydronephrosis Guideline, which was previously employed in our hospital. We\n                    conducted a comparative analysis of demographic data, outcome conditions,\n                    additional imaging requirements and quantities, radiation exposures, and rates\n                    of surgical interventions between two groups.<\/jats:p>\n                  <jats:p>Results Group 2 had a significantly higher detection rate of\n                    Vesicoureteral Reflux via voiding cystourethrogram at 38.5% compared to Group\n                    1's 13.4% (p&lt;0.01). The incidence of abnormal findings with\n                    dimercaptosuccinic acid was similar between Group 1 (28.5%) and Group 2 (26.4%)\n                    (p&gt;0.01), but Group 2 had a higher rate of obstruction diagnosis at 68.8%\n                    versus Group 1's 29.4% (p&lt;0.01). Group 1 had greater median radiation\n                    exposure (500 mrem vs. 200 mrem, p&lt;0.01), and a higher proportion of patients\n                    underwent surgery (34.2% vs. 21.9%, p&lt;0.01).<\/jats:p>\n                  <jats:p>Conclusion This study showed that the new guideline required fewer tests,\n                    was less invasive, and exposed patients to less radiation than the old\n                    guideline.<\/jats:p>","DOI":"10.1055\/a-2381-7373","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T18:59:35Z","timestamp":1726858775000},"page":"34-40","source":"Crossref","is-referenced-by-count":1,"title":["10 Years of Antenatal Hydronephrosis Experience: Comparing Two\n                    Different Guidelines"],"prefix":"10.1055","volume":"238","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9475-5521","authenticated-orcid":false,"given":"Esra","family":"Ensari","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nephrology, Celal Bayar University School of\n                    Medicine, Manisa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Onder","family":"Yavascan","sequence":"additional","affiliation":[{"name":"Departments of Pediatric Nephrology, Medipol University Hospital,\n                    Istabul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caner","family":"Alparslan","sequence":"additional","affiliation":[{"name":"Departments of Pediatric Nephrology, Tepecik Training and Research\n                    Hospital Clinics, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif Perihan","family":"Oncel","sequence":"additional","affiliation":[{"name":"Divisions of Pediatric Neurology, Baskent University Faculty of\n                    Medicine, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asl\u0131han Arslan","family":"Maden","sequence":"additional","affiliation":[{"name":"Departments of Pediatric Infectious Diseases, Izmir Provincial Health\n                    Directorate Izmir University of Health Sciences Tepecik Training and Research\n                    Hospital, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belde Kasap","family":"Demir","sequence":"additional","affiliation":[{"name":"Departments of Pediatric Nephrology, Izmir Katip Celebi University\n                    Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Demet","family":"Alaygut","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nephrology, Izmir Provincial Health Directorate\n                    Izmir University of Health Sciences Tepecik Training and Research Hospital,\n                    Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tunc","family":"Ozdemir","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Tepecik Training and Research Hospital\n                    Clinics, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,9,20]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"publisher","first-page":"897","DOI":"10.1007\/s00467-008-0746-9","article-title":"Antenatally detected urinary tract abnormalities: more detection but less\n                    action","volume":"23","author":"M Mallik","year":"2008","journal-title":"Pediatr Nephrol"},{"issue":"01","key":"ref2","doi-asserted-by":"publisher","first-page":"F31","DOI":"10.1136\/fn.76.1.f31","article-title":"Clinical relevance and implications of antenatal hydronephrosis","volume":"76","author":"J A 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Corteville","year":"1991","journal-title":"Am J Obstet Gynecol"},{"issue":"01","key":"ref16","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1067\/mob.2003.81","article-title":"Results of systematic screening for minor degrees of fetal renal pelvis\n                    dilatation in an unselected population","volume":"188","author":"K Ismaili","year":"2003","journal-title":"Am J Obstet Gynecol"},{"issue":"04","key":"ref17","doi-asserted-by":"publisher","first-page":"1353","DOI":"10.1097\/01.ju.0000152319.72909.52","article-title":"Prenatally detected primary megaureter: A role for extended follow-up","volume":"173","author":"A R Shukla","year":"2005","journal-title":"J Urol"},{"issue":"01","key":"ref18","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1016\/j.juro.2008.03.065","article-title":"Late Recurrence of Symptomatic Hydronephrosis in Patients With Prenatally\n                    Detected Hydronephrosis and Spontaneous Improvement","volume":"180","author":"F 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Mahant","year":"2002","journal-title":"Arch Dis Child"},{"issue":"08","key":"ref22","doi-asserted-by":"publisher","first-page":"684","DOI":"10.1007\/BF01957153","article-title":"Distress and radiological investigations of the urinary tract in children","volume":"155","author":"D Phillips","year":"1996","journal-title":"Eur J Pediatr"},{"issue":"02","key":"ref23","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1007\/s00247-003-1073-8","article-title":"How to perform the perfect voiding cystourethrogram","volume":"34","author":"S Agrawalla","year":"2004","journal-title":"Pediatr Radiol"},{"issue":"03","key":"ref24","doi-asserted-by":"publisher","first-page":"162","DOI":"10.2967\/jnmt.108.056622","article-title":"Procedure guideline for diuretic renography in children 3.0","volume":"36","author":"B L Shulkin","year":"2008","journal-title":"J Nucl Med Technol"}],"container-title":["Klinische 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