{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T02:09:47Z","timestamp":1789351787394,"version":"build-2803163510"},"reference-count":41,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Arch Dis Child"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Antenatal ultrasound diagnosed anomalies of the kidney and urinary tract (AUDAKUT) are reported in 0.3%\u20135% on prenatal ultrasound (US) and 0.3%\u20134.5% on postnatal US. The anterior-posterior diameter of the renal pelvis (APD) is an essential measurement. Series with low threshold values of APD prenatally and postnatally will include healthy infants. It is important to avoid follow-up of such infants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>In 2006, new Danish guidelines for AUDAKUT were introduced.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim of study<\/jats:title><jats:p>Investigations of incidences and type of AUDAKUT based on Danish guidelines, including long-term follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Copenhagen University Hospital Hvidovre and Copenhagen University Hospital Rigshospitalet, Denmark.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>Consecutive cases with AUDAKUT in the second and third trimesters, which were either terminated before 22 completed weeks of gestation or born in the 8-year period January 2006\u2013December 2013. Patients were followed until June 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>50\u2005193 live born children and 24 terminated fetuses (0.05%) were included. The prevalence of AUDAKUT was only 0.39% prenatally, 0.29% at first postnatal US and 0.22% at the end of follow-up, including terminated cases. The greater the prenatal and postnatal APD, the higher risk of febrile urinary tract infection (fUTI) and surgical intervention, and lower probability of resolution. 25% of the identified patients had fUTI and\/or surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We recommend threshold values of APD at least 10\u2005mm in the third trimester and in general at least 12\u2005mm at first postnatal US for intensive follow-up. In this largest to date unselected birth cohort of AUDAKUT, the incidences of clinically significant AUDAKUT were in the lowest range of those previously published.<\/jats:p><\/jats:sec>","DOI":"10.1136\/archdischild-2015-309784","type":"journal-article","created":{"date-parts":[[2016,8,18]],"date-time":"2016-08-18T07:07:30Z","timestamp":1471504050000},"page":"819-824","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":42,"title":["The outcome of antenatal ultrasound diagnosed anomalies of the kidney and urinary tract in a large Danish birth cohort"],"prefix":"10.1136","volume":"101","author":[{"given":"Liv","family":"Andr\u00e9s-Jensen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Finn Stener","family":"J\u00f8rgensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorgen","family":"Thorup","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Flachs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Lysgaard","family":"Madsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa Leth","family":"Maroun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pernille","family":"N\u00f8rgaard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo Gustavo","family":"Vinicoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth H\u00e4rstedt","family":"Olsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina","family":"Cortes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,5,23]]},"reference":[{"key":"2021051107151318000_101.9.819.1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.03400411"},{"key":"2021051107151318000_101.9.819.2","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7796.127021"},{"key":"2021051107151318000_101.9.819.3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.298.6685.1421"},{"key":"2021051107151318000_101.9.819.4","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.2001.00333.x"},{"key":"2021051107151318000_101.9.819.5","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0120"},{"key":"2021051107151318000_101.9.819.6","first-page":"2544","article-title":"Prenatal diagnosed hydronephrosis and other urological anomalies","volume":"168","author":"Cortes","year":"2006","journal-title":"Ugeskr Laeg"},{"key":"2021051107151318000_101.9.819.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-008-0746-9"},{"key":"2021051107151318000_101.9.819.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2010.02.205"},{"key":"2021051107151318000_101.9.819.9","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.20778"},{"key":"2021051107151318000_101.9.819.10","first-page":"759","article-title":"Long-term clinical outcome of infants with mild and moderate fetal pyelectasis: validation of neonatal ultrasound as a screening tool to detect significant nephrouropathies","volume":"144","author":"Ismaili","year":"2004","journal-title":"J Pediatr"},{"key":"2021051107151318000_101.9.819.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.01.062"},{"key":"2021051107151318000_101.9.819.12","doi-asserted-by":"publisher","DOI":"10.4045\/tidsskr.08.0178"},{"key":"2021051107151318000_101.9.819.13","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2014.939065"},{"key":"2021051107151318000_101.9.819.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2010.09.007"},{"key":"2021051107151318000_101.9.819.15","unstructured":"Paediatric Urology. 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