{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:35:16Z","timestamp":1777527316022,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T00:00:00Z","timestamp":1686009600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>Risks of contralateral kidney abnormalities and chronic kidney disease necessitate follow-up for unilateral multicystic dysplastic kidneys (MCDK). A nationwide survey of senior UK pediatricians was conducted. Of the 60 responses obtained, 62% routinely perform a dimercaptosuccinic acid scan to confirm diagnosis. Eight percent routinely perform a cystogram to investigate contralateral vesicoureteric reflux. Sixty-two percent would routinely measure renal function (frequency ranging from once only to \u201cevery 2 years\u201d). Twenty-five percent recalled MCDK nephrectomy being performed within the previous 5 years. Respondents voiced concerns that national guidance may result in an overcautious approach but could balance consensus and safe variation, and offer families choice and reassurance. The mean estimated cost of follow-up from birth to 18 years ranged from \u00a3258 to \u00a33854. Results demonstrate significant variation in management, highlighting the need for a clear pathway to decrease unwanted variability and to ensure those at high risk of renal sequelae are recognized early, without undue investigatory burden.<\/jats:p>","DOI":"10.1177\/00099228231177808","type":"journal-article","created":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T16:25:04Z","timestamp":1686068704000},"page":"482-487","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Unilateral Multicystic Dysplastic Kidney Management: A National Survey"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2977-0263","authenticated-orcid":false,"given":"Matthew J.","family":"Harmer","sequence":"first","affiliation":[{"name":"Department of Paediatric Nephrology, Southampton Children\u2019s Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, UK"},{"name":"University of Southampton, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas J.","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Paediatric Nephrology, Royal Hospital for Children, NHS Greater Glasgow and Clyde, Glasgow, UK"},{"name":"National Heart and Lung Institute, Imperial College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pallavi","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Paediatric Nephrology, Alder Hey Children\u2019s Hospital, Alder Hey Children\u2019s NHS Foundation Trust, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faidra","family":"Veligratli","sequence":"additional","affiliation":[{"name":"Department of Paediatric Nephrology, Great Ormond Street Hospital, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Pickles","sequence":"additional","affiliation":[{"name":"Department of Paediatric Nephrology, Great North Children\u2019s Hospital, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Victoria Wing, Royal Victoria Infirmary, Newcastle upon Tyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Paediatric Nephrology, Great Ormond Street Hospital, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK"},{"name":"Great Ormond Street Institute of Child Health, University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maduri","family":"Raja","sequence":"additional","affiliation":[{"name":"Department of Paediatric Nephrology, Great Ormond Street Hospital, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK"},{"name":"Great Ormond Street Institute of Child Health, University College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,6,6]]},"reference":[{"key":"bibr1-00099228231177808","doi-asserted-by":"publisher","DOI":"10.1007\/s004310050865"},{"key":"bibr2-00099228231177808","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.06.035"},{"key":"bibr3-00099228231177808","doi-asserted-by":"publisher","DOI":"10.1007\/s004310050908"},{"key":"bibr4-00099228231177808","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr5-00099228231177808","unstructured":"Department of Health and Social Care. Reference costs 2015 to 2016. Published December 15, 2016. Accessed June 4, 2021. https:\/\/www.gov.uk\/government\/publications\/nhs-reference-costs-2015-to-2016."},{"key":"bibr6-00099228231177808","unstructured":"NHS England. National tariff payment system. Date unknown. Accessed June 4, 2021. https:\/\/www.england.nhs.uk\/pay-syst\/national-tariff\/national-tariff-payment-system."},{"key":"bibr7-00099228231177808","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-012-2141-9"},{"key":"bibr8-00099228231177808","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2016-310863.372"},{"key":"bibr9-00099228231177808","unstructured":"Farghaly H, Alotay A, Alghanbar M, et al. Added values of DMSA scan in management of patients with multicystic dysplastic kidneys. J Nucl Med. 2014;55(1):619. Accessed May 22, 2023. https:\/\/jnm.snmjournals.org\/content\/55\/supplement_1\/619."},{"key":"bibr10-00099228231177808","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2018.10.023"},{"key":"bibr11-00099228231177808","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2021.03.001"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228231177808","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228231177808","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228231177808","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:32:47Z","timestamp":1777393967000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228231177808"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,6]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1177\/00099228231177808"],"URL":"https:\/\/doi.org\/10.1177\/00099228231177808","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,6]]}}}