{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:44:41Z","timestamp":1777527881642,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"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":[[2026,2]]},"abstract":"<jats:p>\n                    Ureteropelvic junction obstruction (UPJO) is a common urologic disorder in children. Accurate assessment of renal function, both preoperatively and postoperatively, is crucial for prognosis. Previous studies have primarily focused on postoperative function using univariate analysis. This study aimed to identify alternative assessment approaches. A retrospective study was conducted on 150 pediatric UPJO patients who underwent laparoscopic pyeloplasty. Multivariate logistic regression was performed to analyze factors influencing renal recovery, with improvement in renal morphology on ultrasonography as the outcome. Advanced age, prolonged hydronephrosis duration, overweight, and elevated serum creatinine levels (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .05) were identified as significant risk factors for poor postoperative recovery. Younger age, shorter disease duration, normal serum creatinine levels, and healthy weight are associated with better postoperative recovery in UPJO patients. These findings highlight the importance of early intervention to optimize recovery.\n                  <\/jats:p>","DOI":"10.1177\/00099228251381508","type":"journal-article","created":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T05:27:13Z","timestamp":1764221233000},"page":"263-273","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Influencing Postoperative Outcomes in Children With Ureteropelvic Junction Obstruction"],"prefix":"10.1177","volume":"65","author":[{"given":"Li","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of General Pediatric Surgery, West China Second University Hospital, Sichuan University, Chengdu, China"},{"name":"Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5907-8835","authenticated-orcid":false,"given":"Deying","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology, Children\u2019s Hospital of Chongqing Medical University, Chongqing, China"},{"name":"Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2010.02.205"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10071467"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-023-04422-y"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2021.01.037"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2021.01.004"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.17.17891"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2022.06.017"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-023-054220"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2020.02.002"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/03915603211046161"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/4570706"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.114.S2.555"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/000456329002700201"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-018-4087-z"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0300060519855575"},{"key":"e_1_3_2_17_2","unstructured":"University of Iowa Hospitals & Clinics. 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