Consensus statement addressing controversies and guidelines on pediatric urolithiasis

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dc.contributor.authorGüven, Selçuk
dc.contributor.authorTokas, Theodoras
dc.contributor.authorTozsin, Atınç
dc.contributor.authorHaid, B.
dc.contributor.authorLendvay, Thomas Sean
dc.contributor.authorSılay, Mesrur Selçuk
dc.contributor.authorMohan, Chandra Vamsi
dc.contributor.authorCansino, Jose Ramon
dc.contributor.authorSaulat, Sherjeel
dc.contributor.authorStraub, Manuela
dc.contributor.authorBujons Tur, Anna
dc.contributor.authorAkgül, Burak
dc.contributor.authorSamotyjek, J.
dc.contributor.authorLusuardi, L.
dc.contributor.authorFerretti, Stefania
dc.contributor.authorÇavdar, Ömer Faruk
dc.contributor.authorOrtner, G.
dc.contributor.authorSultan, Sajid
dc.contributor.authorChoong, Simon
dc.contributor.authorMicali, Salvatore
dc.contributor.authorSaltirov, Ilya
dc.contributor.authorSezer, Ali
dc.contributor.authorNetsch, Christopher
dc.contributor.authorde Lorenzis, Elisa
dc.contributor.authorÇakır, Ömer Onur
dc.contributor.authorZeng, Guohua
dc.contributor.authorGözen, Ali Sedar
dc.contributor.authorBianchi, Giampaolo
dc.contributor.authorJurkiewicz, Beata
dc.contributor.authorKnoll, Thomas
dc.contributor.authorRassweiler, Jens
dc.contributor.authorAhmed, Kamran
dc.contributor.authorSarıca, Kemal
dc.date.accessioned2024-09-18T11:48:59Z
dc.date.available2024-09-18T11:48:59Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractPurpose: We aimed to investigate controversial pediatric urolithiasis issues systematically, integrating expert consensus and comprehensive guidelines reviews. Methods: Two semi-structured online focus group meetings were conducted to discuss the study’s need and content, review current literature, and prepare the initial survey. Data were collected through surveys and focus group discussions. Existing guidelines were reviewed, and a second survey was conducted using the Delphi method to validate findings and facilitate consensus. The primary outcome measures investigated controversial issues, integrating expert consensus and guideline reviews. Results: Experts from 15 countries participated, including 20 with 16+ years of experience, 2 with 11–15 years, and 4 with 6–10 years. The initial survey identified nine main themes, emphasizing the need for standardized diagnostic and treatment protocols and tailored treatments. Inter-rater reliability was high, with controversies in treatment approaches (score 4.6, 92% agreement), follow-up protocols (score 4.8, 100% agreement), and diagnostic criteria (score 4.6, 92% agreement). The second survey underscored the critical need for consensus on identification, diagnostic criteria (score 4.6, 92% agreement), and standardized follow-up protocols (score 4.8, 100% agreement). Conclusion: The importance of personalized treatment in pediatric urolithiasis is clear. Prioritizing low-radiation diagnostic tools, effectively managing residual stone fragments, and standardized follow-up protocols are crucial for improving patient outcomes. Integrating new technologies while ensuring safety and reliability is also essential. Harmonizing guidelines across regions can provide consistent and effective management. Future efforts should focus on collaborative research, specialized training, and the integration of new technologies in treatment protocols.
dc.description.sponsorshipNecmettin Erbakan Universityen_US
dc.identifier.citationGüven, S., Tokas, T., Tozsin, A., Haid, B., Lendvay, T. S., Sılay, M. S. ... Sarıca, K. (2024). Consensus statement addressing controversies and guidelines on pediatric urolithiasis. World Journal of Urology, 42(1). http://dx.doi.org/10.1007/s00345-024-05161-4
dc.identifier.doi10.1007/s00345-024-05161-4
dc.identifier.issn0724-4983
dc.identifier.issn1433-8726
dc.identifier.issue1
dc.identifier.pmid39110242
dc.identifier.scopus2-s2.0-85200828056
dc.identifier.scopusqualityQ1
dc.identifier.urihttp://dx.doi.org/10.1007/s00345-024-05161-4
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12808
dc.identifier.volume42
dc.identifier.wos001286348900001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSılay, Mesrur Selçuk
dc.language.isoen
dc.relation.ispartofWorld Journal of Urologyen_US
dc.relation.publicationcategoryDiğer
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectESWL
dc.subjectGuidelines
dc.subjectMetabolic Evaluation
dc.subjectPCNL
dc.subjectPediatric Urolithiasis
dc.subjectUreteroscopy
dc.titleConsensus statement addressing controversies and guidelines on pediatric urolithiasis
dc.typeOther

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