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Published on: October 12, 2017
Childhood vesicoureteral reflux studies: registries and repositories sources and nosology
Russell W Chesney1, Andrea B Patters
1Department of Pediatrics, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, 50 N. Dunlap, Memphis, TN 38103, USA.
Insights
Disease registries and biorepositories are crucial for collecting data and samples from children with urinary tract infections (UTIs) and vesicoureteral reflux (VUR). This helps clarify treatment guidelines and understand reflux impacts.
Area of Science:
- Pediatric Nephrology
- Urology
- Clinical Informatics
Background:
- The management of pediatric urinary tract infections (UTIs) and vesicoureteral reflux (VUR) involves ongoing controversies regarding antimicrobial prophylaxis and imaging studies.
- Assessing the impact of VUR on UTI severity and recurrence rates presents significant challenges.
Purpose of the Study:
- To highlight the value of disease registries and biorepositories for collecting clinical data and biomaterials from children diagnosed with VUR.
- To provide an overview of existing registries and repositories that gather information and samples related to VUR in pediatric populations.
Main Methods:
- Review and description of current disease registries and biorepositories focused on pediatric VUR.
- Analysis of the heterogeneity in data and sample collection criteria across different registries and repositories.
Main Results:
- Registries and repositories are essential resources for advancing research in pediatric VUR and UTIs.
- These resources capture diverse patient populations, including those with primary, syndromic, and secondary reflux.
Conclusions:
- Establishing and maintaining comprehensive registries and repositories is vital for resolving controversies in pediatric UTI and VUR management.
- Standardized data and sample collection across these resources will enhance research capabilities and clinical decision-making.
Abstract:
Despite several recent studies, the advisability of antimicrobial prophylaxis and certain imaging studies for urinary tract infections (UTIs) remains controversial. The role of vesicoureteral reflux (VUR) on the severity and re-infection rates for UTIs is also difficult to assess. Registries and repositories of data and biomaterials from clinical studies in children with VUR are valuable. Disease registries are collections of secondary data related to patients with a specific diagnosis, condition or procedure. Registries differ from indices in that they contain more extensive data. A research repository is an entity that receives, stores, processes and/or disseminates specimens (or other materials) as needed. It encompasses the physical location as well as the full range of activities associated with its operation. It may also be referred to as a biorepository. This report provides information about some current registries and repositories that include data and samples from children with VUR. It also describes the heterogeneous nature of the subjects, as some registries and repositories include only data or samples from patients with primary reflux while others also include those from patients with syndromic or secondary reflux.
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