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Diagnostic value of anteroposterior diameter of fetal renal pelvis during second and third trimesters in predicting postnatal surgery among Korean population: useful information for antenatal counseling

DC FieldValueLanguage
dc.contributor.author이용승-
dc.contributor.author정현진-
dc.contributor.author이혜영-
dc.contributor.author임영재-
dc.contributor.author한상원-
dc.contributor.author홍창희-
dc.date.accessioned2014-12-19T17:45:22Z-
dc.date.available2014-12-19T17:45:22Z-
dc.date.issued2012-
dc.identifier.issn0090-4295-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/91996-
dc.description.abstractOBJECTIVE: To establish prognostic data regarding fetal hydronephrosis using the anteroposterior diameter (APD) and the need for interventional surgery in the Korean population. METHODS: A total of 187 children with an APD of ≥ 4 mm on obstetric ultrasound scans at any gestational age were retrospectively reviewed. The affected renal units were divided into 2 groups: surgical and nonsurgical. The ultrasound findings were compared at 3 gestational ages: second trimester (15-26 weeks' gestation), early third trimester (27-33 weeks' gestation), and late third trimester (34-40 weeks' gestation). RESULTS: The area under the receiver operating characteristic curve was 0.770, 0.828, and 0.812 at the second, early third, and late third trimesters, respectively. A 100% sensitivity for predicting postnatal surgery could be achieved at a cutoff APD of 5 mm during the second trimester, 8 mm during the early third trimester, and 10 mm during the late third trimester if scheduled antenatal ultrasound scans were performed. A cutoff APD of 11 mm during the second trimester was of diagnostic value in selecting children at risk of postnatal surgery with an odds ratio of 5.13 (95% confidence interval 1.62-16.25), with relatively high sensitivity and specificity. With a cutoff of 15 mm during the early third and late third trimesters, the odds ratio was 11.51 (95% confidence interval 5.05-26.23) and 6.94 (95% confidence interval 3.30-14.57), respectively. CONCLUSION: Compared with an APD of 10 mm, the most commonly used standard cutoff value in predicting postnatal hydronephrosis and its outcome, an APD cutoff of 5, 8, and 10 mm during the second, early third, and late third trimesters, respectively, is more specific in predicting the need for postnatal surgical intervention in the Korean population.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfUROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHArea Under Curve-
dc.subject.MESHFemale-
dc.subject.MESHFetal Diseases/diagnostic imaging*-
dc.subject.MESHFetal Diseases/surgery-
dc.subject.MESHFetus/anatomy & histology-
dc.subject.MESHGestational Age-
dc.subject.MESHHumans-
dc.subject.MESHHydronephrosis/diagnostic imaging*-
dc.subject.MESHHydronephrosis/surgery-
dc.subject.MESHKidney Pelvis/embryology*-
dc.subject.MESHMale-
dc.subject.MESHPostnatal Care-
dc.subject.MESHPredictive Value of Tests-
dc.subject.MESHPregnancy-
dc.subject.MESHPregnancy Trimester, Second-
dc.subject.MESHPregnancy Trimester, Third-
dc.subject.MESHROC Curve-
dc.subject.MESHReference Values-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHUltrasonography, Prenatal*-
dc.titleDiagnostic value of anteroposterior diameter of fetal renal pelvis during second and third trimesters in predicting postnatal surgery among Korean population: useful information for antenatal counseling-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨기과학)-
dc.contributor.googleauthorHyung Joon Kim-
dc.contributor.googleauthorHyun Jin Jung-
dc.contributor.googleauthorHye Young Lee-
dc.contributor.googleauthorYong Seung Lee-
dc.contributor.googleauthorYoung Jae Im-
dc.contributor.googleauthorChang Hee Hong-
dc.contributor.googleauthorSang Won Han-
dc.identifier.doi22386251-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04285-
dc.contributor.localIdA03316-
dc.contributor.localIdA02980-
dc.contributor.localIdA03772-
dc.contributor.localIdA03387-
dc.contributor.localIdA04447-
dc.relation.journalcodeJ02775-
dc.identifier.eissn1527-9995-
dc.identifier.pmid22386251-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0090429512000258-
dc.subject.keywordArea Under Curve-
dc.subject.keywordFemale-
dc.subject.keywordFetal Diseases/diagnostic imaging*-
dc.subject.keywordFetal Diseases/surgery-
dc.subject.keywordFetus/anatomy & histology-
dc.subject.keywordGestational Age-
dc.subject.keywordHumans-
dc.subject.keywordHydronephrosis/diagnostic imaging*-
dc.subject.keywordHydronephrosis/surgery-
dc.subject.keywordKidney Pelvis/embryology*-
dc.subject.keywordMale-
dc.subject.keywordPostnatal Care-
dc.subject.keywordPredictive Value of Tests-
dc.subject.keywordPregnancy-
dc.subject.keywordPregnancy Trimester, Second-
dc.subject.keywordPregnancy Trimester, Third-
dc.subject.keywordROC Curve-
dc.subject.keywordReference Values-
dc.subject.keywordRepublic of Korea-
dc.subject.keywordRetrospective Studies-
dc.subject.keywordUltrasonography, Prenatal*-
dc.contributor.alternativeNameLee, Yong Seung-
dc.contributor.alternativeNameJung, Hyun Jin-
dc.contributor.alternativeNameLee, Hye Young-
dc.contributor.alternativeNameIm, Young Jae-
dc.contributor.alternativeNameHan, Sang Won-
dc.contributor.alternativeNameHong, Chang Hee-
dc.contributor.affiliatedAuthorHan, Sang Won-
dc.contributor.affiliatedAuthorLee, Hye Young-
dc.contributor.affiliatedAuthorLee, Yong Seung-
dc.contributor.affiliatedAuthorJung, Hyun Jin-
dc.contributor.affiliatedAuthorIm, Young Jae-
dc.contributor.affiliatedAuthorHong, Chang Hee-
dc.citation.volume79-
dc.citation.number5-
dc.citation.startPage1132-
dc.citation.endPage1137-
dc.identifier.bibliographicCitationUROLOGY, Vol.79(5) : 1132-1137, 2012-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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