Consensus statement addressing controversies and guidelines on pediatric urolithiasis
Tokas, T. (University General Hospital of Heraklion)
Haid, B. (Barmherzige Scwestern Hospital)
Lusuardi, L. (Paracelsus Medical University Salzburg University Hospital)
Micali, S. (University of Modena and Reggio Emilia)
Ahmed, Kamran (Khalifa University)
Sarica, K. (Dr. Ilhan Varank Research and Training Hospital)
Güven, S. (Necmettin Erbakan University Meram School of Medicine)
Tozsin, A. (Trakya University School of Medicine Hospital)
Lendvay, T.S. (Seattle Children's Hospital)
Silay, S. (Istanbul Medipol University)
Mohan, V.C. (Preeti Urology Hospital)
Cansino, J.R. (Hospital Universitario La Paz (Madrid))
Saulat, S. (Tabba Kidney Institute)
Straub, M. (Technical University Munich)
Bujons, Anna (Institut de Recerca Sant Pau)
Akgül, B. (Trakya University School of Medicine Hospital)
Samotyjek, J. (Pediatric Surgery and Urology Clinic CMKP in Dziekanów Leśny)
Ferretti, S. (University of Modena and Reggio Emilia)
Cavdar, O.F. (Necmettin Erbakan University Meram School of Medicine)
Ortner, G. (General Hospital Hall I.T)
Sultan, S. (Menoufia University Hospitals)
Choong, S. (University College Hospital)
Saltirov, Iliya (Military Medical Academy)
Sezer, A. (Konya City Hospital)
Netsch, C. (Asklepios Klinik BarmbekAbteilung Für Urologie)
de Lorenzis, E. (Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (Milà, Itàlia))
Cakir, O.O. (King's College London)
Zeng, G. (The First Affiliated Hospital of Guangzhou Medical University)
Gozen, A.S. (Medius Clinic)
Bianchi, G. (University of Modena and Reggio Emilia)
Jurkiewicz, B. (Pediatric Surgery and Urology Clinic CMKP in Dziekanów Leśny)
Knoll, T. (Klinikum Sindelfingen-Boeblingen)
Rassweiler, J. (Danube Private University)
Universitat Autònoma de Barcelona. Departament de Medicina

Data:	2024
Resum:	Purpose: 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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article de revisió ; recerca ; Versió publicada
Matèria:	ESWL ; Guidelines ; Metabolic evaluation ; PCNL ; Pediatric urolithiasis ; Ureteroscopy
Publicat a:	World journal of urology, Vol. 42, Num. 1 (December 2024) , p. 473, ISSN 1433-8726

Erratum: https://ddd.uab.cat/record/323196?ln=ca
DOI: 10.1007/s00345-024-05161-4
PMID: 39110242

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