#pedurojc Transcript
Healthcare social media transcript of the #pedurojc hashtag.
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See #pedurojc Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Christopher Cooper @Coopeduro @DrAndrewKirsch @jon_ellison @AngelaArlen However adding grade in tends to decrease predictive accuracy compared to udr and no grade. #pedurojc |
 | Jonathan Ellison (he/him/his) @jon_ellison @AngelaArlen @Coopeduro @DrAndrewKirsch I look forward to seeing it. #pedurojc |
| Jonathan Ellison (he/him/his) @jon_ellison @Coopeduro @DrAndrewKirsch @AngelaArlen So better to have UDR alone? For resolution or UTI? #pedurojc |
 | Angela Arlen @AngelaArlen @Coopeduro @jon_ellison @DrAndrewKirsch UDR predictive of breakthrough fUTI, more so than grade. Gender was included in univariate analysis - not significant. #pedurojc |
| Christopher Cooper @Coopeduro @DaveIChu @AngelaArlen @jon_ellison @DrAndrewKirsch Gender associated with age impacted resolution and breakthrough risk in previous studies. #pedurojc |
| Christopher Cooper @Coopeduro @DaveIChu @AngelaArlen @jon_ellison @DrAndrewKirsch Need larger series to determine reference values based on age, gender etc #pedurojc |
| Angela Arlen @AngelaArlen @jon_ellison @Coopeduro @DrAndrewKirsch The model was more predictive w/o grade for both resolution and UTI. But we need more patients from more institutions. #pedurojc |
 | ANDREW KIRSCH @DrAndrewKirsch Stasis principle unproven? "Delayed upper tract drainage on voiding cystourethrogram may not be...#pedurojc https://t.co/trKV4R3mA8 |
| Angela Arlen @AngelaArlen @chrbayne @jon_ellison @Coopeduro @DrAndrewKirsch P<0.0001 in multivariate models with and w/o grade for resolution, which is why more patients are needed. #pedurojc |
| Jonathan Ellison (he/him/his) @jon_ellison @AngelaArlen @Coopeduro @DrAndrewKirsch as VUR is dynamic, does UDR vary across different images in same study for same pt? #pedurojc |
| Christopher Cooper @Coopeduro @jon_ellison @AngelaArlen @DrAndrewKirsch Yes, just like grade VUR. We use the max UDR #pedurojc |
 | Franklin Loachamin @FranLoachamin RT @rheault_m: Distal ureteral diameter ratio was more predictive of early spontaneous resolution of VUR than grade alone #pedurojc https://t.co/aPBHsHCJMg https://t.co/aOHsTosqTg |
| Franklin Loachamin @FranLoachamin RT @DrAndrewKirsch: @pedurojc @SelcukSilay @AngelaArlen @Coopeduro @jpurology #pedurojc evidence building. VUR grading system needs to go! Dist ureteral diam, early filling, VUR index predicts UTI/failure to resolve. https://t.co/bC8phmxP7x |
| Christopher Cooper @Coopeduro @chrbayne @AngelaArlen @jon_ellison @DrAndrewKirsch grade is more variable between reviewers and resolution more likely related to distal ureter than appearance of upper tracts #pedurojc |
| Franklin Loachamin @FranLoachamin #pedurojc hi. Nice discussion. |
| Christopher Cooper @Coopeduro @DrAndrewKirsch @DaveIChu @AngelaArlen @jon_ellison perhaps not as big as you think once you've got them on prophylaxis and control for BBD #pedurojc |
| Christopher Cooper @Coopeduro @chrbayne @jon_ellison @AngelaArlen @DrAndrewKirsch Yes, from all images. Just like grade. #pedurojc |
 | David I. Chu MD MSCE @DaveIChu @Coopeduro @chrbayne @jon_ellison @AngelaArlen @DrAndrewKirsch Curious - the authors looked at interrater reliability of UDR prev, did you look at intra-rather reliability too? #pedurojc |
| Christopher Cooper @Coopeduro @DaveIChu @chrbayne @jon_ellison @AngelaArlen @DrAndrewKirsch No. Good idea! #pedurojc |
 | Michelle Rheault @rheault_m @AngelaArlen @chrbayne @jon_ellison @Coopeduro @DrAndrewKirsch Could collaborate for more retrospective patients through Midwest Pediatric Neph Consortium (>70 centers). #pedurojc #mwpnc |
| Christopher Cooper @Coopeduro @rheault_m @AngelaArlen @chrbayne @jon_ellison @DrAndrewKirsch That would be great and very welcome. #pedurojc |
| Angela Arlen @AngelaArlen @rheault_m @chrbayne @jon_ellison @Coopeduro @DrAndrewKirsch The more patients we can get, the better. Ideally UDR will be prospectively reported at dx so we can monitor. #pedurojc |
| Christopher Cooper @Coopeduro @AngelaArlen @rheault_m @chrbayne @jon_ellison @DrAndrewKirsch The difficulty with prospective approach is getting people to agree on management protocols etc. #pedurojc |
| Angela Arlen @AngelaArlen @Coopeduro @rheault_m @chrbayne @jon_ellison @DrAndrewKirsch Agree. But reporting UDR at dx is a start. #pedurojc |
| Michelle Rheault @rheault_m @Coopeduro @AngelaArlen @chrbayne @jon_ellison @DrAndrewKirsch In that case, you're exactly the same as pediatric nephrology. 😉#pedurojc |
 | patrick brophy @oldGCHPedsChair RT @rheault_m: @AngelaArlen @chrbayne @jon_ellison @Coopeduro @DrAndrewKirsch Could collaborate for more retrospective patients through Midwest Pediatric Neph Consortium (>70 centers). #pedurojc #mwpnc |
| patrick brophy @oldGCHPedsChair RT @Coopeduro: @jon_ellison @AngelaArlen @DrAndrewKirsch Yes, just like grade VUR. We use the max UDR #pedurojc |
| patrick brophy @oldGCHPedsChair RT @AngelaArlen: @chrbayne @jon_ellison @Coopeduro @DrAndrewKirsch P<0.0001 in multivariate models with and w/o grade for resolution, which is why more patients are needed. #pedurojc |
| patrick brophy @oldGCHPedsChair RT @Coopeduro: @DaveIChu @AngelaArlen @jon_ellison @DrAndrewKirsch Need larger series to determine reference values based on age, gender etc #pedurojc |
| patrick brophy @oldGCHPedsChair RT @AngelaArlen: @Coopeduro @jon_ellison @DrAndrewKirsch UDR predictive of breakthrough fUTI, more so than grade. Gender was included in univariate analysis - not significant. #pedurojc |
| patrick brophy @oldGCHPedsChair RT @rheault_m: Distal ureteral diameter ratio was more predictive of early spontaneous resolution of VUR than grade alone #pedurojc https://t.co/aPBHsHCJMg https://t.co/aOHsTosqTg |
| patrick brophy @oldGCHPedsChair RT @AngelaArlen: @chrbayne @Coopeduro @pedurojc @DrAndrewKirsch Currently, urologists are calculating UDR. Working on getting radiology to include in report.#pedurojc |
| patrick brophy @oldGCHPedsChair RT @Coopeduro: @DrAndrewKirsch @chrbayne @AngelaArlen @rheault_m @pedurojc Recent AAP VCUG guidelines at least asks for volume at onset of VUR to be recorded routinely. It's a start... #pedurojc |
| patrick brophy @oldGCHPedsChair RT @SelcukSilay: @DrAndrewKirsch @pedurojc @AngelaArlen @Coopeduro @jpurology #pedurojc Is it possible to establish a risk calculator for resolution in the future?Cause many factors are involved as risk factors |
| patrick brophy @oldGCHPedsChair RT @Coopeduro: @rheault_m yes, several studies in J Urol. Accuracy as I recall about 84%. Then validated by group in Japan with their patients. #pedurojc |
| patrick brophy @oldGCHPedsChair RT @AngelaArlen: @Coopeduro @rheault_m @chrbayne @jon_ellison @DrAndrewKirsch Agree. But reporting UDR at dx is a start. #pedurojc |
| patrick brophy @oldGCHPedsChair RT @AngelaArlen: @rheault_m @chrbayne @jon_ellison @Coopeduro @DrAndrewKirsch The more patients we can get, the better. Ideally UDR will be prospectively reported at dx so we can monitor. #pedurojc |
| patrick brophy @oldGCHPedsChair RT @Coopeduro: @rheault_m @AngelaArlen @chrbayne @jon_ellison @DrAndrewKirsch That would be great and very welcome. #pedurojc |
| Christopher Cooper @Coopeduro @brophhawk @rheault_m @AngelaArlen @chrbayne @jon_ellison @DrAndrewKirsch Great to have interest from our ped neph colleagues & all others- Look forward to advancing this research and improved grading! #pedurojc |
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