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Parental Preference Assessment for Vesicoureteral Reflux Management in Children.

Publication ,  Journal Article
Tran, GN; Bodapati, AV; Routh, JC; Saigal, CS; Copp, HL
Published in: J Urol
March 2017

PURPOSE: Parents of children with vesicoureteral reflux are presented with a variety of management options, which in many cases offer a similar risk-benefit ratio. To facilitate shared decision making, parental preferences regarding vesicoureteral reflux treatment options need to be acknowledged. We aimed to characterize the clinical experience of parents and elicit core themes affecting decision making in regard to managing vesicoureteral reflux in their child. MATERIALS AND METHODS: A semistructured, qualitative interview script was developed and vetted by 25 pediatric urologists to discuss treatment options for vesicoureteral reflux. Additional patient interviews were conducted until new themes failed to arise. Content analysis was performed to extract all statements that described treatment options. Similar statements were combined until a final list of unique themes emerged. RESULTS: A total of 26 interviews were performed, yielding 689 statements about overall parent experiences with managing vesicoureteral reflux in the child and 450 statements (65%) pertaining to treatment options. Of the 13 themes that emerged, those most commonly considered were the prevention of future urinary tract infections by 85% of parents, the efficacy rate of treatment options by 85%, the burden of daily maintenance or compliance by 77%, antibiotic resistance by 69%, chronic kidney damage by 62% and invasiveness by 58%. CONCLUSIONS: Our study emphasizes that when choosing a treatment option for vesicoureteral reflux in their child, parent preferences regarding risks and benefits are variable. However, their chief concerns include whether a method decreases the risk of urinary tract infections, has an acceptable efficacy rate and aligns itself with the capabilities of the family. These themes help frame discussions between families and clinicians regarding vesicoureteral reflux management, and they can facilitate shared decision making.

Duke Scholars

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Published In

J Urol

DOI

EISSN

1527-3792

Publication Date

March 2017

Volume

197

Issue

3 Pt 2

Start / End Page

957 / 962

Location

United States

Related Subject Headings

  • Vesico-Ureteral Reflux
  • Urology & Nephrology
  • Retrospective Studies
  • Patient Preference
  • Parents
  • Male
  • Infant
  • Humans
  • Female
  • Decision Making
 

Citation

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Tran, G. N., Bodapati, A. V., Routh, J. C., Saigal, C. S., & Copp, H. L. (2017). Parental Preference Assessment for Vesicoureteral Reflux Management in Children. J Urol, 197(3 Pt 2), 957–962. https://doi.org/10.1016/j.juro.2016.09.109
Tran, Geraldine N., Anand V. Bodapati, Jonathan C. Routh, Christopher S. Saigal, and Hillary L. Copp. “Parental Preference Assessment for Vesicoureteral Reflux Management in Children.J Urol 197, no. 3 Pt 2 (March 2017): 957–62. https://doi.org/10.1016/j.juro.2016.09.109.
Tran GN, Bodapati AV, Routh JC, Saigal CS, Copp HL. Parental Preference Assessment for Vesicoureteral Reflux Management in Children. J Urol. 2017 Mar;197(3 Pt 2):957–62.
Tran, Geraldine N., et al. “Parental Preference Assessment for Vesicoureteral Reflux Management in Children.J Urol, vol. 197, no. 3 Pt 2, Mar. 2017, pp. 957–62. Pubmed, doi:10.1016/j.juro.2016.09.109.
Tran GN, Bodapati AV, Routh JC, Saigal CS, Copp HL. Parental Preference Assessment for Vesicoureteral Reflux Management in Children. J Urol. 2017 Mar;197(3 Pt 2):957–962.
Journal cover image

Published In

J Urol

DOI

EISSN

1527-3792

Publication Date

March 2017

Volume

197

Issue

3 Pt 2

Start / End Page

957 / 962

Location

United States

Related Subject Headings

  • Vesico-Ureteral Reflux
  • Urology & Nephrology
  • Retrospective Studies
  • Patient Preference
  • Parents
  • Male
  • Infant
  • Humans
  • Female
  • Decision Making