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Current Bladder Dysfunction Reports
Published in: Current Bladder Dysfunction Reports 3/2017

01-09-2017 | Pediatric Bladder Dysfunction (SJ Hodges, Section Editor)

Reliability and Reproducibility of Pediatric Urodynamic Studies

Authors: A. G. Dudley, A. S. Taylor, S. T. Tanaka

Published in: Current Bladder Dysfunction Reports | Issue 3/2017

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Abstract

Purpose of Review

This report will review the reproducibility and reliability of urodynamic testing and interpretation highlighting recent pediatric literature.

Recent Findings

The reliability of pediatric urodynamic interpretation was previously reported to be poor, echoing reports from multicenter studies where outcomes were challenging to standardize. A pilot study demonstrated significant inter-rater reliability across pediatric urologists with similar training at a single institution. Individual tracing variables showed wide range variability, with lowest correlations seen for the presence of detrusor over activity and EMG activity synergy. An expanded multicenter study confirmed low inter-rater reliability, yet indicated preservation of clinical decision-making. Future work to standardize interpretation may involve computerized modeling and interactive tutorials to demonstrate consensus terminology.

Summary

Pediatric urodynamic interpretation is variable across discrete tracing parameters; however, clinical decision-making is more preserved. Reliable interpretation is needed to minimize variation in clinical care and maximize impact of research focused on urodynamic outcomes.
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Metadata
Title
Reliability and Reproducibility of Pediatric Urodynamic Studies
Authors
A. G. Dudley
A. S. Taylor
S. T. Tanaka
Publication date
01-09-2017
Publisher
Springer US
Published in
Current Bladder Dysfunction Reports / Issue 3/2017
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-017-0440-5

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