AUA 2016: Contemporary practice patterns and voiding cystourethrograms (VCUG) use: The impact of evidence-based guidelines

Usage of voiding cystourethrogram (VCUG) from January 8, 2008 to August 2014 in one specific institution was presented.  In 2011, the American Academy of Pediatrics published revised guidelines on urinary tract infections in children age 12 to 24 months. 

Based on these new guidelines, the authors hypothesized that the rate of VCUGs declined over time and if the VCUG was done, there would be more detection of clinically significant vesicourethral reflux (VUR).  At this one institution, a total of 8,214 VCUGs were performed and the number declined steadily over time.  The pediatric urologist comprised the minority of VCUG ordering physicians and there was an overall trend towards fewer VCUGs being performed in their institution even prior to the 2011 American Academy of Pediatrics guidelines.  There was a higher detection rate of high grade (IV-V) /VUR in 2014 compared to 2009 so their conclusion was that this decrease in VCUGs reflected changing practice patterns of ordering physicians as opposed to the AAP guidelines.

Presented by: Lee, L.  et al. at 2016 AUA Annual Meeting - May 6 - 10, 2016 – San Diego, California, USA

Written by: 
Diane K. Newman, DNP, Adjunct Professor of Urology in Surgery, Research Investigator Senior and Co-Director, Penn Center for Continence and Pelvic Health

University of Pennsylvania, Division of Urology, 3400 Spruce Street, 3rd Floor Perelman Bldg, Philadelphia, PA. 19104