Urodynamic (UDS) testing is essential in managing pediatric lower urinary tract conditions, both congenital and acquired. While attempts have been made to standardize UDS terminology, there have been no formal guidelines specifying what elements to include in pediatric urodynamics reports. This study sought to establish a consensus among pediatric urologists on the ideal structure and content of these reports. Using a modified Delphi method, a diverse group of 30 pediatric urologists from 27 institutions across North America participated in three rounds of surveys and discussions. This group included representatives from organizations like the CDC National Spina Bifida Patient Registry, Spina Bifida Association, and the International Children’s Continence Society, ensuring a range of perspectives and expertise.
In the first round, participants agreed that a pediatric UDS report should be organized into specific sections: indications for testing, study conditions, procedural details, filling phase data, radiologic findings (if applicable), incontinence and leak point pressures, voiding phase, and a summary. Each section was detailed to include numerical, categorical, or free-text elements based on expert input. The second round refined elements that did not reach consensus, with participants also approving automated clinical decision support in electronic health records (EHR) and a sample report template. In the final virtual discussion round, six additional elements were approved, solidifying the template. This consensus provides a structured approach to UDS reporting, aiming to improve collaboration and research consistency for pediatric urology patients. The Epic Pediatric Urology Specialty Steering Board plans to develop a standardized template based on these findings, which will be adaptable for non-Epic EHR systems as well.
