Neurogenic bladder is a condition with risk of renal damage. Its diagnosis and timely management improve the renal prognosis of pediatric patients. As an initiative of the Colombian Association of Pediatric Nephrology (ACONEPE), and in collaboration with specialists in pediatric urology, pediatric surgery, pediatric nephrology, and pelvic floor physiotherapists in Latin America, we designed a clinical practice guideline for the diagnosis, treatment, and follow-up of patients under 18 years of age with neurogenic bladder.
To create guidelines to unify the clinical practice of professionals for the care of patients with neurogenic bladder, in order to reduce the associated complications and progression to chronic kidney disease.
The guidelines available in the literature with a score higher than 60% in the domains of methodological rigor and editorial independence according to the AGREE II (Appraisal of Guidelines for Research and Evaluation II) tool were analyzed. For questions that merited additional information, supplementary searches were performed. The recommendations were graded using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) system. For the recommendations extracted from other guidelines, the grading of the original developer group was maintained. An expert consensus was reached, with a threshold of 80% agreement which was used to define the final recommendations.
The initial search yielded 75 documents, of which 8 clinical practice guidelines published between 2012 and 2020 were included in the initial analysis. Two documents did not meet the domain of methodological rigor, and one did not meet the editorial independence criteria. In the end, 5 guidelines were included.
Recommendations were generated to unify the clinical practice of healthcare professionals involved in the care of patients with neurogenic bladder. These recommendations are applicable in all Latin American countries. This first part presents the diagnostic and follow-up recommendations.
Andes pediatrica : revista Chilena de pediatria. 2025 Aug [Epub]
Luisa Fernanda Rojas Rosas, Richard Baquero Rodríguez, Juan Guillermo Cárdenas Aguilera, Diana Carolina Bello Márquez, Luz Mery Rivera Parra, Carolina Lucía Ochoa García, Carol Morales Contreras, María Claudia Prada, Cristiam Alexander Morales Castro, Martha Isabel Carrascal Guzmán, Kelly Rocío Chacón Acevedo, María Paula Gutiérrez Sepúlveda, Luz Beatriz Restrepo Palacio, Angela Inés Ocampo Trujillo, Celeste Alston, Victor Hugo Figueroa, Liliana María Rubio Elorza, Jorge Alberto Martínez Montoya, Paula Mariela Carlopio
Asociación Colombiana de Nefrología Pediátrica, Bogotá, Colombia., Clínica Somer, Rionegro, Colombia., Grupo de Investigación Traslacional, Bogotá, Colombia., IPS CES Sabaneta, Medellín, Colombia., Clínica Imbanaco, Cali, Colombia., Universidad de Panamá, Ciudad de Panamá, Panamá., Hospital Universitario de Santander, Bucaramanga, Colombia., Sociedad Colombiana de Cirugía Pediátrica, Colombia., Hospital Nacional Profesor Alejandro Posadas, Buenos Aires, Argentina.