February SFU Issue SPU 13
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Dialogues in Pediatric Urology An official publication of the Society for Pediatric Urology Richard M. Ehrlich, M.D., Founding Editor / William J. Miller, Founding Publisher Volume 34, Number 2 SPECIAL EDITION: February, 2013 Society for Fetal Urology: Editor: Elizabeth B. Yerkes, MD Year in Review Associate Editors: Earl Y. Cheng, MD FROM THE SFU PRESIDENT Martin A. Koyle, MD John Kryger, MD Editorial Board: The year of 2012 was a very exciting year for the Society for Fetal Urology (SFU). It was Jeffrey Campbell, MD highlighted by two outstanding national meetings, a historic management agreement reached Marc Cendron, MD between the SFU and the American Urological Association (AUA), and the execution of criti- Yutaro Hayashi, MD cal memorandum of understanding (MOU) between the SFU and the Society for Pediatric Urology (SPU) as regards the role of the SFU in the SPU/AUA Annual Meeting. Antonio Macedo, Jr., MD The 48th Bi-Annual Meeting of the SFU was held in conjunction with the AUA Annual Lane S. Palmer, MD Meeting in Atlanta, GA. The full day program was coordinated by Dr. Armando Lorenzo (The John Park, MD Hospital for Sick Children, Toronto, ON). The meeting was centered on “study design, data analysis, and reporting in prenatal and perinatal urology.” The meeting was organized with ten Serdar Tekgul, MD mini-symposia by experts in the field including: “Randomized Controlled Trials” by Dr. Edwin Smith (Georgia Urology, Atlanta, GA), “Non-Experimental/Observational Studies” by Dr. Nicol Managing Editor: Lorraine M. O’Grady Bush (Children’s Medical Center, Dallas, TX), “Population-Based Research” by Dr. Katherine Herbst (Connecticut Children’s Medical Center, Hartford, CT), “Systematic Reviews and Meta- analysis” by Dr. Luis Braga (McMaster Children’s Hospital, Hamilton, ON), “Clinical vs. SFU EXECUTIVE COMMITTEE Statistical Significance” by Dr. Hillary Copp (UCSF Benioff Children’s Hospital, San Fran- cisco, CA), “Guidelines, Consensus Statements and Recommendations” by Dr. Bob Nguyen Jeffrey B. Campbell, MD (Boston Children’s Hospital, Boston, MA), “Ethical Issues in Research” by Kourosh Afshar President (continued on next page) Elizabeth B. Yerkes, MD President Elect FROM THE EDITOR Armando J. Lorenzo, MD Elizabeth B. Yerkes, MD Secretary/Treasurer John V. Kryger, MD As you will read in John Kryger’s summary, the Society for Fetal Urology has had a busy Past President year academically and politically. Dialogues in Pediatric Urology is pleased to continue to Hillary L. Copp, MD showcase their presentations in this annual Society for Fetal Urology Special Edition. Member at Large For those of us who are indeed hung up on the p-value, read on! This Edition of Dialogues John Gatti, M.D. features four contributions from Armando Lorenzo’s excellent morning program from the Spring Member at Large SFU meeting. Since this is a special edition, we were also able to showcase a few of the Spring Pramod Reddy, M.D. case presentations. Part II will feature the abstracts from the Fall meeting. Member at Large Thank you to each of the authors for sharing their expertise so thoroughly and clearly—the Christopher S. Cooper, MD contributions are truly accessible to the less indoctrinated scholars who want to do honest, Emeritus Member worthwhile clinical research. There is an enormous amount to Iearn and practice. I had no idea C.D. Anthony Herndon, MD that there were so many forms of bias that affect every aspect of our work! It is also very clear Emeritus Member how much work goes into creation and execution of a solid prospective RCT—hats off to those Luis H. Braga, MD who take on the challenge. International Member at Large Now that many Pediatric Urology fellowship programs are offering formal additional Pedro Jose Lopez, MD coursework, training or degrees in clinical investigation, our field certainly has a bright future International Member at Large for high quality clinical research. Administrative Office Society for Pediatric Urology Phone: 410-689-3950 [email protected] 500 Cummings Center, Suite 4550, Beverly, MA 01915 www.sfu-urology.org (978) 927-8330 / Fax: (978) 524-8890 / www.spuonline.org Dialogues in Pediatric Urology February, 2013 From the SFU President (continued from page one) (British Columbia Children’s Hospital, Vancouver, BC), “Publishing nual fall meeting from the management of the AAP. Thus, it is a mo- in High-Impact Journals” by Dr. Anthony Caldamone (Hasbro ment of great change and restructuring in the world of pediatric urol- Children’s Hospital, Providence, RI), “Manuscript Review” by Dr. Paul ogy and an opportunity for improvement. We have worked hard to Merguerian (Seattle Children’s Hospital, Seattle, WA). Finally, Dr. maintain dedicated meeting time for the SFU as part of the SPU/AUA Anthony Herndon (University of Virginia Pediatric Urology, Annual Meeting in the spring and the new Pediatric Urology Fall Con- Charlottesville, VA) outlined the “SFU research goals” and reviewed gress. The agreement protects the autonomy of the SFU as regards meet- the current and future projects and registries. The meeting finished ing planning and ensures representation on the planning committees. with a 2-hour session of case presentations on topics of fetal urology. The successes of this year would not have been realized without The 49th Bi-Annual Meeting was held in conjunction with the the tremendous effort of Dr. John Weiner (Duke Children’s Hospital, American Academy of Pediatrics (AAP) National Conference and Ex- Durham, NC), who was SFU President, and Dr. Jeffrey B Campbell hibition in New Orleans, LA. Dr. Eric Jones (Houston Pediatric Urol- (Children’s Hospital Colorado, Denver, CO), who was SFU Secretary/ ogy, Houston) coordinated the program. It was highlighted by a lec- Treasurer. They worked closely with Dr. Gopal Badlani (Wake Forest ture on “Ethical Dilemmas in Fetal Urology” (Dr. David Diamond, School of Medicine, Winston-Salem, NC), AUA Secretary and Drew Boston Children’s Hospital, Boston, MA), “Fetal Urologic Imaging” Shifflet, AUA Director of Committee and Society Affairs to establish (Dr. Amy Mehollin-Ray, Texas Children’s Hospital, Houston, TX), the management agreement with the AUA, and Dr. David Diamond “Open Fetal Surgery for Myelomeningocele Closure” (Dr. Michael (Boston Children’s Hospital, Boston, MA), SPU Past President, Dr. Babington, Director of Prenatal Diagnosis and Fetal Imaging, Texas Larry Baskin (UCSF Benioff Children’s Hospital, San Francisco, CA), Children’s Fetal Center, Houston, TX), “Marks Fetal Surgery for Con- SPU President, and Dr. Ross Decter (Penn State Hershey Surgical Spe- genital Malformations” (Dr. Darryl Cass, Director of Texas Children’s cialties, Hershey, PA), SPU Secretary to establish the MOU between Fetal Center, Houston, TX), “Fetal Therapy for Obstructive Uropathy - the SFU and the SPU. Furthermore, we are indebted to the insight and A 30-year Retrospective” (Dr. Andrew Freedman, Cedar Sinai Medi- efforts of Dr. Anthony Herndon and Dr. Chris Cooper (University of cal Center, Los Angeles, CA), “Importance of Multidisciplinary Team Iowa Pediatric Urology, Iowa City, IA) in forging these relationships. in Optimizing Fetal Care” (Dr. Pramod Reddy, Cincinnati Children’s I look forward to ongoing success in 2013. I want to congratulate Hospital, Cincinnati, OH). These were followed by a 3-hour session and thank Dr. John Wiener and Dr. Jeffrey B Campbell who completed of case presentations and studies pertaining to fetal urology. their terms in office of the SFU. The year of 2012 will be a significant We were proud to ratify a historic management agreement with year in the history of the SFU due to their exceptional efforts. I wel- the AUA. This will bring us into a secure relationship with the AUA in come Dr. Armando Lorenzo as the new SFU Secretary/Treasurer and a fashion consistent with other AUA-affiliated societies. The agree- Dr. Jeffrey B Campbell as the SFU President-Elect to continue our ment will include official headquarters in the offices of the AUA along trajectory of success along with myself as the current President of the with dedicated management staff. It will strengthen the financial ser- SFU. Plans are underway for the 50th Bi-Annual Meeting, which will vices, meetings management, marketing, industry relations, and be a half-day session in conjunction with the SPU/AUA Annual Meet- memberhip services to the SFU. ing in San Diego, CA. I hope our 50th will be momentous! In addition, a great deal of time and effort was dedicated to draft- We are grateful to the Dialogues in Pediatric Urology for the op- ing an MOU that would ensure the SFU is able to continue bi-annual portunity to feature the proceedings of our society. Additional infor- meetings in conjunction with the SPU in the future. This was an espe- mation can be found on the SFU website: www.sfu-urology.org. cially critical initiative, since pediatric urology has withdrawn its an- INSIDE THIS ISSUE: Randomized Controlled Trials: The Frequently A Conservative Approach to the Ectopic Ureterocele Recommended but Rarely Achieved Gold Standard Cloacal Exstrophy in Polyzygotic Multiples: Clinical Versus Statistical Significance: Let’s Get A Case Series Past the P-Value Ehlers-Danlos Syndrome with Posterior Urethral Systematic Reviews and Meta-Analysis: Garbage In Valves: For Better or Worse Garbage Out versus Meaningful Data Crunching All Posterior Urethral Valves Are Not Alike Health Services Research with Administrative Data and the Dartmouth Atlas of Health Care Fibroepithelial Polyp