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Guía clínica para el manejo de la vejiga neurogénica en población menor de 18 años. Parte 2: Tratamiento.

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Title: Guía clínica para el manejo de la vejiga neurogénica en población menor de 18 años. Parte 2: Tratamiento.
Alternate Title: Clinical Guideline for the management of Neurogenic Bladder in population under 18 years of age. Part 2: Treatment.
Authors: Rojas Rosas, Luisa Fernanda1,2 nefropd@gmail.com, Rodríguez, Richard Baquero1,3,4, Cárdenas Aguilera, Juan Guillermo1,5, Bello Márquez, Diana Carolina1,6, Rivera Parra, Luz Mery1,7, Ochoa García, Carolina Lucía1,4,8,9, Contreras, Carol Morales1,10, Prada, María Claudia1,3,4, Morales Castro, Cristiam Alexander8, Carrascal Guzmán, Martha Isabel1,11,12, Chacón Acevedo, Kelly Rocío13, Gutiérrez Sepúlveda, María Paula13, Restrepo Palacio, Luz Beatriz14,15, Ocampo Trujillo, Angela Inés12,15,16, Alston, Celeste17, Figueroa, Victor Hugo18, Rubio Elorza, Liliana María1,19, Martínez Montoya, Jorge Alberto20, Carlopio, Paula Mariela21, Castillo Fernández, Ana Maria22
Source: Andes Pediatrica. Oct2025, Vol. 96 Issue 5, p1-10. 10p.
Subjects: NEUROGENIC bladder, PEDIATRIC nephrology, MEDICAL personnel, THERAPEUTICS, MEDICAL quality control, KIDNEY diseases, PATIENT care
Geographic Terms: LATIN America
Abstract (English): Neurogenic bladder is a condition with risk of renal damage. The Colombian Association of Pediatric Nephrology (ACONEPE), in collaboration with specialists in pediatric urology, pediatric surgery, pediatric nephrology, and pelvic floor physiotherapists in Latin America, designed a clinical practice guideline for the diagnosis, treatment, and follow-up of patients under 18 years of age with neurogenic bladder. Objective: To generate guidelines to unify the clinical practice of professionals for the care of patients with neurogenic bladder, in order to reduce associated complications and progression to chronic kidney disease Material and Method: A systematic search of the literature was carried out. Recommendations of guidelines with a score higher than 60% according to the AGREE II tool were analyzed. Supplementary searches were performed in the case of questions that required additional information. The recommendations were graded according to the GRADE system or according to the original grading. The final recommendations were agreed by expert consensus with an 80% agreement threshold. Results: 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 criteria of editorial independence. In the end, 5 guidelines were included. Conclusion: 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. In this second part, recommendations are made regarding the treatment of pediatric patients with neurogenic bladder. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La vejiga neurogénica es una patología con riesgo de daño renal. La Asociación Colombiana de Nefrologia Pediátrica (ACONEPE) en colaboración con especialistas en urología pediátrica, cirugía pediátrica, nefrología pediátrica y fisioterapeutas de piso pélvico diseñamos una guía de práctica clínica para el diagnóstico, tratamiento y seguimiento de pacientes menores de 18 años con vejiga neurogénica. Objetivo: Generar pautas que permitan unificar la práctica clínica de los profesionales para la atención de pacientes portadores de vejiga neurogénica, con el fin de disminuir las complicaciones asociadas y la progresión a enfermedad renal crónica. Material y Método: Se realizó una búsqueda sistemática de la literatura, y se analizaron las recomendaciones de guías con calificación superior al 60% según la herramienta AGREE II. Se realizaron búsquedas complementarias en caso de preguntas que requirieron información adicional. Las recomendaciones fueron graduadas según el sistema GRADE o según graduación original. Las recomendaciones finales se acordaron mediante consenso de expertos con umbral de acuerdo del 80%. Resultados: La búsqueda inicial arrojó 75 documentos, de los cuales se incluyeron 8 guías de práctica clínica publicadas entre 2012 y 2020, en el análisis inicial. Dos documentos no cumplieron el dominio de rigor metodológico y uno no cumplió con los criterios de independencia editorial. Al final se incluyeron 5 guías. Conclusión: Se elaboran recomendaciones orientadas a la estandarización de la práctica clínica de los profesionales involucrados en la atención de pacientes con vejiga neurogénica. Estas recomendaciones son aplicables en todos los países de Latinoamérica. En esta segunda parte se realizan recomendaciones respecto al tratamiento de pacientes pediátricos con vejiga neurogénica. [ABSTRACT FROM AUTHOR]
Copyright of Andes Pediatrica is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
FullText Links:
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  Data: Guía clínica para el manejo de la vejiga neurogénica en población menor de 18 años. Parte 2: Tratamiento.
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  Data: Clinical Guideline for the management of Neurogenic Bladder in population under 18 years of age. Part 2: Treatment.
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  Data: <searchLink fieldCode="AR" term="%22Rojas+Rosas%2C+Luisa+Fernanda%22">Rojas Rosas, Luisa Fernanda</searchLink><relatesTo>1,2</relatesTo><i> nefropd@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Rodríguez%2C+Richard+Baquero%22">Rodríguez, Richard Baquero</searchLink><relatesTo>1,3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Cárdenas+Aguilera%2C+Juan+Guillermo%22">Cárdenas Aguilera, Juan Guillermo</searchLink><relatesTo>1,5</relatesTo><br /><searchLink fieldCode="AR" term="%22Bello+Márquez%2C+Diana+Carolina%22">Bello Márquez, Diana Carolina</searchLink><relatesTo>1,6</relatesTo><br /><searchLink fieldCode="AR" term="%22Rivera+Parra%2C+Luz+Mery%22">Rivera Parra, Luz Mery</searchLink><relatesTo>1,7</relatesTo><br /><searchLink fieldCode="AR" term="%22Ochoa+García%2C+Carolina+Lucía%22">Ochoa García, Carolina Lucía</searchLink><relatesTo>1,4,8,9</relatesTo><br /><searchLink fieldCode="AR" term="%22Contreras%2C+Carol+Morales%22">Contreras, Carol Morales</searchLink><relatesTo>1,10</relatesTo><br /><searchLink fieldCode="AR" term="%22Prada%2C+María+Claudia%22">Prada, María Claudia</searchLink><relatesTo>1,3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Morales+Castro%2C+Cristiam+Alexander%22">Morales Castro, Cristiam Alexander</searchLink><relatesTo>8</relatesTo><br /><searchLink fieldCode="AR" term="%22Carrascal+Guzmán%2C+Martha+Isabel%22">Carrascal Guzmán, Martha Isabel</searchLink><relatesTo>1,11,12</relatesTo><br /><searchLink fieldCode="AR" term="%22Chacón+Acevedo%2C+Kelly+Rocío%22">Chacón Acevedo, Kelly Rocío</searchLink><relatesTo>13</relatesTo><br /><searchLink fieldCode="AR" term="%22Gutiérrez+Sepúlveda%2C+María+Paula%22">Gutiérrez Sepúlveda, María Paula</searchLink><relatesTo>13</relatesTo><br /><searchLink fieldCode="AR" term="%22Restrepo+Palacio%2C+Luz+Beatriz%22">Restrepo Palacio, Luz Beatriz</searchLink><relatesTo>14,15</relatesTo><br /><searchLink fieldCode="AR" term="%22Ocampo+Trujillo%2C+Angela+Inés%22">Ocampo Trujillo, Angela Inés</searchLink><relatesTo>12,15,16</relatesTo><br /><searchLink fieldCode="AR" term="%22Alston%2C+Celeste%22">Alston, Celeste</searchLink><relatesTo>17</relatesTo><br /><searchLink fieldCode="AR" term="%22Figueroa%2C+Victor+Hugo%22">Figueroa, Victor Hugo</searchLink><relatesTo>18</relatesTo><br /><searchLink fieldCode="AR" term="%22Rubio+Elorza%2C+Liliana+María%22">Rubio Elorza, Liliana María</searchLink><relatesTo>1,19</relatesTo><br /><searchLink fieldCode="AR" term="%22Martínez+Montoya%2C+Jorge+Alberto%22">Martínez Montoya, Jorge Alberto</searchLink><relatesTo>20</relatesTo><br /><searchLink fieldCode="AR" term="%22Carlopio%2C+Paula+Mariela%22">Carlopio, Paula Mariela</searchLink><relatesTo>21</relatesTo><br /><searchLink fieldCode="AR" term="%22Castillo+Fernández%2C+Ana+Maria%22">Castillo Fernández, Ana Maria</searchLink><relatesTo>22</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Andes+Pediatrica%22">Andes Pediatrica</searchLink>. Oct2025, Vol. 96 Issue 5, p1-10. 10p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22NEUROGENIC+bladder%22">NEUROGENIC bladder</searchLink><br /><searchLink fieldCode="DE" term="%22PEDIATRIC+nephrology%22">PEDIATRIC nephrology</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+personnel%22">MEDICAL personnel</searchLink><br /><searchLink fieldCode="DE" term="%22THERAPEUTICS%22">THERAPEUTICS</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+quality+control%22">MEDICAL quality control</searchLink><br /><searchLink fieldCode="DE" term="%22KIDNEY+diseases%22">KIDNEY diseases</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENT+care%22">PATIENT care</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22LATIN+America%22">LATIN America</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Neurogenic bladder is a condition with risk of renal damage. The Colombian Association of Pediatric Nephrology (ACONEPE), in collaboration with specialists in pediatric urology, pediatric surgery, pediatric nephrology, and pelvic floor physiotherapists in Latin America, designed a clinical practice guideline for the diagnosis, treatment, and follow-up of patients under 18 years of age with neurogenic bladder. Objective: To generate guidelines to unify the clinical practice of professionals for the care of patients with neurogenic bladder, in order to reduce associated complications and progression to chronic kidney disease Material and Method: A systematic search of the literature was carried out. Recommendations of guidelines with a score higher than 60% according to the AGREE II tool were analyzed. Supplementary searches were performed in the case of questions that required additional information. The recommendations were graded according to the GRADE system or according to the original grading. The final recommendations were agreed by expert consensus with an 80% agreement threshold. Results: 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 criteria of editorial independence. In the end, 5 guidelines were included. Conclusion: 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. In this second part, recommendations are made regarding the treatment of pediatric patients with neurogenic bladder. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: La vejiga neurogénica es una patología con riesgo de daño renal. La Asociación Colombiana de Nefrologia Pediátrica (ACONEPE) en colaboración con especialistas en urología pediátrica, cirugía pediátrica, nefrología pediátrica y fisioterapeutas de piso pélvico diseñamos una guía de práctica clínica para el diagnóstico, tratamiento y seguimiento de pacientes menores de 18 años con vejiga neurogénica. Objetivo: Generar pautas que permitan unificar la práctica clínica de los profesionales para la atención de pacientes portadores de vejiga neurogénica, con el fin de disminuir las complicaciones asociadas y la progresión a enfermedad renal crónica. Material y Método: Se realizó una búsqueda sistemática de la literatura, y se analizaron las recomendaciones de guías con calificación superior al 60% según la herramienta AGREE II. Se realizaron búsquedas complementarias en caso de preguntas que requirieron información adicional. Las recomendaciones fueron graduadas según el sistema GRADE o según graduación original. Las recomendaciones finales se acordaron mediante consenso de expertos con umbral de acuerdo del 80%. Resultados: La búsqueda inicial arrojó 75 documentos, de los cuales se incluyeron 8 guías de práctica clínica publicadas entre 2012 y 2020, en el análisis inicial. Dos documentos no cumplieron el dominio de rigor metodológico y uno no cumplió con los criterios de independencia editorial. Al final se incluyeron 5 guías. Conclusión: Se elaboran recomendaciones orientadas a la estandarización de la práctica clínica de los profesionales involucrados en la atención de pacientes con vejiga neurogénica. Estas recomendaciones son aplicables en todos los países de Latinoamérica. En esta segunda parte se realizan recomendaciones respecto al tratamiento de pacientes pediátricos con vejiga neurogénica. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Andes Pediatrica is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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