Study

Pediatric KIDney Stone (PKIDS) Care Improvement Network


Study Dates
2019-11 - 2021-10
Principal Investigator
Tasian, Gregory
Affiliation
Children's Hospital of Philadelphia
Sponsor Site
PEDSnet Data Coordinating Center
PEDSnet Study ID
2019.GRER.PCORI.DCC.160

Founded in 2019, PKIDS is a learning health system with a mission to improve outcomes for children with kidney stone disease through collaborative patient-centered research and is comprised of patients, caregivers, and clinicians at 26 pediatric healthcare systems in North America. PKIDS has an established infrastructure for collaborative research and is currently engaged in clinical trials and observational studies funded by PCORI, NIH, and industry. The PKIDS Engagement Core, including the PFP, ensures the co-production of all network activities by key stakeholders, particularly adolescents with kidney stones and their caregivers. Eight PKIDS sites have additional membership in PEDSNet, a robust CDRN supporting pediatric learning health.

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Funding

This research was made possible through the generous support of Patient-Centered Outcomes Research Institute. The statements presented in this work are solely the responsibility of the author(s) and do not necessarily represent the views of PCORI, its Board of Governors, or its Methodology Committee.

Creative Commons license

a CC-BY 4.0 Attribution license.
Except where otherwised noted, this item's license is described as a CC-BY 4.0 Attribution license.

Publisher

PEDSnet

Project Description

Study to improve the ability of pediatric patients and their caregivers to select surgical treatment options for kidney stones and to enable urologists to use techniques that result in the best outcomes for these surgeries.

Kidney stones are one of the fastest growing health conditions among children, adolescents, and young adults. The rapid increase over a short period of time has resulted in a large number of pediatric patients who require surgery to remove kidney stones with very little information available to guide selection of treatment options. There are three alternative approaches to remove kidney stones:

  • Ureteroscopy (an endoscopic outpatient procedure)
  • Shockwave lithotripsy (a noninvasive outpatient procedure)
  • Percutaneous nephrolithotomy (a minimally invasive surgery with a short hospital stay)

This study will compares stone clearance (a primary determinant of painful stone passage, Emergency Department visits, and surgical retreatment) and patients’ experiences after ureteroscopy, shockwave lithotripsy and percutaneous nephrolithotomy for patients 8 to 21 years of age. The findings provide information that helps pediatric patients and their caregivers make individualized decisions on selecting the most appropriate surgical treatment option.

Study Aims

  1. To compare stone clearance for ureteroscopy (URS), shockwave lithotripsy (SWL), and percutaneous nephrolithotomy (PCNL).
  2. To compare patients’ experiences after URS, SWL, and PCNL

Study Design

This is a prospective cohort study. Investigators seek to compare stone clearance, re-treatment, and unplanned healthcare encounters for ureteroscopy, shockwave lithotripsy, and percutaneous nephrolithotomy.

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