Proceedings of the 24th Paediatric Rheumatology European Society Congress: Part three

From Springer Nature via Jisc Publications Router.Publication status: PublishedHistory: collection 2017-09, epub 2017-09-0

A cost-effectiveness model comparing urinary biomarkers with diuretic renogram in diagnosing ureteropelvic junction obstruction in children

Background and Aims: In this cost-effectiveness model, we compared the cost-effectiveness of commonly used urinary biomarkers with conventional diuretic renogram (DR) in diagnosing ureteropelvic junction obstruction (UPJO). We hypothesized that urinary biomarkers are as effective as DR. Methods: We used incremental cost-effectiveness ratio (ICER) as a tool for our cost-effectiveness analysis model. The cost of biomarker assay and renogram were sourced from the same center while the accuracy data of DR and urinary biomarkers from the relevant pubications. Results: As the accuracy of individual biomarker increased, the ICER also got better. As a panel of biomarker was introduced, the ICER went to the negative range suggesting cost saving as well. ICER of most urine biomarkers is currently less expensive and less effective. When a biomarker panel was applied ICER became more expensive and effective. With higher samples, test running cost is likely to go down in future and thus biomarkers are likely become less expensive and more effective. Conclusions: Individual urine biomarkers are currently less expensive and less effective compared to DR in predicting UPJO. In future, biomarker panel is likely to be more cost-effective and reduce the need for invasive renogram thus reducing the radiation exposure

A study on parental awareness about feeding practices in children between the age group of 12 to 24 months

INTRODUCTION: Nutrition plays an integral part in growth and development of a child. Age-appropriate feeding is known to improve the child’s well-being and reduce the risk of specific diseases. The present study aimed to assess the awareness of parents regarding breastfeeding and complementary feeding practices. METHODOLOGY: This health-based prospective observational study was conducted in a tertiary care hospital enrolling 95 parents with children in the age group 1-2 years. The data was analyzed using SPSS version 26 and Microsoft excel. RESULTS: In the present study, the prevalence of exclusive breastfeeding was 73.68 %. Eighty-six (90.53 %) parents initiated complementary feeds at 6 months. However, only 45.26 % of children were consuming adequate quantity of complementary foods. The association of child’s calorie consumption with maternal age and occupation was found to be statistically significant. CONCLUSION: Adequate nutrition during childhood and infancy is a key factor influencing growth and development. Globally, poor nutrition has always been one of the salient causes of under 5 mortalities. Appropriate breastfeeding and complementary feeding practices are essential to reduce the incidence of malnutrition worldwide