In a landmark trial published today, pediatric neurologists and urologists have concluded that pediatric urology is more effective than pediatric neurology for the treatment of chronic pain, a condition that affects one in every ten children.
The new study, published in the journal Neurology, involved more than 8,000 children who had severe, chronic conditions such as Crohn’s disease, epilepsy, and Parkinson’s disease.
The children were treated in an intensive care unit, a special hospital, and in an outpatient program.
“The children who received pediatric urodynamic care were much more likely to have improved outcomes,” Dr. G. V. Khatoon, the study’s lead author, told The Associated Press.
“That’s why the pediatric urotectomies are a much better option.”
The findings will be an important step in understanding whether pediatric urogynecology, the specialty that includes urology, is more important than pediatric orthopedic surgery for treating chronic pain.
The authors did not include data from children who were born alive.
However, a study published last year found that pediatric orthodontics, which include urology and plastic surgery, were more effective at treating osteoarthritis in children than pediatric urostomy.
Dr. Khetoon said he is excited to see what the results will mean for children.
“We hope to use these results to change the way pediatric urophysicians think about the patient and the health of their patients,” he said.
“They can start to think about whether urology should be their primary care.”