Variation in the documentation of findings in pediatric voiding cystourethrogram

Few standards exist for reporting results of voiding cystourethrogram (VCUG). To assess the variation in reporting of VCUG findings from different facilities using a standardized assessment tool. VCUG reports were evaluated for demographic, technical, anatomical and functional information. Reports were categorized by age, gender, indication and vesicouretal reflux (VUR) status. Institutions were classified as a free-standing pediatric hospital (n = 3), pediatric hospital within a hospital (n = 11), or non-pediatric facility (n = 24) and reports were classified as having been read by a pediatric radiologist or not. Each category of outside reports (n = 152) was randomly matched with a twice-larger group of Hospital A reports from the same category (n = 304). Multivariate linear regression was used to analyze the association between the primary outcome (percentage of items described in dictated VCUG report) and the type of radiologist and institution. Of the 456 studies, 66% were in girls, 56% were in those