Impact of New vs. Old International Children’s Continence Society Standardization on the Classification of Treatment Naïve Enuresis Children at Screening: The Value of Voiding Diaries and Questionnaires

Frontiers in Pediatrics

article

Sevasti Karamaria¹  Nadejda Ranguelov²  Pernille Hansen³  Veerle De Boe⁴  Pieter Verleyen⁵  Nathalie Segers⁶  Johan Vande Walle¹  Lien Dossche¹  An Bael⁶ 

[1] Department of Internal Medicine and Pediatrics, Ghent University;Department of Pediatrics, Cliniques Universitaires St-Luc, Université catholique de Louvain;Department of Pediatrics;Department of Urology, Brussels University Hospital;Department of Urology;Department of Pediatrics, Pediatric Nephrology, Hospital Network Antwerp;Department of Pediatric Nephrology, Ghent University Hospital;Faculty of Medicine, University of Antwerp

关键词: children;    nocturnal enuresis;    clinical management tool;    questionnaire;    diary;    screening;    MNE;    NMNE;   

DOI  :  10.3389/fped.2022.862248

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Expert consensus papers recommend differentiating enuresis using questionnaires and voiding diaries into non- (NMNE) and monosymptomatic enuresis (MNE) is crucial at intake to decide the most appropriate workout and treatment. This national, Belgian, prospective study investigates the correlation, consistency, and added value of the two methods, the new against the old International Children’s Continence Society (ICCS) definitions, and documents the prevalence of the two enuresis subtypes in our population. Ninety treatment-naïve enuretic children were evaluated with the questionnaire, and the voiding diary and the two clinical management tools were compared. Almost 30% of the children had a different diagnosis with each method, and we observed inconsistencies between them in registering Lower Tract Symptoms (κ = –0.057–0.432 depending on the symptom). Both methods had a high correlation in identifying MNE ( rs = 0.612, p = 0.001) but not for NMNE ( rs = 0.127, p = 0.248). According to the latest ICCS definitions, the incidence of MNE was significantly lower (7 vs. 48%) with the old standardization. Conclusion The voiding diary and the questionnaire, as recommended by the ICCS at the screening of treatment-naïve enuretic patients, are considerably inconsistent and have significantly different sensitivities in identifying LUTS and thus differentiating MNE from NMNE. However, the high incidence of LUTS and very low prevalence of MNE suggest that differentiating MNE from NMNE to the maximum might not always correlate with different therapy responses.

【 授权许可】

CC BY