Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1121
Title: Enuresis management in children: retrospective clinical audit of 2861 cases treated with practitioner-assisted bell-and-pad alarm.
Author: Apos, Esther
Schuster, Sharynn
Reece, John
Whitaker, Shirley
Murphy, Kerry
Golder, John
Leiper, Beverley
Sullivan, Linda
Gibb, Susie
Issue Date: 2017
Publication Title: Journal of Pediatrics
Volume: 193
Start Page: 211
End Page: 216
Abstract: Objective: To establish the treatment efficacy of practitioner-assisted bell-and-pad alarm therapy in children with enuresis between the ages of 5 and 16 years by retrospective medical chart review of 2861 children in multiple clinical settings. Study design: This review was conducted across 7 Australian clinical practices. The primary outcome measure was the time taken for children with either primary, secondary, monosymptomatic, or nonmonosymptomatic enuresis to be dry for 14 consecutive nights. The secondary outcome measure was to determine relapse rates, defined as 1 symptom recurrence per month post interruption of treatment. Data were analyzed by correlation and χ2 test via IBM SPSS Statistics (version 22). Results: The overall success rate of the bell and pad treatment was 76%, irrespective of age. The mean treatment time to achieve dryness was 62.1 ± 30.8 days, and the relapse rate was 23%. Concurrent bowel dysfunction was associated with a slightly lower success rate (74%). Concurrent lower urinary tract symptoms were associated with a lower success rate (73%) and greater relapse (1.75 times more likely to relapse). Children with secondary enuresis had significantly greater success than those with primary enuresis (82% vs 74%). Conclusion: The type of alarm therapy reported in this study is highly effective. This study will provide the basis for clinical guidelines and practice tools for clinicians, which will help to reduce variation in care pathways for alarm treatment for enuresis.
URI: http://hdl.handle.net/11054/1121
ISSN: 0022-3476
DOI: https://doi.org/10.1016/j.jpeds.2017.09.086
Internal ID Number: 01113
Health Subject: BEDWETTING
NOCTURNAL ENURESIS
DIURNAL ENURESIS
UROLOGY
PEDIATRIC UROLOGY
ALARM THERAPY
NEPHROLOGY
CHILDREN
URINARY INCONTINENCE
TREATMENT OUTCOME
RETROSPECTIVE STUDIES
AUSTRALIA
Type: Journal Article
Article
Appears in Collections:Research Output

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