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

• DOI: 10.3389/fped.2022.862248
• Publication Date: 2022-03-30T00:00:01Z
• Authors: Sevasti Karamaria; Nadejda Ranguelov; Pernille Hansen; Veerle De Boe; Pieter Verleyen; Nathalie Segers; Johan Vande Walle; Lien Dossche; An Bael
• Keywords: SYMPTOMS; NOCTURNAL ENURESIS; NMNE; Pediatrics; RJ1-570; 03 medical and health sciences; 0302 clinical medicine; children; ADOLESCENTS; Medicine and Health Sciences; MANAGEMENT; DOCUMENT; TERMINOLOGY; COMMITTEE; nocturnal enuresis; clinical management tool; URINARY-TRACT FUNCTION; questionnaire; screening; DYSFUNCTION; 3. Good health; VOLUME; Human medicine; diary; MNE

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