Standard urotherapy as first-line intervention for daytime incontinence: a meta-analysis.
According to the International Children’s Continence Society (ICCS) guidelines for the treatment of daytime urinary incontinence (DUI) in children and adolescents, the first-line intervention for all types of DUI is standard urotherapy (SU). Despite this recommendation there is still no meta-analysi...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 27; no. 8; pp. 949 - 965 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2018
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130842455&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130842455 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Aug2018 vid: 27 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 130842455 130842455 130842455 10.1007/s00787-017-1051-6 130842455 ppf: 949 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Standard urotherapy as first-line intervention for daytime incontinence: a meta-analysis. aug: au: Schäfer, S. K. Niemczyk, J. von Gontard, A. Pospeschill, M. Becker, N. Equit, M. affil: Department of Psychology, Saarland University, Building A 1.3, 66123, Saarbrücken, Germany sug: subj: Urinary Incontinence Therapy Meta Analysis Human Odds Ratio Disease Remission Child Adolescence Effect Size Treatment Outcomes Systematic Review Child: 6-12 years Adolescent: 13-18 years ab: According to the International Children’s Continence Society (ICCS) guidelines for the treatment of daytime urinary incontinence (DUI) in children and adolescents, the first-line intervention for all types of DUI is standard urotherapy (SU). Despite this recommendation there is still no meta-analysis available on the effectiveness of SU. The aim of this study is to provide a meta-analytic evaluation of the intervention. This meta-analysis is based on Odds Ratios (OR) and consists of 26 patient samples out of 19 studies (N = 1609), collected from well-established medical databases. Remission rates after SU are compared to spontaneous remission rates, which are matched to the individual follow-up period. The meta-analysis shows that SU is an effective treatment of DUI. Compared to a spontaneous remission rate of 15.40% per year, urotherapy increases the probability to recover by a factor of 7.27 (6.57 if corrected for publication bias). After exclusion of three outlying samples this effect can be generalized for all types of SU and all patient populations. Moderator analyses cannot identify variables which significantly influence the variance of effect sizes. However, RCTs seem to be associated with lower effects, even when the control group is not considered for effect size calculation. Based on the present meta-analysis, SU is an effective intervention for treating DUI in children and adolescents. Of 100 patients in 1 year, approximately 56 patients (54 if corrected for publication bias) remit after being treated with SU, while only 15 out of 100 remit spontaneously. However, to further quantify the effect size of SU in comparison to spontaneous remission rates and other treatments, additional RCTs are still needed. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|