Master Theses UMCG - University of Groningen
 
English | Nederlands

Diagnostiek en behandeling van kinderen met urine-incontinentie overdag: ondanks een gezamenlijke richtlijn voor kinderartsen en urologen, bestaan er grote verschillen in de dagelijkse praktijk

(2018) Ypma, D. (Dineke)

Introduction: Daytime urinary incontinence (UI) is one of the most common urological complaints in children and can have a negative impact on a child’s quality of life. General practitioners refer these children as well to pediatrics as to urology. The difference in diagnostics and treatment by pediatricians and urologists is unknown. The aim of this study is to compare the diagnostic and therapeutic approach of pediatrics and urology with each other and with the guideline.
Methods: This retrospective database study included 252 children who were referred to Isala with daytime urinary incontinence in 2016 or 2017. General, diagnostic and therapeutic data of 194 children of pediatrics and 58 children of urology have been entered and analyzed.
Results: Pediatrics reported a more complete anamnesis and physical examination more often and treated more frequently with urotherapy (96.4% versus 78.5%, p<0.00086). Urology treated more often older children (9 [6-12] versus 6 [5-8] years old, p<0.00086), used more often (invasive) diagnostic tools, prescribed more often medication (68.8% versus 17.5%, p<0.00086) and saw patients more frequently (4 [2.0-6.0] versus 2 [1.0-2.3] times, p<0.00086) and longer (14.2 [8.3-19.6] versus 8.0 [4.6-13.3] months, p<0.00086) during the treatment process.
Conclusion: This study shows that the diagnostic and therapeutic approach of pediatricians and urologists on children with daytime UI is different in many ways. Furthermore, both specialisms regularly derogate from the guideline






 
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