Abstract
Objective
To study the agreement of questionnaire-based assessment with voiding diary for differentiating primary mono-symptomatic nocturnal enuresis from voiding disorder in children.
Method
Children 5–12 years old with bedwetting after exclusion of secondary enuresis were enrolled and parents filled a clinical management tool (CMT) questionnaire and a 48-hours voiding diary. Point prevalence and agreement of classification as primary mono-symptomatic nocturnal enuresis or voiding disorder were compared.
Results
Of 1276 children screened, 143 (11.2%) reported enuresis. Of 100 (82 males) children finally analyzed, constipation and positive family history occurred in 14% and 37%, respectively. Questionnaire-based assessment and voiding diary identified 65% and 71%, respectively as voiding disorder [Cohen’s kappa 0.542 (95%CI: 0.367–0.717)]. Discordance of classification was noted in 20%. Voiding diary identified additional 7% cases of voiding disorder.
Conclusion
While CMT and voiding diary have moderate agreement, voiding diary should be used for cases screened negative by a questionnaire-based tool.
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Contributions
Contributors: MK: conceptualization of study, drafting, finalization and approval of manuscript; SS: case recruitment, initial evaluation, literature review, manuscript drafting and approval: SKP: clinical assessment, analysis, drafting and approval of manuscript. All authors approved the final version of manuscript, and are accountable for all aspects related to the study.
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Ethics clearance: nstitutional ethics committee, Base Hospital Delhi Cantt; No. 139/2013 dated August 17, 2013.
Competing interest: None stated.
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Disclaimer: The work reported is those of the individual authors and in no way reflect the official position of the Directorate General Armed Forces Medical Services of India or Ministry of Defence.
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Sajith, S., Patnaik, S.K. & Kanitkar, M. Comparison of a Voiding Diary With Clinical Management Tool As an Outpatient Screening Tool for Childhood Functional Voiding Disorders. Indian Pediatr 58, 1147–1150 (2021). https://doi.org/10.1007/s13312-021-2397-x
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DOI: https://doi.org/10.1007/s13312-021-2397-x