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Enuresis and sleep fellowship education

  • Pediatrics • Original Article
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Abstract

Purpose

Enuresis is a common sleep-related concern in school aged children that gradually decreases into adulthood. We performed a survey of sleep providers in order to assess their comfort level in managing patients with enuresis.

Methods

Survey participants were recruited via the Pedsleep listserv and sleep medicine program directors in the USA on basecamp application. The Pedsleep list includes a mixture of physicians, psychologists, and other sleep providers/researchers.

Results

Forty-two sleep providers completed the survey. Forty (95%) were board certified in sleep medicine, and 32 (76%) were board certified in pediatrics. Practice patterns for management of enuresis varied among respondents, with 69% who evaluate for possible contributions from other sleep disorders such as obstructive sleep apnea then refer for additional management. Nineteen (45%) respondents felt that they received inadequate or very inadequate training during their sleep fellowship for management of enuresis. While 83% of respondents worked in an academic medical center setting, none of their respective sleep clinics were the primary managing clinic at their own situation. Participants who endorsed their training as adequate/very adequate were significantly more likely to feel comfortable/very comfortable managing enuresis (90% vs 37.5%, p = 0.009).

Conclusions

A large percentage of sleep providers are lacking essential training to manage enuresis patients. These results suggest the need for additional educational initiatives in this area.

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Abbreviations

REDCap:

Research Electronic Data Capture

DDAVP:

1-Deamino-8-D-arginine vasopressin or desmopressin

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Acknowledgements

We thank the Medical Writing Center at Children's Mercy Kansas City for editing this manuscript.

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Authors and Affiliations

  1. Division of Pulmonary and Sleep Medicine, Department of Pediatrics, Children’s Mercy Hospital, Kansas City, MO, USA

    Baha Al-Shawwa & David G. Ingram

Authors
  1. Baha Al-Shawwa
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  2. David G. Ingram
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All authors have seen and approved the final manuscript.

Corresponding author

Correspondence to Baha Al-Shawwa.

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Ethics approval

All procedures performed in study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was approved by institutional review board at Children’s Mercy (STUDY00001585).

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This type of study does not require informed consent.

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The authors declare no competing interests.

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Al-Shawwa, B., Ingram, D.G. Enuresis and sleep fellowship education. Sleep Breath 26, 1377–1380 (2022). https://doi.org/10.1007/s11325-021-02518-6

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  • DOI: https://doi.org/10.1007/s11325-021-02518-6

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