Interventions for Enuresis in Children and Adolescents: An Overview of Systematic Reviews
- Autores: Correia Moretti E.1, da Silva I.B.2, Boaviagem A.3, de Lima A.M.4, Lemos A.5
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Afiliações:
- Department of Anatomy, Federal University of Pernambuco, Child and Adolescent Health,, Federal University of Per-nambuco -
- Department of Morphology, Federal University of Paraiba
- Department of Physiotherapy, Federal University of Pernambuco
- Department of Animal Morphology and Physiology, Federal Rural University of Pernambuco
- Department of Physical Therapy, Federal University of Pernambuco
- Edição: Volume 20, Nº 1 (2024)
- Páginas: 76-88
- Seção: Medicine
- URL: https://rjeid.com/1573-3963/article/view/645428
- DOI: https://doi.org/10.2174/1573396318666220827103731
- ID: 645428
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Texto integral
Resumo
Background:enuresis is an involuntary and intermittent loss of urine during sleep and its treatment can be done by pharmacological and non-pharmacological strategies.
Objective:to conduct an overview to carry out a survey of the systematic reviews about treatment options for children/adolescents with enuresis.
Methods:Databases used were Cochrane Library, PROSPERO, MEDLINE/PubMed, EMBASE, LILACS/BVS, PEDro, SciELO and Google Scholar. Any type of intervention for the treatment of enuresis in children/adolescents were selected by two independent researchers. Data extraction was done by two independent researchers. The risk of bias was assessed using Risk of Bias in Systematic Reviews (ROBIS) and A MeaSurement Tool to Assess Systematic Reviews (AMSTAR-2).
Results:seven systematic reviews were included. According to ROBIS, three reviews had a low risk of bias, while the others had a high risk of bias. Based on AMSTAR-2, four systematic reviews were of moderate quality, two were low quality and one was critically low quality.
Conclusion:there is moderate confidence that the use of desmopressin plus an anticholinergic agent increases the chance of complete response compared to desmopressin alone. Neurostimulation may increase the risk of responses ≥50% and ≥90% compared to the control group. Likewise, it appears that electrical stimulation is superior to placebo about the chance of response ≥50%. In addition, there is the clinical relevance in reducing enuresis episodes per week when neurostimulation is used compared to control groups.
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Sobre autores
Eduarda Correia Moretti
Department of Anatomy, Federal University of Pernambuco, Child and Adolescent Health,, Federal University of Per-nambuco -
Autor responsável pela correspondência
Email: info@benthamscience.net
Ivson da Silva
Department of Morphology, Federal University of Paraiba
Email: info@benthamscience.net
Alessandra Boaviagem
Department of Physiotherapy, Federal University of Pernambuco
Email: info@benthamscience.net
Anna de Lima
Department of Animal Morphology and Physiology, Federal Rural University of Pernambuco
Email: info@benthamscience.net
Andrea Lemos
Department of Physical Therapy, Federal University of Pernambuco
Email: info@benthamscience.net
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