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Current Pediatric Reviews

Editor-in-Chief

ISSN (Print): 1573-3963
ISSN (Online): 1875-6336

Systematic Review Article

Interventions for Enuresis in Children and Adolescents: An Overview of Systematic Reviews

Author(s): Eduarda Correia Moretti*, Ivson Bezerra da Silva, Alessandra Boaviagem, Anna Myrna Jaguaribe de Lima and Andrea Lemos

Volume 20, Issue 1, 2024

Published on: 21 September, 2022

Page: [76 - 88] Pages: 13

DOI: 10.2174/1573396318666220827103731

Price: $65

Abstract

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 was 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 clinical relevance in reducing enuresis episodes per week when neurostimulation is used compared to control groups.

Keywords: Enuresis, child, adolescent, therapeutics, systematic review, evidence-based practice.

Graphical Abstract
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