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Adherence to ICCS nomenclature guidelines in subsequent literature: a bibliometric study

Jasan Dannaway1, Heryanto Ng, Aniruddh V Deshpande

  • 1Sydney Medical School, University of Sydney, Sydney, Australia; Centre for Kidney Research, Sydney, Australia.

Neurourology and Urodynamics
|November 7, 2012
PubMed

Insights

The International Children's Continence Society (ICCS) guidelines improved terminology use in pediatric lower urinary tract dysfunction literature. However, some terms remain underused, and Medical Subject Headings (MeSH) need better alignment with ICCS recommendations.

Area of Science:

  • Pediatric Urology
  • Medical Terminology
  • Bibliometrics

Background:

  • The 2006 International Children's Continence Society (ICCS) published guidelines for pediatric lower urinary tract dysfunction (PLUTD) terminology.
  • The impact and adherence to these guidelines in published literature are not well understood.

Purpose of the Study:

  • To quantify adherence to the 2006 ICCS terminology guidelines in published literature.
  • To assess if Medical Subject Headings (MeSH) in MEDLINE reflect the recommended ICCS terminology.

Main Methods:

  • Searched seven pre-specified paired terms (obsolete vs. ICCS recommended) in pediatric literature (2002-2010).
  • Compared term usage between pre-guideline (2002-2005) and post-guideline (2007-2010) periods and across geographical regions.
  • Examined MeSH in MEDLINE for the use of ICCS preferred terminology.

Main Results:

  • Publications on pediatric urinary incontinence increased by 49% from 2002-2005 to 2007-2010.
  • A fourfold increase in the likelihood of using ICCS-recommended terminologies was observed post-guideline publication (OR: 4.19).
  • Approximately 25% of studies (2007-2010) still used obsolete terminologies, with "urotherapy" showing suboptimal uptake. Over half of ICCS terms were not found in MeSH.

Conclusions:

  • Adherence to ICCS terminology guidelines in pediatric lower urinary tract dysfunction literature is encouraging but suboptimal for specific terms.
  • Improved MEDLINE indexing is necessary for MeSH terms to accurately reflect ICCS-recommended terminology.
Abstract

Keywords:
LUTSchildeducationliterature searchstandardizationterminology

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