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[Elimination disorders - ICD-11 classification and definitions]
1Klinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Universität des Saarlandes.
Insights
The ICD-11 classification for childhood elimination disorders lacks specificity compared to ICCS and Rome-IV criteria. Current ICD-11 definitions are insufficient for precise diagnosis and research in nocturnal enuresis and encopresis.
Area of Science:
- Pediatrics
- Urology
- Gastroenterology
Background:
- Elimination disorders, including nocturnal enuresis, daytime urinary incontinence, and encopresis, are prevalent in children.
- Accurate classification is crucial for effective diagnosis and treatment of these common pediatric conditions.
Purpose of the Study:
- To critically evaluate the International Classification of Diseases, 11th Revision (ICD-11) definitions and classifications for elimination disorders.
- To compare ICD-11 criteria with established systems like the International Children's Continence Society (ICCS) and Rome-IV criteria.
Main Methods:
- Comparative analysis of diagnostic criteria for enuresis and encopresis between ICD-11 and ICCS/Rome-IV.
- Literature review focusing on current research findings related to elimination disorders.
Main Results:
- ICD-11 definitions for elimination disorders do not align with current research findings.
- The ICD-11 classification lacks the specificity required for precise diagnoses and effective treatment planning.
- ICD-11 criteria are deemed insufficiently exact for robust scientific research.
Conclusions:
- The International Children's Continence Society (ICCS) and Rome-IV criteria are superior classification systems for clinical practice and research.
- Current ICD-11 classifications for elimination disorders require revision to meet clinical and research needs.
Abstract:
Elimination disorders - ICD-11 classification and definitions Abstract. Elimination disorders are common in children and are can be divided into three main groups: nocturnal enuresis, daytime urinary incontinence, and encopresis or fecal incontinence. There are also many subgroups that can be diagnosed exactly. This review critically presents the definitions and the classification suggestions of the ICD-11. It compares the definitions of enuresis according to ICD-11 with those of nocturnal enuresis and daytime urinary incontinence of the ICCS. It also contrasts encopresis according to ICD-11 with functional constipation and nonretentive fecal incontinence by the Rome-IV criteria. It becomes apparent that the ICD-11 does not reflect current research findings; that it does not render specific diagnoses, which are prerequisites for effective treatment; and that it is not exact enough for research. In conclusion, the ICCS and Rome-IV definitions are the preferred classification systems in clinical practice and research.
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