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[Elimination disorders - ICD-11 classification and definitions].

Alexander von Gontard1

  • 1Klinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Universität des Saarlandes.

Zeitschrift Fur Kinder- Und Jugendpsychiatrie Und Psychotherapie
|September 21, 2020
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
EnkopresisEnuresis nocturnaICCSICD-11ObstipationRome-IVStuhlinkontinenzconstipationdaytime urinary incontinenceencopresisfecal incontinencefunktionelle Harninkontinenz tagsnocturnal enuresis

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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.