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Published on: October 2, 2019
Clinical phenotyping of children with nocturnal enuresis: A key classification to improve the approach
Rita Pavione Rodrigues Pereira1, Aline Mari Mazzali Pessoa Martins1, Isabela Teixeira Mendes de Carvalho1
1Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional da Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, SP, Brazil; LIM 54 - Laboratório de Investigação em Fisioterapia, Hospital das Clínicas da Faculdade de Medicina da Universidade De São Paulo, Sao Paulo, SP, Brazil.
Insights
This study developed a new phenotyping model for childhood nocturnal enuresis, recognizing it as a systemic condition. This model aids in understanding associated clinical issues and improving treatment strategies for better child development.
Area of Science:
- Pediatrics
- Urology
- Clinical Medicine
Background:
- Nocturnal enuresis involves systemic clinical manifestations impacting children's quality of life.
- Understanding the relationship between these manifestations is a clinical challenge.
Purpose of the Study:
- To develop an evidence-based clinical phenotyping model for children with nocturnal enuresis.
- To categorize associated clinical manifestations for better understanding of pathophysiological mechanisms.
Main Methods:
- An analytical and methodological literature review was conducted.
- Bibliometric analysis was used to analyze outcomes.
- Clinical manifestations were categorized and validated by an expert committee.
Main Results:
- A comprehensive phenotyping model for childhood nocturnal enuresis was developed.
- Clinical manifestations were categorized based on frequency and literature findings.
- The model was visually represented for professional understanding.
Conclusions:
- An evidence-based phenotyping model for childhood nocturnal enuresis has been successfully developed.
- This model facilitates a better understanding of integrated clinical manifestations.
- It supports more assertive assessment and tailored therapeutic selection.
Introduction:
The literature shows that nocturnal enuresis is not an isolated phenomenon of urinary loss during sleep, but encompasses a set of systemic clinical manifestations that significantly influence children's quality of life and development. However, the understanding of the clinical and physiological relationship of these systemic manifestations remains a clinical challenge. The recognition of these manifestations and their subsequent categorisation, may provide better insights into integrated clinical manifestations, facilitating the understanding of pathophysiological mechanisms, and promote increased assertiveness in the assessment and the selection of appropriate therapies.
Objective:
The aim of this study is to develop a phenotyping model for children with nocturnal enuresis based on evidence.
Methods:
This study presents a clinical phenotyping model for children with nocturnal enuresis based on an analytical and methodological review of the literature, about nocturnal enuresis and its associated clinical manifestations. There was a bibliometric analysis carried out to better analyse outcomes. After reading and analysing the literature, the clinical manifestations were categorised into domains and submitted to the validation of an expert committee with extensive experience in their specific area of expertise. A visual representation of the categorised model was developed to make the phenotyping concept easily understandable to all professionals.
Results:
The clinical manifestations related to nocturnal enuresis have been categorised according to frequency and relation found in the literature and validation by an expert committee and the development of the phenotyping model for children with nocturnal enuresis was completed.
Conclusion:
The present study developed an evidence-based phenotyping model for children with nocturnal enuresis.
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