Clinical features of, and association of bladder ultrasound and uroflowmetry with, overactive bladder recovery period in children

Fuyama, Masaki; Ikeda, Hirokazu; Oyake, Chisato; Onuki, Yuta; Watanabe, Tsuyoshi; Isoyama, Keiichi

doi:10.1111/ped.13577

Cited by 6 publications

(3 citation statements)

References 40 publications

(89 reference statements)

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“…Other symptoms of lower urinary tract dysfunction might be associated with urinary incontinence. 18,19 In our study, urinary urgency, holding maneuvers to prevent voiding, incomplete bladder emptying, and frequent voiding were determined as independent variables with high feature values, and if present, they would influence the MLT in the prediction of enuresis.…”

Section: Discussionmentioning

confidence: 97%

Application of Machine Learning Techniques for Enuresis Prediction in Children

et al. 2020

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Introduction As a subset of artificial intelligence, machine learning techniques (MLTs) may evaluate very large and raw datasets. In this study, the aim is to establish a model by MLT for the prediction of enuresis in children. Materials and Methods The study included 8,071 elementary school students. A total of 704 children had enuresis. For analysis of data with MLT, another group including 704 nonenuretic children was structured with stratified sampling. Out of 34 independent variables, 14 with high feature values significantly affecting enuresis were selected. A model of estimation was created by training the data. Results Fourteen independent variables in order of feature importance value were starting age of toilet training, having urinary urgency, holding maneuvers to prevent voiding, frequency of defecation, history of enuresis in mother and father, having child's own room, parent's education level, history of enuresis in siblings, consanguineous marriage, incomplete bladder emptying, frequent voiding, gender, history of urinary tract infection, and surgery in the past. The best MLT algorithm for the prediction of enuresis was determined as logistic regression algorithm. The total accuracy rate of the model in prediction was 81.3%. Conclusion MLT might provide a faster and easier evaluation process for studies on enuresis with a large dataset. The model in this study may suggest that selected variables with high feature values could be preferred with priority in any screening studies for enuresis. MLT may prevent clinical errors due to human cognitive biases and may help the physicians to be proactive in diagnosis and treatment of enuresis.

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Section: Discussionmentioning

confidence: 97%

Application of Machine Learning Techniques for Enuresis Prediction in Children

et al. 2020

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“…Sonuçta acil işeme ile birlikte olan inkontinans, normal akış paterni ve düşük hacimli işeme ve tutma manevraları gösterir (6,16). Pediatrik AAM için tanı göstergeleri esas olarak, acil işeme veya AAM'nin sadece kısmi semptomları olan sık işeme veya üriner inkontinans gibi semptomlardır (17). Detrusor yetersizliği ve akontraktilitesi, başlangıçta yüksek detrusor basınçları müteakip detrusor de-kompansasyonuyla başlayan ve düşük basınçla sonuçlanan Dİ ile ilgili bir depolama anormalliği spektrumunda bir son nokta olarak ortaya çıkabilir.…”

Section: Discussionunclassified

Çocuklarda alt üriner sistem disfonksiyonu tanısı için klinik kriterler

Açarı¹

2023

Jour Umraniye Pediatr

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Objective: Functional urinary incontinence can be diurnal, nocturnal, or diurnal and is a manifestation of the lower urinary tract dysfunction (LUTD). The aim of this study is to determine non-invasive clinical criteria that can be used in the diagnosis of LUTD. Material and Methods: Ninety-four patients with functional urinary incontinence, whose medical records were followed in the pediatric nephrology clinic, were included in the study. Patients were evaluated retrospectively, descriptively, and analytically. Results: Fifty-one patients (54.3%) had overactive bladder (OAB), and 11 had dysfunctional voiding (DI). Frequent voiding symptoms, urgency, and holding maneuvers were more common in the OAB and AAB-DI groups, while straining and intermittency was more common in the DI group. The combination of holding maneuvers and maximum voiding volume findings in OAB cases was found to have high sensitivity for diagnosis. According to the voiding chart, the diagnosis of OAB was found in 82.4% of patients with a mean voiding volume/expected bladder capacity ratio below 50%, with more than seven voiding complaints and findings of holding maneuvers. The relationship between the absence of urge symptoms, intermittent voiding, and the detection of PVR for DI was significant and sensitive. Dysfunctional voiding was diagnosed in 82.8% of the patients with intermittent voiding complaints, no symptoms of urgency, and significant PVR on ultrasonography. Conclusion:The OAB group constitutes a significant portion of LUTD patients. The diagnosis of OAB can be considered in cases with positive urgency and holding maneuvers, with no PVR on ultrasonography, whose maximum volume is less than 50% of the expected bladder capacity in the voiding frequency-volume chart, whose daily voiding number is above seven, and whose holding maneuvers are positive. Dysfunctional voiding prediagnosis can be predicted in cases with PVR and complaints such as intermittent voiding and urinating by straining, generally with a low number of voidings.

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“…Therefore, we categorized subjects into two groups (those that achieved CR within 12 months and those that did not achieve CR within 12 months) to verify the degree of improvement in HRQOL. In our previous study of the duration of therapy for DUI with overactive bladder, the mean duration to achieve CR for DUI was 11.9 months [34]. Therefore, patients were divided into two groups: those who achieved CR within 12 months and those who achieved after > 13 months.…”

Section: Discussionmentioning

confidence: 99%

Complete resolution of urinary incontinence with treatment improved the health-related quality of life of children with functional daytime urinary incontinence: a prospective study

Ikeda

Oyake

Oonuki

et al. 2020

Health Qual Life Outcomes

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Background: To assess the health-related quality of life (HRQOL) of children with daytime urinary incontinence (DUI) based on pre-and post-treatment self-reports and parent proxy-reports. Methods: The study population comprised 117 children with at least one episode of DUI per week and their caregivers as well as 999 healthy children (control group). The Pediatric Quality of Life Inventory 4.0 (PedsQL) questionnaire was administered to assess the HRQOL of children. To assess the degree of improvement in HRQOL, we categorized children into two groups: group A achieved complete response (CR) to treatment within 12 months and group B did not achieve CR within 12 months. CR was defined as the complete resolution of symptoms or alleviation of symptoms to < 1 DUI episode/month. Results: Valid responses were collected from 84 children [53 boys and 31 girls; mean age: 7.9 ± 1.5 years (range, 6-12)]. Sixtytwo patients (73.8%) were classified into group A and 22 (26.1%) into group B. Based on self-reports, significant post-treatment improvement was observed in the scores of all PedsQL items (mean total score: 82.2 ± 11.3 vs. 87.2 ± 9.8; P = 0.003). Group A showed significant improvement in the scores of all PedsQL items after achievement of CR based on child self-reports; however, this was improvement not observed in group B. Conclusions: To the best of our knowledge, this is the first study to demonstrate the complete resolution of DUI with treatment for improving the HRQOL of these children.

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Clinical features of, and association of bladder ultrasound and uroflowmetry with, overactive bladder recovery period in children

Abstract: Bladder wall thickness and uroflow curve shape are related to the recovery period of pediatric OAB.

Cited by 6 publications

References 40 publications

Application of Machine Learning Techniques for Enuresis Prediction in Children

Application of Machine Learning Techniques for Enuresis Prediction in Children

Çocuklarda alt üriner sistem disfonksiyonu tanısı için klinik kriterler

Complete resolution of urinary incontinence with treatment improved the health-related quality of life of children with functional daytime urinary incontinence: a prospective study

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