Delayed in toilet training association with pediatric lower urinary tract dysfunction: A systematic review and meta-analysis

Li, Xing; Wen, Jian Guo; Xie, Hui; Wu, Xingrong; Shen, Tong; Yang, Xiao Qing; Wang, Xi Zheng; Chen, Gui Xia; Mei, Yang; Du, Yu

doi:10.1016/j.jpurol.2020.02.016

Cited by 9 publications

(6 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The 20 recent articles [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] on meta-analyses were published in the JPUrol between October 9, 2017, and May 17, 2021. Of these, only seven [19][20][21][22][23][24][25] were included for the calculation of FI.…”

Section: Resultsmentioning

confidence: 99%

“…Of these, only seven [19][20][21][22][23][24][25] were included for the calculation of FI. The remaining were excluded as they incorporated non-comparative studies [6][7][8][9][10][11][12][13][14][15][16][17] and/or none of the defined methods for pooling the estimates (Mantel-Haenszel or inverse variance or Peto) were identified in them [6][7][8][9][10][11][12][13][14][15][16][17][18]. Among the seven included studies, there were 22 individual meta-analyses.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Fragility Index of Recently Published Meta-Analyses in Pediatric Urology: A Striking Observation

Anand¹,

Kainth²

2021

Cureus

View full text Add to dashboard Cite

Background and objectiveFragility Index (FI) of meta-analyses determines their stability in terms of the level of confidence and strength behind the results depicted by them. The present study was conducted to estimate the FI of recently published meta-analyses in the Journal of Pediatric Urology (JPUrol). MethodTwenty recently published articles on meta-analyses were screened to identify the eligible ones. The baseline data of each meta-analysis including the details of the author, number of included studies, total sample size, the total number of events, the status of the overall outcome (significant or non-significant), type of effect measure, type of method used for pooling the estimates, and type of effects model were recorded. FI was calculated by doing each single status modification. The 95% CI of the treatment effect was re-calculated until the statistical significance of the meta-analysis was reversed. ResultsA total of seven articles incorporating 22 meta-analyses were included. Seven (32%) of them had a statistically significant outcome prior to FI estimation. The risk ratio (17/22; 77%) was the most commonly used effect measure. The random-effects model (15/22; 68%) and the Mantel-Haenszel method (20/22; 91%) of pooling the estimates were utilized in the majority of meta-analyses. The median (Q1-Q3; range) FI of statistically significant, non-significant, and total meta-analyses were 5 (3-19.5; 2-39), 5 (3.5-6; 1-17), and 5 (3-13; 1-39) respectively. FI of ≤5 was noticed in four out of seven (57%), 9/15 (60%), and 13/22 (59%) of these meta-analyses respectively. ConclusionBased on our findings, the majority of the recently published meta-analyses in the field of pediatric urology are fragile and depend upon the event status of ≤5 participants.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Fragility Index of Recently Published Meta-Analyses in Pediatric Urology: A Striking Observation

Anand¹,

Kainth²

2021

Cureus

View full text Add to dashboard Cite

show abstract

“…There are differences in the toilet training onset age among countries and cultures. Globally, attitudes and practices toward EC have changed constantly for decades, and children are initiating and completing EC later than in previous generations ( 2 , 4 , 9 , 13 , 14 ). The age of initiation of EC has progressively increased in the USA from under 18 months in the late 1940s to 21-36 months today ( 12 , 13 ).…”

Section: Discussionmentioning

confidence: 99%

“…Globally, attitudes and practices toward EC have changed constantly for decades, and children are initiating and completing EC later than in previous generations ( 2 , 4 , 9 , 13 , 14 ). The age of initiation of EC has progressively increased in the USA from under 18 months in the late 1940s to 21-36 months today ( 12 , 13 ). Caucasian parents believed that EC should be initiated at a later age (25.4 months) than that believed by African American (18.2 months) or other parents (19.4 months) ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

Delayed elimination communication is a crucial factor in disposable diaper dependence in Chinese preschool-aged children

Mao

et al. 2023

Front. Pediatr.

Self Cite

View full text Add to dashboard Cite

PurposeElimination communication (EC) is considered to be a milestone in a child's development. Nowadays, a trend toward an older age at EC initiation has been observed globally, probably due to the convenience of disposable diaper use in daily life. The study aimed to identify potential risk factors for disposable diaper dependence (DDD) and evaluate whether an early/proper EC can reduce the risk of DDD among children in China.MethodsA cross-sectional study was performed on 13,500 children in mainland China from October 2019 to March 2020. An anonymous questionnaire was used to collect information including the sociodemographic characteristics, details about DDD and EC, and the effect of DDD on the quality of life of children. Data were analyzed by SPSS and R software.ResultsThe overall prevalence of DDD was 4.17% (4.31% in boys; 4.02% in girls) and decreased with age, from 8.71% at 2 years to 0.73% at 6 years (χ2trend = 210.392, P < 0.001). In univariable analysis, age, location or EC were associated with DDD. Four independent factors—age, location (urban), caregivers with high education levels (junior college or above) and delayed EC (after 12 months of age)—were identified to be significantly associated with DDD risk in logistic regression model. Compared with EC onset after 12 months of age, EC onset before 12 months of age was associated with a 79.6% (model 2) reduction in DDD. Four independent factors were selected to establish the nomogram for DDD based on the results of logistic regression analysis. The C-index (0.770) and the AUC (>0.7) indicated satisfactory discriminative ability of the nomogram. The calibration diagrams showed favorable consistency between the prediction of the nomogram and actual observations.ConclusionOur findings indicate the joint contribution of age, location, caregivers’ education level and EC to DDD in Chinese preschool-aged children. Timely cessation of the use of disposable diapers and early/proper EC may help to reduce the risk of DDD in children.

show abstract

“…Dibutuhkan kesiapan orang tua dan anak. Meskipun menunggu kesiapan anak, akan tetapi penelitian lain menyebutkan bahwa waktu optimal untuk memulai toilet training sebelum usia 24 bulan jika latihan dimulai setelah usia 24 bulan atau lebih, hal itu dapat menyebabkan peningkatan prevalensi disfungsi lower urinary tract (Li et al, 2020).…”

unclassified

Tingkat pengetahuan ibu memengaruhi keberhasilan toilet training pada anak prasekolah

et al. 2021

View full text Add to dashboard Cite

Pendahuluan:Tugas perkembangan kemandirian anak pada usia toddlerdapat dilatih dengan toilet training. Faktanya pada anak prasekolah masih ada yang anak yang belum siap dan belum berhasil melakukan toilet training. Hasil studi pendahuluan salah satu TK di Lamongan menunjukkan sebagian kecil anak prasekolah masih mengompol dan memakai pampers saat malam hari. Penelitian ini bertujuan untuk menganalisis hubungan tingkat pengetahuan ibu dengan keberhasilan toilet trainingpada anak prasekolah. Metode:Penelitian cross sectionaldengan jumlah sampel 40 responden memakai teknik simple random sampling. Pengumpulan data menggunakan kuesioner tingkat pengetahuan ibu dan kuesioner keberhasilan anak dalam toilet training. Analisa data meliputi univariat dan uji fishers exact test(p value < 0.05). Hasil:Penelitian menyebutkanadanya hubungan antara tingkat pengetahuan ibu dengan keberhasilan toilet training pada anak prasekolah (p value = 0.013).Simpulan:Perlu adanya pendidikan kesehatan dari puskesmas dan dinas pendidikan tentang toilet training kepada orang tua untuk meningkatkan kesiapan dan keberhasilan toilet training.

show abstract

Delayed in toilet training association with pediatric lower urinary tract dysfunction: A systematic review and meta-analysis

Cited by 9 publications

References 25 publications

Fragility Index of Recently Published Meta-Analyses in Pediatric Urology: A Striking Observation

Fragility Index of Recently Published Meta-Analyses in Pediatric Urology: A Striking Observation

Delayed elimination communication is a crucial factor in disposable diaper dependence in Chinese preschool-aged children

Tingkat pengetahuan ibu memengaruhi keberhasilan toilet training pada anak prasekolah

Contact Info

Product

Resources

About