Managing children with daytime urinary incontinence: a survey of Dutch general practitioners.
| Autor: | Oldenhof AP; Department of Urology, Isala Hospital, Zwolle, the Netherlands., Linde JM; Department of Urology, Isala Hospital, Zwolle, the Netherlands.; Department of General Practice and Elderly Care Medicine, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands., Hofmeester I; Department of Urology, Isala Hospital, Zwolle, the Netherlands., Steffens MG; Department of Urology, Isala Hospital, Zwolle, the Netherlands., Kloosterman-Eijgenraam FJ; Department of Paediatrics, Isala Hospital, Zwolle, the Netherlands., Blanker MH; Department of General Practice and Elderly Care Medicine, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands. |
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| Jazyk: | angličtina |
| Zdroj: | The European journal of general practice [Eur J Gen Pract] 2023 Dec; Vol. 29 (1), pp. 2149731. |
| DOI: | 10.1080/13814788.2022.2149731 |
| Abstrakt: | Background: In the Netherlands, parents of children with daytime urinary incontinence (UI) first consult general practitioners (GPs). However, GPs need more specific guidelines for daytime UI management, resulting in care and referral decisions being made without clear guidance. Objectives: We aimed to identify Dutch GP considerations when treating and referring a child with daytime UI. Methods: We invited GPs who referred at least one child aged 4-18 years with daytime UI to secondary care. They were asked to complete a questionnaire about the referred child and the management of daytime UI in general. Results: Of 244 distributed questionnaires, 118 (48.4%) were returned by 94 GPs. Most reported taking a history and performing basic diagnostic tests like urine tests (61.0%) and physical examinations (49.2%) before referral. Treatment mostly involved lifestyle advice, with only 17.8% starting medication. Referrals were usually at the explicit wish of the child/parent (44.9%) or because of symptom persistence despite treatment (39.0%). GPs usually referred children to a paediatrician ( n = 99, 83.9%), only referring to a urologist in specific situations. Almost half (41.4%) of the GPs did not feel competent to treat children with daytime UI and more than half (55.7%) wanted a clinical practice guideline. In the discussion, we explore the generalisability of our findings to other countries. Conclusion: GPs usually refer children with daytime UI to a paediatrician after a basic diagnostic assessment, usually without offering treatment. Parental or child demand is the primary stimulus for referral. |
| Databáze: | MEDLINE |
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