Can pre-treatment dysfunctional voiding and incontinence scoring system score predict treatment outcome in children with dysfunctional voiding - a randomized trial

Author:

Zivkovic Vesna1,Colovic Hristina1,Zlatanovic Dragan1,Vlajkovic Marina2

Affiliation:

1. University of Niš, Faculty of Medicine, Physical and Rehabilitation Medicine Clinic, Niš University Clinical Center, Niš, Serbia

2. University of Niš, Faculty of Medicine, Nuclear Medicine Department, Niš University Clinical Center, Niš, Serbia

Abstract

Introduction/Objective. Dysfunctional Voiding and Incontinence Scoring System (DVISS) was created to help diagnose functional voiding disorders in children based on their clinical symptoms. However, its role in prognosticating treatment outcome in dysfunctional voiding (DV) was not explored. The aim was to analyze the pre-treatment DVISS score?s ability to predict treatment outcomes in a pediatric population with DV. Methods. A total of 86 patients were divided into two groups at random. In addition to standard urotherapy, group A also received pelvic floor and diaphragmatic breathing exercises, while group B only received standard urotherapy. Initial and final DVISS scores for the 12-month treatment period were recorded. Both before and after the treatment, uroflowmetry with pelvic floor electromyography were performed together with residual urine volumes measurement. The treatment outcome (non-, partial and full response) was defined according to the objective improvement in daytime and nighttime wetting, constipation, urinary infections and uroflowmetry findings. The cut-off values, sensitivity, and specificity of the pre-treatment DVISS score in predicting non/partial and full response in group A and B were determined using Receiver Operating Characteristic (ROC) curve analysis. Results. Pre-treatment DVISS score could not predict full response in both groups (the area under the ROC curve < 0.50) nor non-/ partial response in A group (p = 0.127). In B group, sensitivity and specificity of the initial DVISS score (cut-off value 9.5) in prediction of non-/partial response was 73.1% and 33.3%, respectively (p = 0.043). Conclusion. DVISS cannot be used in the treatment result prediction in DV.

Publisher

National Library of Serbia

Subject

General Medicine

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3