International children's continence society's recommendations for initial diagnostic evaluation and follow-up in congenital neuropathic bladder and bowel dysfunction in children
International children's continence society's recommendations for initial diagnostic evaluation and follow-up in congenital neuropathic bladder and bowel dysfunction in children
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DOI：
10.1002/nau.22247
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发表时间：
2012-06-01
影响因子：
2
通讯作者：
Jorgensen, Troels Munch
中科院分区：
文献类型：
--
作者：
Bauer, Stuart B.;Austin, Paul F.;Jorgensen, Troels Munch
目的 本 ICCS 标准化文件的目的是报告神经性膀胱功能障碍儿童的初步诊断评估和后续检查。材料和方法 由于缺乏一级或二级证据出版物，这些建议实际上是最佳实践的汇编，因为它们似乎有效且可靠，尽管没有任何控制。结果 在整个文件中，重点是促进对下尿路功能进行早期、全面的评估，该评估要彻底，但要尽量减少不必要的测试。这包括需要进行哪些测试、何时进行测试以及如何处理结果。有些建议可能在世界各地并不实用，但建议的测试应被视为完全诊断的理想方法，然后在充分了解病情及其对泌尿道功能的影响的基础上推广治疗方法。一旦确定了研究结果，那些使肾脏面临恶化风险的下尿路功能障碍模式，成为最终实现节制的障碍，并对下尿路产生长期影响，就可以通过具体的管理建议来消除。每个诊断类别和随访期间都明确规定了实现这些目标的研究指征和时机。建议 本文件应作为对影响儿童的各种神经泌尿系统疾病进行适当评估和及时监测的基础。神经尿素。尿动力学。 31:610614, 2012。(C) 2012 Wiley 期刊公司。
Purpose The objective of this ICCS standardization document is to report the initial diagnostic evaluation and subsequent work-up of children with neuropathic bladder dysfunction. Materials and Methods Due to a paucity of level I or level II, levels of evidence publications, these recommendations are actually a compilation of best practices because they seem to be effective and reliable, although not with any control. Results Throughout the document, the emphasis is on promoting early, comprehensive evaluation of lower urinary tract function that is thorough but with a minimum of unnecessary testing. This includes what tests to order, when to order them and what to do with the results. Some of the recommendations may not be practical in various worldwide locations but the suggested testing should be considered the ideal approach to completely diagnosing and then promulgating treatments based on the full knowledge of the condition and its effect on urinary tract function. Once the findings are delineated, those lower urinary tract patterns of dysfunction that put the kidneys at risk for deterioration, that are barriers to attaining eventual continence, and that have long-term consequence to the lower urinary track can be obviated by specific management recommendations. The indications and timing of investigations to achieve these objectives are clearly defined in each diagnostic category and during follow-up. Recommendations This document should be used as a basis for appropriate evaluation and timely surveillance of the various neuro-urologic conditions that affect children. Neurourol. Urodynam. 31:610614, 2012. (C) 2012 Wiley Periodicals, Inc.