Bladder and bowel dysfunctions in 1748 children referred to pelvic physiotherapy: clinical characteristics and locomotor problems in primary, secondary, and tertiary healthcare settings

The aims of this study are to evaluate in a pragmatic cross-sectional study, the clinical characteristics of childhood bladder and/or bowel dysfunctions (CBBD) and locomotor problems in the primary through tertiary health care setting. It was hypothesized that problems would increase, going from pri...

Full description

Saved in:
Bibliographic Details
Published in:European journal of pediatrics 2017-02, Vol.176 (2), p.207-216
Main Authors: van Engelenburg–van Lonkhuyzen, Marieke L., Bols, Esther M.J., Benninga, Marc A., Verwijs, Wim A., de Bie, Rob A.
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Pain - epidemiology
Adolescent
Analysis of Variance
Bladder
Chi-Square Distribution
Child
Child, Preschool
Children & youth
Constipation
Constipation - epidemiology
Cross-Sectional Studies
Family physicians
Fecal incontinence
Fecal Incontinence - epidemiology
Feces
Female
Girls
Health care
Hospitals
Humans
Infant
Male
Medicine
Medicine & Public Health
Motor Skills
Netherlands - epidemiology
Original
Original Article
Parents
Pediatrics
Pelvis
Physical therapy
Physical Therapy Modalities
Primary Health Care - statistics & numerical data
Questionnaires
Secondary Care - statistics & numerical data
Surveys and Questionnaires
Symptom Assessment
Tertiary Healthcare - statistics & numerical data
Urinary incontinence
Urination Disorders - epidemiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The aims of this study are to evaluate in a pragmatic cross-sectional study, the clinical characteristics of childhood bladder and/or bowel dysfunctions (CBBD) and locomotor problems in the primary through tertiary health care setting. It was hypothesized that problems would increase, going from primary to tertiary healthcare. Data were retrieved from patient-records of children (1–16 years) presenting with CBBD and visiting pelvic physiotherapists. Prevalence’s of dysfunctions were compared between healthcare settings and gender using ANOVA and chi-square test. Agreement between physicians’ diagnoses and parent-reported symptoms was evaluated (Cohen’s Kappa). One thousand seventy hundred forty-eight children (mean age 7.7 years [SD 2.9], 48.9% boys) were included. Daytime urinary incontinence ( P  = 0.039) and enuresis ( P  
ISSN:0340-6199
1432-1076
DOI:10.1007/s00431-016-2824-5