SciELO - Scientific Electronic Library Online

 
vol.35 issue1Evaluation of dystrophic calcinosis in juvenile dermatomyositis and systemic sclerosisTotal anomalous pulmonary veins to the portal vein: Value of multislice CT angiography. Report of three cases author indexsubject indexsearch form
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Acta pediátrica de México

On-line version ISSN 2395-8235Print version ISSN 0186-2391

Abstract

MEAVE-CUEVA, Luis Guillermo; DIAZ-GARCIA, Luisa  and  GARZA-ELIZONDO, Rosalía. Diagnosis and treatment of non-organic enuresis in children: Clinical Practice Guidelines. Acta pediatr. Méx [online]. 2014, vol.35, n.1, pp.15-21. ISSN 2395-8235.

Background: Bedwetting is an involuntary urination during sleep at the age of 5 years or older. Clinical Practice Guidelines (CPG) have been developed to improve decision-making strategies and standardize medical practice. The Ministry of health in Mexico developed the CPG diagnosis and treatment of non-organic enuresis at the first level of prevention in children. Its evidence is evaluated with the USPSTF (United States Preventive Services Task Force). Material and methods: Original articles that justify the evidence of Mexican CPG were sought and identified in virtual libraries: Pubmed, Embase, Cochrane Library plus, and then analyzed with the instrument of the USPSTF. Results: Sixty articles were reviewed. They're the basis for evidence formulation of the Mexican CPG. Only nine articles were level I, adequately powered and well conducted trials and recommendation Grade A, with a substantial net profit. Evidences that were substantial fed by these articles obtained the highest scores. Discussion: The methodological rigor of the original articles that support the CPG is highly variable. This instrument is meant to evaluate the evidence of the guide but is far from being a reflection of the rigor in the development and applicability of Mexican CPG.

Keywords : Bed wetting; level of evidence; Clinical Practice Guidelines; USPSTF.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License