ESPU Congress 2018 - Abstract Book

154

CONGRESS OF THE ESPU

17:05–17:08

S20-4 (PP)

HOW SMART IS A VOIDING DIARY ON YOUR

MOBILE PHONE OR ON PAPER? IMPLICATIONS FOR

THE PEDIATRIC UROLOGIST AND PATIENTS SUCCESS

Marleen VAN DEN HEIJKANT, Charlotte VANDERSTAPPEN and Guy BOGAERT

UZ Leuven, Dept Urology and Pediatric Urology, Leuven, BELGIUM

PURPOSE

Voiding diaries are an essential tool in the management of children with lower-urinary-tract-symp-

toms (LUTS) and nocturnal enuresis. However, completeness of filling out voiding diaries varies.

In this study, we have investigated the completeness of voiding diaries and we have performed

a systematic review to find out if an electronic voiding diary would improve the completeness of the

voiding diary.

MATERIAL AND METHODS

In this prospective study, we have included 92-children (mean-age 8,7yr) with LUTS or nocturnal

enuresis. The completeness of voiding diaries was graded between 0 (not filled in) – 4 (complete).

We compared the grade of voiding diary compliance with their treatment compliance and treatment

success. In addition, we performed a Pubmed

and Embase

review according to the PRISMA-

statement with the question if electronic diaries could improve patients' compliance.

RESULTS

63 % of the children have filled out their voiding diary properly (grade 3–4). There was no cor-

relation between the grade of completeness neither with the treatment compliance nor with the

treatment success.

From the PRISMA-analysis it appears that there is no improvement of compliance and complete-

ness using an electronic voiding diary. However there is an improvement of the data quality. In

addition, patients and doctors seem to have a preference for the use of an electronic version.

CONCLUSIONS

Although a complete well-documented voiding diary is important in the management of LUTS or

nocturnal enuresis in children, only 2/3 complies with the request. In addition, electronic voiding

diaries seem to be promising but it would require that such an app is developed in close collabora-

tion with patients and doctors.