ESPU Congress 2018 - Abstract Book
154 29 th 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.
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