Evidence map›Paper›PMID 33718744›Full record

ArticlePediatric quality & safety

Bladder and Bowel Dysfunction Network: Improving the Management of Pediatric Bladder and Bowel Dysfunction.

Martha Pokarowski, Mandy Rickard, Ronik Kanani, Niraj Mistry, Megan Saunders, Rebecca Rockman, Jonathan Sam, Abby Varghese, Jessica Malach, Ivor Margolis and 7 more

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.7field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 1 country.

Martha PokarowskiDivision of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Mandy RickardDivision of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Ronik KananiDepartment of Pediatrics, North York General Hospital, North York, Ontario, Canada.
Niraj MistryDepartment of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.
Megan SaundersDepartment of Pediatrics, North York General Hospital, North York, Ontario, Canada.
Rebecca RockmanFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Jonathan SamDepartment of Pediatrics, Oakville Trafalgar Memorial Hospital, Oakville, Ontario, Canada.
Abby VargheseDivision of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Jessica MalachDepartment of Pediatrics, Markham Stouffville Hospital, Markham, Ontario, Canada.
Ivor MargolisDepartment of Pediatrics, William Osler Health Centre-Brampton Civic Hospital, Brampton, Ontario, Canada.
Amani RoushdiFaculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Leo LevinDepartment of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.
Manbir SinghDivision of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Roberto Iglesias LopesDivision of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Walid A FarhatDivision of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Martin A KoyleDivision of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Joana Dos SantosDivision of Urology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Hospital for Sick Children · CANorth York General Hospital · CAMarkham Stouffville Hospital · CAMcMaster University · CAOakville-Trafalgar Memorial Hospital · CAUniversity of Toronto · CAWilliam Osler Health System · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lower urinary tract symptoms with constipation characterize bladder and bowel dysfunction (BBD). Due to high referral volumes to hospital pediatric urology clinics and time-consuming appointments, wait times are prolonged. Initial management consists of behavioral modification strategies that could be accomplished by community pediatricians. We aimed to create a network of community pediatricians trained in BBD (BBDN) management and assess its impact on care.

methodsWe distributed a survey to pediatricians, and those interested attended training consisting of lectures and clinical shadowing. Patients referred to a hospital pediatric urology clinic were triaged to the BBDN and completed the dysfunctional voiding symptom score and satisfaction surveys at baseline and follow-up. The Bristol stool chart was used to assess constipation. Results were compared between BBDN and hospital clinic patients.

resultsSurveyed pediatricians (n = 100) most commonly managed BBD with PEG3350 and dietary changes and were less likely to recommend bladder retraining strategies. Baseline characteristics were similar in BBDN (n = 100) and hospital clinic patients (n = 23). Both groups had similar improvements in dysfunctional voiding symptom score from baseline to follow-up (10.1 ± 4.2 to 5.6 ± 3.3,

conclusionsCommunity pediatricians may require more knowledge of management strategies for BBD. Our pilot study demonstrates that implementing a BBDN is feasible, results in shorter wait times, and similar improvement in symptoms and patient satisfaction than a hospital pediatric urology clinic.

Identifiers

PMID33718744
PMCPMC7952106
OpenAlexW3135519122

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.