Transition in enuresis patients: Identifying the gaps and opportunities for the future.
Sevasti KaramariaReiner MauelMauro Van den EndeAse OosterlinckAlice VerheyeElke De BruyneEva DegraeuweKarlien DhondtLien DosscheRaes AnnCatherine RensonBieke SamijnAnne-Francoise SpinoitKarel EveraertVande Walle JohanPublished in: Neurourology and urodynamics (2024)
We propose a stepwise approach for the transition of children with enuresis from pediatric to adult care, depending on the clinical subtype: from refractory patients who demand more complex, multidisciplinary care and would benefit from a transition coordinator up to children/young adults cured of enuresis but who persist in having or present lower urinary tract symptoms (LUTS)/nocturia later on. In any case, the transition process should be initiated early at the age of 12-14 years, with adequate information to the patient and parents regarding relapses or LUTS/nocturia occurrence and of the future treating general practitioner on the enuresis characteristics and comorbidities of the patient.
Keyphrases
- lower urinary tract symptoms
- benign prostatic hyperplasia
- young adults
- healthcare
- end stage renal disease
- quality improvement
- palliative care
- case report
- childhood cancer
- newly diagnosed
- current status
- chronic kidney disease
- risk assessment
- peritoneal dialysis
- prognostic factors
- pain management
- affordable care act
- patient reported outcomes
- health information
- health insurance