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Therapeutics
Review: alarms reduce nocturnal enuresis in children

https://doi.org/10.1136/ebm.9.1.22

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    Glazener CM, Evans JH, Peto RE. Alarm interventions for nocturnal enuresis in children. Cochrane Database Syst Rev 2003;(2):CD002911 (latest version 26 Feb 2003).

    
 
 Q What is the effectiveness of alarms for nocturnal enuresis in children? Are alarms more effective than other interventions?

    Clinical impact ratings GP/FP/Primary care ★★★★★★☆

    METHODS

    Embedded ImageData sources:

    Cochrane Incontinence Review Group’s specialised register (most recent search December 2002), hand searches of journals, and reference lists of relevant articles.

    Embedded ImageStudy selection and assessment:

    randomised or quasi-randomised controlled trials that compared alarm interventions with no active treatment, behavioural interventions, drugs, or other treatments (alone or combined with alarms) for treatment of non-organic nocturnal enuresis in children (usually ⩽16 y). Quality of individual studies was assessed.

    Embedded ImageOutcomes:

    included number of participants failing to attain 14 consecutive dry nights during treatment (treatment failure) and treatment failure or subsequent relapse after treatment completion (relapse).

    MAIN RESULTS

    53 randomised controlled trials (n = 2862) met the selection criteria. Only the results for analyses of ⩾2 trials are reported here. Alarm v placebo/no treatment. Alarms reduced treatment failure and relapse more than placebo/no treatment (table). Different …

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