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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
Data sources:
Cochrane Incontinence Review Group’s specialised register (most recent search December 2002), hand searches of journals, and reference lists of relevant articles.
Study 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.
Outcomes:
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 …
Footnotes
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↵* Updated information provided by author.
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For correspondence: Dr C Glazener, University of Aberdeen, Foresterhill, Aberdeen, UK. C.glazenerabn.ac.uk
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Source of funding: National Health Service Research and Development Programme UK.