Results of the systematic review

Referencia para citar este artículo:

Results of the systematic review. Rev Pediatr Aten Primaria. 2005;7 Supl 3:S69-73.

Publicado en Internet: 31/12/2005

Resumen:

Artículo sin resumen asociado.

69 Revista Pediatría de Atención Primaria Vol. VII, Suplemento 3, 2005 The specific key words for each subject critically assessed are described in table IX. The search strategy was as follows: A) CDSR (Cochrane Database of Systematic Reviews), ACP Journal Club, DARE (Database of Abstracts of Reviews of Effects), CCTR (Cochrane Controlled Trials Register) ? Key words.mp. [mp=ti, ot, ab, tx, kw, ct, sh, hw] AND ? Nocturnal enuresis.mp. [mp=ti, ot, ab, tx, kw, ct, sh, hw] B) TRIP DATABASE with the strategy ? Key word(s) AND nocturnal enuresis In TITLE And TEXT And Evidence Based Guidelines General Peer-reviewed journals Query-answering services Specialist Peer-reviewed journals C) SUMSEARCH ? Key word(s) AND NOCTURNAL ENURESIS ? (Focus: NOFOCUS, age: CHILD, subjects: HUMAN) D) BANDOLIER ? Enuresis, bedwetting, bed wetting OR bed-wetting E) EMBASE (treatment only) ? Bedwetting AND Key word(s) F) Clinical Evidence ? Enuresis AND Key word(s) G) Spanish medical index (IME) ? ?nocturnal enuresis? AND Key word(s) (in Spanish) H) PubMed ? Therapy specific search (narrow search) (Bedwetting[MeSH] AND Key word(s)) AND (randomized controlled trial [Publication Type] OR (randomized [Title/Abstract] AND controlled [Title/Abstract] AND trial [Title/Abstract])) ? Therapy sensitive search (wide search) 6. Results of the systematic review 70 Revista Pediatría de Atención Primaria Vol. VII, Suplemento 3, 2005 (Bedwetting [MeSH] AND Key word(s)) AND (clinical [Title/Abstract] AND trial [Title/Abstract]) OR clinical trials [MeSH Terms] OR clinical trial [Publication Type] OR random* [Title/Abstract] OR random allocation [MeSH Terms] OR therapeutic use [MeSH Subheading]) ? Diagnosis Specificity (narrow search) (?nocturnal enuresis? AND Key word(s)) AND (specificity [Title/ Abstract]) ? Diagnosis Sensitivity (wide search) (?nocturnal enuresis? AND Key word(s)) AND (sensitiv*[Title/Abstract] OR sensitivity and specificity[ MeSH Terms] OR diagnos* [Title/ Abstract] OR diagnosis [MeSH: noexp] OR diagnostic *[MeSH: noexp] OR diagnosis, differential [MeSH: noexp] OR diagnosis[Subheading: noexp]) ? Etiology Specificity (narrow search) (`nocturnal enuresis` AND Palabra/ s clave) AND ((relative [Title/ Abstract] AND risk* [Title/ Abstract]) OR (relative risk [Text Word]) OR risks [Text Word] OR cohort studies [MeSH:noexp] OR (cohort [Title/Abstract] AND stud* [Title/ Abstract])) ? Etiology Sensitivity (broad search) (?nocturnal enuresis? AND Key word(s)) AND (risk* [Title/Abstract] OR risk* [MeSH: noexp] OR risk * [MeSH: noexp] OR cohort studies [MeSH Terms] OR group*[Text Word]) ? Prognosis Specificity (narrow search) (?nocturnal enuresis? AND Key word(s)) AND (prognos* [Title/ Abstract] OR (first [Title /Abstract] AND incident [Title /Abstract]) OR cohort [Title /Abstract]) ? Prognosis Sensitivity (broad search) (?nocturnal enuresis? AND Key word(s)) AND (incidence [MeSH: noexp] OR mortality [MeSH Terms] OR follow up studies [MeSH:noexp] OR prognos* [Text Word] OR predict*[Text Word] OR course* [Text Word]) The initial strategy in Pubmed was to conduct a narrow search, but when sufficient results were not found we proceeded to carry out a broad search. When sufficient quality articles were still not found, we conducted a search without filters. The limits ?Field: All Fields, Limits: Publication Date from 2002? were added to searches for treatments with alarm therapy, desmo- 6. Results of the systematic review MI Úbeda Sansano, R Martínez García, J Díez Domingo. Primary Monosymptomatic Nocturnal Enuresis in Primary Care 71 Revista Pediatría de Atención Primaria Vol. VII, Suplemento 3, 2005 Table IX. Systematic review. Details of searches and results for each critically evaluated subject Subject Key word(s) Found Critical Selected Quoted reading Assoc. Chronic headache OR cephalea* 41 2 2 2 headache Assoc. Epilepsy epilepsy NOT (hyponatremic 161 13 4 4 AND desmopressin) Assoc. ADHD attention deficit disorder 13 4 + 3 manual 6 6 + 1 rv Assoc. Psychological esteem OR 339 18 5 5 problems self esteem 42 self-esteem 5 self-esteem Assoc. Sleep arousal Sleep Arousal Disorders 52 6 4 4 problems Assoc. Sleep apnoea apnoea (because `sleep apnoea, 35 2 2 2 syndrome obstructive`[MeSH] did not result in any hits) Assoc. asthma OR allergy 43 3 3 3 + 3 rv Asthma/allergy Assoc. Caffeine caffeine 3 0 0 0 Assoc. Encopresis constipation [MeSH] 30 10 4 4 /constipation Assoc. Pinworm oxyuris OR `enterobius 4 1 1 1 + 1 rv vermicularis` Assoc. Urinary tract - `urinary tract infections` 40 5 3 3 infection [MeSH] AND monosymptomatic - `asymptomatic bacteriuria` - (persistent OR refractory OR adolescent OR adult) AND (infection OR bacteriuria)) Asoc. diabetes `diabetes mellitus`[MeSH] 3 1 + 1 manual 1 1 mellitus Asoc. diabetes `diabetes insipidus`[MeSH] 15 4 0 0 + 2 rv insipidus Assoc. hypercalciuria 5 3 2 2 Hypercalciuria Assoc. Detrusor - nocturnal enuresis AND 30 6 5 5 overactivity (daytime wetting OR (dysfunction* AND voiding) OR (volume OR capacity OR frequency OR urgency) AND (bladder OR micturition) - voiding AND Dysfunction* AND `nocturnal enuresis` AND monosymptomatic (.../...) 6. Results of the systematic review 72 Revista Pediatría de Atención Primaria Vol. VII, Suplemento 3, 2005 (.../...) Subject Key word(s) Found Critical Selected Quoted reading Bladder diary ?frequency-volume chart? 14 1 + 3 manual 3 3 + 1rv OR `voiding chart` OR `voiding diary` OR `micturition chart` OR `micturition diary` Urinary tract (Monosyptomatic AND 14 9 2 2 infection diagnosis `Enuresis/diagnosis`[MeSH] in PMNE AND `Urinary Tract Infections/ diagnosis`[MeSH]) Urinary tract ((`Urinary Tract Infections/ 12 5 3 0 infection diagnosis`[MeSH] OR `Urinary diagnostic method Tract Infections/epidemiology` [MeSH] OR `Urinary Tract Infections/urine`[MeSH]) AND dipstick) Diabetes insipidus `diabetes insipidus`[MeSH] 5 + 2 ep 0 + 1 ep 1 1 ep diagnosis Simple behavioral (training OR behavioural) co + 0 4 4 4 therapy Complex and (training OR behavioural co + 0 6 6 6 educational OR patient education/) behavioral therapy methods[mesh] Alarm therapy alarm 12 co + co + 1 13 10 10 + Cochrane Treatment with desmopressin 43 + co 10 + 17 co 27 25 Desmopressin Treatment with desmopressin 19 4 3 3 desmopressin + AND anticholinergic anticholinergics Prognosis (`treatment variables` 54 29 18 18 OR predict* OR prognos* OR `prognosis factor` OR `prognosis factors` OR `response factor` OR `response variable` OR `effectiveness factor` OR `effectiveness variable` OR `treatment variable` OR `treatment factor`) ep = from epidemiology, co = from the Cochrane review, rv = review articles pressin, and simple and complex behavioral therapy because the starting with the articles of the Cochrane review up to that date. MI Úbeda Sansano, R Martínez García, J Díez Domingo. Primary Monosymptomatic Nocturnal Enuresis in Primary Care 73 Revista Pediatría de Atención Primaria Vol. VII, Suplemento 3, 2005