Behavioural and cognitive interventions with or without other treatments for the management of faecal incontinence in children.

The Cochrane Database of Systematic Reviews
M Brazzelli, Peter V Griffiths

Abstract

Faecal incontinence is a common and potentially distressing disorder of childhood. To assess the effects of behavioural and/or cognitive interventions for the management of faecal incontinence in children. We searched the Cochrane Incontinence Group Specialised Trials Register (searched 1 February 2006). Randomised and quasi-randomised trials of behavioural and/or cognitive interventions with or without other treatments for the management of faecal incontinence in children. Reviewers selected studies from the literature, assessed study quality, and extracted data. Data were combined in a meta-analysis when appropriate. Eighteen randomised trials with a total of 1168 children met the inclusion criteria. Sample sizes were generally small. All studies but one investigated children with functional faecal incontinence. Interventions varied amongst trials and few outcomes were shared by trials addressing the same comparisons. Combined results of nine trials showed higher rather than lower rates of persisting symptoms of faecal incontinence up to 12 months when biofeedback was added to conventional treatment (OR 1.11 CI 95% 0.78 to 1.58). This result was consistent with that of two trials with longer follow-up (OR 1.31 CI 95% 0.80 to ...Continue Reading

Citations

Nov 18, 2006·BMJ : British Medical Journal·Greg Rubin, Anne Dale
Nov 1, 2001·The Cochrane Database of Systematic Reviews·K J Price, T M Elliott
Mar 7, 2014·Nature Reviews. Urology·Jan-Paul Roovers
Aug 3, 2011·Nature Reviews. Gastroenterology & Hepatology·Suzanne M MugieMarc A Benninga
Sep 15, 2016·European Journal of Pediatrics·Sophie Kuizenga-WesselKent C Williams
Sep 17, 2008·Gastroenterology Clinics of North America·Paola MasiAnnamaria Staiano
Mar 9, 2011·Best Practice & Research. Clinical Gastroenterology·S Nurko, S M Scott
May 3, 2008·Pediatrics·Marieke van DijkMarc A Benninga

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