Emir H., Özcan R.
JOURNAL OF PEDIATRIC UROLOGY, cilt.12, ss.1-2, 2025 (SCI-Expanded, Scopus)
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Yayın Türü:
Makale / Editöre Mektup
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Cilt numarası:
12
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Basım Tarihi:
2025
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Doi Numarası:
10.1016/j.jpurol.2025.105714
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Dergi Adı:
JOURNAL OF PEDIATRIC UROLOGY
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Derginin Tarandığı İndeksler:
Scopus, Science Citation Index Expanded (SCI-EXPANDED), EMBASE, MEDLINE
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Sayfa Sayıları:
ss.1-2
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İstanbul Üniversitesi-Cerrahpaşa Adresli:
Evet
Özet
We have read with interest the article entitled “How do I do it: An NP-led Bowel Management Program for Patients with Spina Bifida”
(1). The authors describe an NP-led bowel management protocol with structured follow-up and a large SB cohort. While the organizational framework and integration of telehealth are clearly outlined, the descriptive nature of the report does not allow objective interpretation of therapeutic efficacy. Reported bowel continence success and emergency visit reduction are not paired with validated outcome measures, durability of continence, or complication profiles, limiting the ability to interpret treatment performance.
Although the authors conclude that the model is adaptable “across life stages,” comparative advantage over existing SB bowel management structures remains unspecified. Nurse- and multidisciplinary-led BMPs are already integrated in multiple pediatric centers, and without standardized scoring, benchmarking, or cost–benefit analysis, superiority cannot be inferred
(2). Additionally, visit frequency and program intensity are presented without rationale, leaving unanswered whether different scheduling could influence continence rates, caregiver burden, or attrition.