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Arch Pediatr Adolesc Med. 2004;158:601.

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In reply

In my editorial, I did not mean to imply that I thought that the topic of toilet training should be included in well-child visits. Rather, my point was that because we do not have outcome data on various toilet-training strategies, the primary care physicians who choose to address these issues have no choice but to base their recommendations, as Dr Schor stated, on "anecdotes and personal observations." My plea was for more legitimate scientific inquiry on a topic that primary care physicians are asked about on probably a daily basis.

To my knowledge, no evidence-based studies have compared the alternative methods of toilet training, nor have any studies actually demonstrated which strategies are most effective with children of different developmental levels or temperaments. There aren't even any studies that have addressed the issue of when to toilet train a child, much less how. For some reason unknown to . . . [Full Text of this Article]

Edward R. Christophersen, PhD
Kansas City, Mo

Corresponding author: Edward R. Christophersen, PhD, Children's Mercy Hospital, 2401 Gillham Rd, Kansas City, MO 64108 (e-mail: echrist@cmh.edu).

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Evidence-Based Toilet Training
Edward L. Schor
Arch Pediatr Adolesc Med. 2004;158(6):600-601.
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