Evidence map›Paper›PMID 23896260›Full record

ArticleJournal of pediatric urology2013

Patterns of care in testicular torsion: influence of hospital transfer on testicular outcomes.

Jenny H Yiee, Lynne Chang, Alan Kaplan, Lorna Kwan, Paul J Chung, Mark S Litwin

Open access · greenAbstract read
In one paragraph

Article in Journal of pediatric urology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Does the source of referral affect outcomes for paediatric testicular torsion?Annals of the Royal College of Surgeons of England · 2019
    Article
  4. Article
  5. Article
  6. The Amount of spermatic cord rotation magnifies the timerelated orchidectomy risk in intravaginal testicular torsion.International braz j urol : official journal of the Brazilian Society of Urology
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Jenny H YieeUniversity of California Los Angeles, Department of Urology, BOX 957383, 924 Westwood Blvd., Ste. 1000, Los Angeles, CA 90095-1738, United States. Electronic address: jennyyiee@yahoo.com.
Lynne Chang
Alan Kaplan
Lorna Kwan
Paul J Chung
Mark S Litwin
University of California, Los Angeles · USRAND Corporation · US

Funding

NIDDK NIH HHS HHSN267200700003CNIDDK NIH HHS N01 DK012460
6 · The paper itself

Abstract

objectiveTo investigate patterns of care for testicular torsion and influence of hospital transfers on testicular outcomes. Hospital transfer may be a source of treatment delay in a condition where delays increase likelihood of orchiectomy.

methodsWe used a retrospective cohort of Californian males with ICD-9/CPT-defined torsion from inpatient, emergency department (ED), and ambulatory surgery center (ASC) data. Logistic regression assessed predictors of orchiectomy.

resultsPredictors of orchiectomy were ages <1 year (OR 19.2, 95% CI 6.3-58.9), 1-9 years (OR 2.7, 95% CI 1.4-5.2), and ≥40 years (OR 6.6, 95% CI 3.1-13.9) (vs. masked age). Treatment at mid-volume (vs. high-volume) facilities was associated with lower odds of orchiectomy (OR 0.5, 95% CI 0.3-0.7). Rural location, non-private insurance, and hospital transfer were associated with orchiectomy on univariate but not multivariate analysis. During 2008-2010, 2794 subjects experienced torsion (average incidence 5.08 per 100,000 males yearly). Encounters occurred in ASCs (55%), inpatient facilities (36%), and EDs (9%). 60% of subjects were privately insured, 2% experienced hospital transfer, and 31% underwent orchiectomy.

conclusionOur census found that most cases of testicular torsion were treated in outpatient settings. Hospital transfer was not associated with orchiectomy.

Indexed as

AdolescentAdultAmbulatory CareCaliforniaChildChild, PreschoolHealth Services ResearchHospitalizationHumansIncidenceInfantMaleMultivariate AnalysisOrchiectomyPatient TransferPredictive Value of TestsClinical practice patternsEpidemiologyHealth services researchOrchiectomyOutcome assessmentTesticular torsion

Identifiers

PMID23896260
PMCPMC3999916
OpenAlexW2011289350

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.