ArticleThe Journal of pediatrics2018
Straight to the Operating Room: An Emergent Surgery Track for Acute Testicular Torsion Transfers.
Article in The Journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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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.
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.
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Who cites it
13 citing papers in PubMed, 26 citations in OpenAlex.
- Implementation of an educational video about testicular torsion improves patient and caregiver awareness.Pediatric research · 2026Article
- Comparing subjective and objective sonographic heterogeneity in predicting long-term testicular non-viability in cases of testicular torsion.Singapore medical journal · 2026Article
- [Value of standard operating procedures (SOP) in the treatment of urological emergencies].Urologie (Heidelberg, Germany) · 2026Review
- Public awareness of testicular torsion is lacking in Edmonton.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025Article
- Hurdles to boys with acute scrotal pain being evaluated and treated in district general hospitals: we are not Getting It Right the First Time yet.Annals of the Royal College of Surgeons of England · 2025Article
- Article
- Pediatric testicular torsion management practices A survey of Canadian urologists.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Article
- Reducing time from presentation to surgical intervention for testicular torsion: implementation of a quality improvement protocol.Frontiers in urology · 2024Article
- Management of acute testicular pain in children: changing trends with improvements in scrotal ultrasonography over 18 years.Singapore medical journal · 2023Article
- Testicular Torsion in Patients With Intellectual and Developmental Disabilities.Global pediatric health · 2021Article
- The theoretical method and clinical application of testicular torsion.International urology and nephrology · 2020Article
- Pioglitazone abrogates testicular damage induced by testicular torsion/detorsion in rats.Iranian journal of basic medical sciences · 2019Article
- Pediatric testicular torsion: does patient transfer affect time to intervention or surgical outcomes at a rural tertiary care center?BMC urology · 2019Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo assess the effect of implementing an emergency surgery track for testicular torsion transfers. We hypothesized that transferring children from other facilities diagnosed with torsion straight to the operating room (STOR) would decrease ischemia time, lower costs, and reduce testicular loss. STUDY
designDemographics, arrival to incision time, hospital cost in dollars, and testicular outcome (determined by testicular ultrasound) at follow-up were retrospectively compared in all patients transferred to our tertiary care children's hospital with a diagnosis of testicular torsion from 2012 to 2016. Clinical data for STOR and non-STOR patients were compared by Wilcoxon rank-sum, 2-tailed t test, or Fisher exact test as appropriate.
resultsSixty-eight patients met inclusion criteria: 35 STOR and 33 non-STOR. Children taken STOR had a shorter median arrival to incision time (STOR: 54 minutes vs non-STOR: 94 minutes, P < .0001) and lower median total hospital costs (STOR: $3882 vs non-STOR: $4419, P < .0001). However, only 46.8% of STOR patients and 48.4% of non-STOR patients achieved surgery within 6 hours of symptom onset. Testicular salvage rates in STOR and non-STOR patients were not significantly different (STOR: 68.4% vs non-STOR: 36.8%, P = .1), but follow-up was poor.
conclusionsSTOR decreased arrival to incision time and hospital cost but did not affect testicular loss. The bulk of ischemia time in torsion transfers occurred before arrival at our tertiary care center. Further interventions addressing delays in diagnosis and transfer are needed to truly improve testicular salvage rates in these patients.
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Registered trials
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