ArticleBMC urology2019
Pediatric testicular torsion: does patient transfer affect time to intervention or surgical outcomes at a rural tertiary care center?
Article in BMC urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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
5 citing papers in PubMed, 12 citations in OpenAlex.
- Are we still too late to preserve the testes? A global survey of delayed consultation and risk factors for testicular torsion: a systematic review and meta-analysis.Frontiers in reproductive health · 2026Review
- The diagnosis and treatment of testicular torsion in children with non-scrotal initial symptoms.Frontiers in pediatrics · 2023Article
- Impact of Distance From the Hospital and Patient Transfer on Pediatric Testicular Torsion Outcomes.Cureus · 2022Article
- Point-of-care ultrasonography for the diagnosis of testicular torsion: a practical resident curriculum.Canadian journal of surgery. Journal canadien de chirurgie · 2021Article
- Patient transfer influences the prognosis of pediatric patients operated for testicular torsion: a single-center experience.Translational pediatrics · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTesticular torsion (TT) is a urologic emergency that requires prompt surgical intervention. In rural Appalachia, patients are often transferred from surrounding communities due to lack of urologic care. We hypothesized that those transferred would have delayed intervention and higher rates of orchiectomy when compared to those who presented directly to our hospital.
methodsWe performed a retrospective review of patient charts with an ICD-9 diagnosis of TT from 2008 to 2016. Patients met inclusion criteria if diagnosis was confirmed by operative exploration. We compared rate of testicular loss and time until surgical intervention between groups.
resultsTwenty-three patients met inclusion criteria (12 transferred, 11 direct). Patient demographics did not significantly differ between groups. Transferred patients had a higher orchiectomy rate (33% v 22%,p = 0.41) although this was not statistically significant. Time to surgery from symptom onset was significantly longer in those transferred (12.9 h) compared to those not transferred (6.9 h, p = 0.02). Distance of transfer was not correlated with time of delay (r
conclusionsTransferred patients with TT have numerically higher rates of orchiectomy which may reach significance in an appropriately powered study, and relative delays in surgical intervention. This study highlights the need for improved access to urologic care in rural areas.
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Registered trials
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