Evidence map›Paper›PMID 33739804›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2021

Point-of-care ultrasonography for the diagnosis of testicular torsion: a practical resident curriculum.

Leandra Stringer, Sarah Cocco, Alex Jiang, Ernest Pang Chan, Frank Myslik, Gary Brahm, Hassan Razvi, Sumit Dave, Peter Zhan Tao Wang

Abstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Testicular ultrasound: an emergency medicine perspective.Internal and emergency medicine · 2025
    Review
  2. Review
  3. Point-of-care ultrasound in urology: Design and evaluation of a feasible introductory training program for Canadian residents.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Leandra StringerFrom the Department of Urology, Western University, London, Ont. (Stringer, Chan, Razvi, Dave, Wang); the Department of Emergency Medicine, Western University, London, Ont. (Cocco, Jiang, Myslik); and the Department of Diagnostic Imaging, Western University, London, Ont. (Brahm).
Sarah CoccoFrom the Department of Urology, Western University, London, Ont. (Stringer, Chan, Razvi, Dave, Wang); the Department of Emergency Medicine, Western University, London, Ont. (Cocco, Jiang, Myslik); and the Department of Diagnostic Imaging, Western University, London, Ont. (Brahm).
Alex JiangFrom the Department of Urology, Western University, London, Ont. (Stringer, Chan, Razvi, Dave, Wang); the Department of Emergency Medicine, Western University, London, Ont. (Cocco, Jiang, Myslik); and the Department of Diagnostic Imaging, Western University, London, Ont. (Brahm).
Ernest Pang ChanFrom the Department of Urology, Western University, London, Ont. (Stringer, Chan, Razvi, Dave, Wang); the Department of Emergency Medicine, Western University, London, Ont. (Cocco, Jiang, Myslik); and the Department of Diagnostic Imaging, Western University, London, Ont. (Brahm).
Frank MyslikFrom the Department of Urology, Western University, London, Ont. (Stringer, Chan, Razvi, Dave, Wang); the Department of Emergency Medicine, Western University, London, Ont. (Cocco, Jiang, Myslik); and the Department of Diagnostic Imaging, Western University, London, Ont. (Brahm).
Gary BrahmFrom the Department of Urology, Western University, London, Ont. (Stringer, Chan, Razvi, Dave, Wang); the Department of Emergency Medicine, Western University, London, Ont. (Cocco, Jiang, Myslik); and the Department of Diagnostic Imaging, Western University, London, Ont. (Brahm).
Hassan RazviFrom the Department of Urology, Western University, London, Ont. (Stringer, Chan, Razvi, Dave, Wang); the Department of Emergency Medicine, Western University, London, Ont. (Cocco, Jiang, Myslik); and the Department of Diagnostic Imaging, Western University, London, Ont. (Brahm).
Sumit DaveFrom the Department of Urology, Western University, London, Ont. (Stringer, Chan, Razvi, Dave, Wang); the Department of Emergency Medicine, Western University, London, Ont. (Cocco, Jiang, Myslik); and the Department of Diagnostic Imaging, Western University, London, Ont. (Brahm).
Peter Zhan Tao WangFrom the Department of Urology, Western University, London, Ont. (Stringer, Chan, Razvi, Dave, Wang); the Department of Emergency Medicine, Western University, London, Ont. (Cocco, Jiang, Myslik); and the Department of Diagnostic Imaging, Western University, London, Ont. (Brahm).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prompt Doppler ultrasonography to aid in diagnosis is often key to managing testicular torsion, but there may be delays in access; a faster, more widely available alternative is point-of-care ultrasonography (POCUS). The purpose of this study was to develop and evaluate a scrotal POCUS curriculum for urology and emergency medicine residents. Methods: Content experts in urology, emergency medicine and diagnostic imaging collaborated in a modified Delphi method to design a practical didactic curriculum for scrotal POCUS for the identification of testicular torsion. Training included 3 online video teaching modules and a 1-hour hands-on teaching session with standardized adult patients. We evaluated participants' competency in scrotal POCUS using a validated scale. We assessed participants' knowledge, comfort and confidence in performing scrotal POCUS before and after the intervention and at 3 months. Results: Twenty-four urology (n = 12) and emergency medicine (n = 12) residents participated in the curriculum. After hands-on practice, 23 participants (96%) were deemed competent at scrotal POCUS. Pre-post testing showed significant improvement in knowledge (mean score 63% v. 80%, p < 0.001), comfort (mean Likert score 0.6 v. 3.6, p < 0.001) and confidence (mean Likert score 1.0 v. 2.1, p < 0.001) after the intervention. These effects were maintained at the 3-month assessment. Conclusion: The scrotal POCUS curriculum was effective and acceptable to both urology and emergency medicine residents. The findings suggest that scrotal POCUS can be learned effectively through a short hands-on session and didactic instruction.

Indexed as

CurriculumInternship and ResidencyPoint-of-Care SystemsEmergency MedicineHumansMaleSpermatic Cord TorsionUltrasonographyUrology

Identifiers

PMID33739804
PMCPMC8064263

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.