Evidence map›Paper›PMID 34392971›Full record

Observational studyJournal of pediatric surgery2022

Surge in testicular torsion in pediatric patients during the COVID-19 pandemic.

Lisa B E Shields, Michael W Daniels, Dennis S Peppas, Jeffrey T White, Ahmad Z Mohamed, Katie Canalichio, Shilo Rosenberg, Eran Rosenberg

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of pediatric surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Lisa B E ShieldsNorton Neuroscience Institute, Norton Healthcare, 210 East Gray Street, Suite 1102, Louisville, KY 40202, USA.
Michael W DanielsDepartment of Bioinformatics & Biostatistics, University of Louisville, Louisville KY 40292 USA.
Dennis S PeppasNorton Children's Urology, Norton Healthcare, Louisville, KY 40207, USA.
Jeffrey T WhiteNorton Children's Urology, Norton Healthcare, Louisville, KY 40207, USA.
Ahmad Z MohamedDepartment of Urology, University of Louisville School of Medicine, Louisville, KY 40202, USA.
Katie CanalichioNorton Children's Urology, Norton Healthcare, Louisville, KY 40207, USA.
Shilo RosenbergDepartment of Urology, Keck School of Medicine of USC, Los Angeles, CA 90033, USA.
Eran RosenbergNorton Children's Urology, Norton Healthcare, Louisville, KY 40207, USA. Electronic address: dr.rosenberg.e@gmail.com.
Norton Healthcare · USUniversity of Louisville · USKeck Hospital of USC · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTesticular torsion is a pediatric surgical emergency, and prompt diagnosis and treatment is imperative. During the COVID-19 pandemic, pediatric patients with symptoms of testicular torsion may be reluctant to seek medical care which increases the likelihood of delayed presentation and the need for an orchiectomy. This observational study sought to determine whether there was a higher number of testicular torsion cases during COVID-19.

methodsAs the first patient with COVID-19 was admitted to our facility on March 6, 2020, we identified male children ages 1-18 years with testicular torsion between March 1-December 31, 2020 (during COVID-19) compared to the same time period between 2015 and 2019 (prior to COVID-19). All patients were evaluated at our Institution's Emergency Department by a pediatric urologist.

resultsThere were 38 cases of testicular torsion between March 1-December 31, 2020 compared to 15.8 cases on average during the same 10-month period between 2015 and 2019 (a total of 79 cases). There was a statistically significant increase in testicular torsion cases during the COVID-19 pandemic compared to equivalent time periods in 2015-2019 (38 vs. 15.8, p = 0.05). Patients with testicular torsion during the COVID-19 pandemic were younger, had a longer duration of symptoms, and had a higher number of orchiectomies (although not statistically significant).

conclusionDuring the COVID-19 pandemic, an escalation in testicular torsion cases was observed. Timely assessment, diagnosis, and surgery are crucial to prevent testicular loss and potential infertility in the future. Further evaluation is needed to elucidate the surge in testicular torsion and possible mechanisms.

Indexed as

COVID-19Spermatic Cord TorsionAdolescentChildChild, PreschoolHumansInfantMaleOrchiectomyPandemicsRetrospective Studies2019-nCoVAbbreviationsCOVID-19EDEmergency DepartmentNovel coronavirusOrchiectomyPediatric surgeryPediatric urologySARS-CoV-2Severe acute respiratory syndrome coronavirus 2Testicular torsion

Identifiers

PMID34392971
PMCPMC9282895
OpenAlexW3184793329

What OpenQuestion holds

Textmetadata
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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.