ArticlePediatric surgery international2024
Rate of oophorectomy in pediatric ovarian torsion: risk factors and change over time.
Article in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Clinical Characteristics and Surgical Outcomes of Pediatric Ovarian Torsion: A 15-Year Single-Center Experience.Children (Basel, Switzerland) · 2026Article
- Ovarian salvage following adnexal torsion in pediatric patients.Pediatric surgery international · 2025Article
- Independent Predictors of Ovarian Torsion Laterality: Nulliparity (Virgo) and Cyst Presence.Life (Basel, Switzerland) · 2025Article
- Gynaecological Emergencies.Case reports in women's health · 2024Article
- Prognosis and postoperative surveillance of benign ovarian tumors in children: a single-center retrospective study.Jornal de pediatriaArticle
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3 authors.
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Abstract
purposeThe management of ovarian torsion in pediatric patients has evolved over time. Ovarian salvage is currently recommended given concerns for fertility preservation and the low likelihood of malignancy. Studies have shown that the incidence of oophorectomy is higher amongst pediatric surgeons in comparison to gynecologists. Using a national database, this study examined how the surgical management of ovarian torsion has evolved.
methodsChildren with a discharge diagnosis of ovarian torsion (ICD-9 code 620.5, ICD-10 code N835X) and procedure codes for oophorectomy (CCS code 119) were identified within the KID database from 2003, 2006, 2009, 2012, 2016, and 2019. Diagnosis of ovarian pathology was based upon ICD-9 and ICD-10 codes at the time of discharge.
resultsA total of 7008 patients, ages 1-20, had a discharge diagnosis of ovarian torsion. Of those patients, 2,597 (37.1%) were diagnosed with an ovarian cyst, 1560 (22.2%) were diagnosed with a benign ovarian neoplasm, and 30 (0.4%) were diagnosed with a malignant neoplasm. There was a decreased risk of oophorectomy in urban-teaching versus rural hospitals (OR: 0.64, p < 0.001). The rate of oophorectomy has decreased overtime. However, patients with benign or malignant neoplasms were more likely to undergo oophorectomy than those without a diagnosis (OR: 2.03, p < 0.001; 4.82, p < 0.001).
conclusionThe rate of oophorectomy amongst children with ovarian torsion has decreased over time. Yet, despite improvements, oophorectomy is common amongst patients with benign ovarian neoplasms and those treated at rural hospitals. Continued education is needed to optimize patient care in all clinical scenarios. LEVEL OF EVIDENCE: IV.
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