Evidence map›Paper›PMID 39063642›Full record

ArticleLife (Basel, Switzerland)2024

The Role of Neutrophyl-to-Lymphocyte Ratio as a Predictor of Ovarian Torsion in Children: Results of a Multicentric Study.

Carlos Delgado-Miguel, Javier Arredondo-Montero, Julio César Moreno-Alfonso, María San Basilio, Raquel Peña Pérez, Noela Carrera, Pablo Aguado, Ennio Fuentes, Ricardo Díez, Francisco Hernández-Oliveros

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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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

10 authors.

Carlos Delgado-MiguelPediatric Surgery Department, Fundación Jiménez Díaz University Hospital, Avenida de los Reyes Católicos, 2, 28040 Madrid, Spain.ORCID 0000-0002-4994-6898
Javier Arredondo-MonteroPediatric Surgery Department, Complejo Asistencial Universitario de León, 24071 Castilla y León, Spain.ORCID 0000-0002-0943-6367
Julio César Moreno-AlfonsoPediatric Surgery Department, Navarra University Hospital, 31008 Pamplona, Spain.ORCID 0000-0002-0414-2888
María San BasilioPediatric Surgery Department, La Paz University Hospital, 28046 Madrid, Spain.
Raquel Peña PérezPediatric Surgery Department, Rey Juan Carlos University Hospital, 28933 Móstoles, Spain.
Noela CarreraPediatric Surgery Department, Toledo University Hospital, 45005 Toledo, Spain.
Pablo AguadoPediatric Surgery Department, Fundación Jiménez Díaz University Hospital, Avenida de los Reyes Católicos, 2, 28040 Madrid, Spain.
Ennio FuentesPediatric Surgery Department, Fundación Jiménez Díaz University Hospital, Avenida de los Reyes Católicos, 2, 28040 Madrid, Spain.
Ricardo DíezPediatric Surgery Department, Fundación Jiménez Díaz University Hospital, Avenida de los Reyes Católicos, 2, 28040 Madrid, Spain.ORCID 0000-0001-9311-6704
Francisco Hernández-OliverosInstitute for Health Research IdiPAZ, La Paz University Hospital, 28046 Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPediatric ovarian torsion (OT) is an emergency condition that remains challenging to diagnose because of its overall unspecific clinical presentation. The aim of this study was to determine the diagnostic value of clinical, ultrasound, and inflammatory laboratory markers in pediatric OT.

methodsWe performed a retrospective multicentric case-control study in patients with clinical and ultrasound suspicion of OT, in whom surgical examination was performed between 2016-2022 in seven pediatric hospitals. Patients were divided into two groups according to intraoperative findings: OT group (ovarian torsion), defined as torsion of the ovarian axis at least 360°, and non-OT group (no torsion). Demographics, clinical, ultrasound, and laboratory features at admission were analyzed. The diagnostic yield analysis was performed using logistic regression models, and the results were represented by ROC curves.

resultsWe included a total of 110 patients (75 in OT group; 35 in non-OT group), with no demographic or clinical differences between them. OT-group patients had shorter time from symptom onset (8 vs. 12 h;

conclusionsNLR can be considered as a useful predictor of pediatric OT in cases with clinical and ultrasound suspicion. Values above 2.57 may help to anticipate urgent surgical treatment in these patients.

Indexed as

childrenneutrophil-to-lymphocyte ratioovarian torsionpredictive factors

Identifiers

PMID39063642
PMCPMC11277755

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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.