Evidence map›Paper›PMID 39427703›Full record

ArticleJournal of pediatric and adolescent gynecology2025

Oophorectomy Rates in Pediatric and Adolescent Patients with Adnexal Torsion in US Emergency Departments.

Kirsten Jay Hartwick Das, Victoria Huynh, Stephanie Wang, Eduardo A Trujillo Rivera, Veronica Gomez Lobo

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In one paragraph

Article in Journal of pediatric and adolescent gynecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Kirsten Jay Hartwick DasEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Bethesda, Maryland. Electronic address: Kirsten.das@nih.gov.
Victoria HuynhDepartment of Obstetrics & Gynecology, Baylor College of Medicine, Houston, Texas.
Stephanie WangThe George Washington University, School of Medicine and Department of Obstetrics and Gynecology, Washington, DC.
Eduardo A Trujillo RiveraChildren's National Division of Critical Care Medicine, Children's National Medical Center, Washington, DC; Children's National Research Institute, Children's National Medical Center, Washington, DC; George Washington University School of Medicine and Health Sciences, Washington, DC.
Veronica Gomez LoboEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Bethesda, Maryland.

Funding

Pediatric and Adolescent Gynecology Training ProgramZIAHD008985 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI GOMEZ-LOBO, VERONICA · 2019 to 2021
$5.3M
Intramural NIH HHS ZIA HD008985
6 · The paper itself

Abstract

objectiveTo evaluate oophorectomy rates in pediatric and adolescent patients who presented to a US emergency department with adnexal torsion

methodsThis study was a retrospective, cross-sectional analysis utilizing the National Emergency Department Sample data from 2016 to 2018. It included patients younger than 20 years old and of the female sex. International Classification of Diseases Version 10 and ICD 10 Procedure Coding System codes were utilized to define patients with adnexal torsion who underwent adnexal surgery. Descriptive statistics and multivariate logistic regression were utilized to compare oophorectomy rates according to patient demographic characteristics.

resultsThere were 263 sampled patients younger than 20 years old who presented to a US emergency department with a diagnosis of adnexal torsion and underwent adnexal surgery. Of them, 177 had an oophorectomy (67.3%); 85 had a minimally invasive surgery (48%). Compared with 10- to 14-year-olds, 15- to 19-year-olds were 2.54 times more likely to have an oophorectomy (95% CI, 1.42-4.71; Table 2).

conclusionDespite standards for ovarian-sparing surgery since 2016 and data suggestive of safety since the 1990s, oophorectomy rates remain high in pediatric and adolescent patients with torsion who present to US emergency departments for care. Continued efforts should identify barriers to ovarian-sparing surgeries and better quantify specific clinical nuances when oophorectomies are performed.

Indexed as

Adnexal DiseasesOvarian TorsionOvariectomyAdolescentChildCross-Sectional StudiesEmergency Service, HospitalFemaleHumansRetrospective StudiesUnited StatesYoung AdultAdnexal torsionAdolescent healthEmergency departmentOvarian cystectomyOvarian-sparing surgeryOvarian torsionPediatric gynecologySurgical outcomes

Identifiers

PMID39427703
PMCPMC11875932

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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.