Evidence map›Paper›PMID 40777106›Full record

ArticleFrontiers in urology2024

Reducing time from presentation to surgical intervention for testicular torsion: implementation of a quality improvement protocol.

Shannon Richardson, Kathy Huen, Tabitha Benga, Bridgette Fajardo, Renea Sturm, Steven E Lerman, Jennifer S Singer

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Article in Frontiers in urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing 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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Shannon RichardsonDavid Geffen School of Medicine at University of California, Los Angeles (UCLA), Los Angeles, CA, United States.
Kathy HuenDepartment of Urology, David Geffen School of Medicine at University of California, Los Angeles (UCLA), Los Angeles, CA, United States.
Tabitha BengaDepartment of Urology, David Geffen School of Medicine at University of California, Los Angeles (UCLA), Los Angeles, CA, United States.
Bridgette FajardoDepartment of Urology, David Geffen School of Medicine at University of California, Los Angeles (UCLA), Los Angeles, CA, United States.
Renea SturmDepartment of Urology, David Geffen School of Medicine at University of California, Los Angeles (UCLA), Los Angeles, CA, United States.
Steven E LermanDepartment of Urology, David Geffen School of Medicine at University of California, Los Angeles (UCLA), Los Angeles, CA, United States.
Jennifer S SingerDepartment of Urology, David Geffen School of Medicine at University of California, Los Angeles (UCLA), Los Angeles, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Timely surgical intervention for patients with testicular torsion is a quality benchmark set by the U.S. News and World Report (USNWR) for pediatric urology. In this study, we describe and evaluate a quality improvement initiative to reduce the time to surgical intervention for testicular torsion at a single institution through the implementation of a clinical care pathway called "code torsion." Methods: Data abstraction was performed through retrospective chart review to assess process measures. Patients <21 years old with testicular torsion requiring surgical intervention were included. The clinical protocol "code torsion" was created by a multidisciplinary quality improvement workgroup with the primary goal of reducing the time from emergency department presentation to surgical intervention for testicular torsion. "Code torsion" was implemented in October 2021, which was assessed in addition to subsequent interventions through plan-do-study-act (PDSA) cycles. Results: A total of 30 patients were identified prior to "code torsion" implementation and 14 thereafter. The mean time from triage to operating room (OR) was 228 min prior to "code torsion" compared with 180 min after protocol implementation ( Conclusion: Implementation of the protocol "code torsion" was successful in reducing the time from presentation to surgical intervention for testicular torsion. The rates of testicular salvage did not differ after "code torsion" implementation and were instead found to be dependent on the total ischemia time.

Indexed as

acute scrotumorchiectomypediatric urologyquality improvementtesticular salvagetesticular torsiontestis

Identifiers

PMID40777106
PMCPMC12327294

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