ArticlePediatric reports2026
Preservation vs. Resection? Pediatric and Non-Pediatric Management Patterns in Ovarian Torsion.
Article in Pediatric reports, 2026. 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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Abstract
backgroundOvarian torsion (OT) is a rare but urgent surgical condition in children and adolescents. Evidence on how management differs between pediatric (PD) and non-pediatric (Non-PD) departments in Germany remains limited.
methodsWe conducted a retrospective cohort study using anonymized claims data from two major German statutory health insurance funds (2010-2019), covering 6.3 million insured individuals (≈1 million children). Patients ≤18 years with an inpatient diagnosis of OT (ICD-10-GM N83.5) were analyzed with respect to demographics, department type (PD vs. Non-PD), hospital type (university/maximum care [UM] vs. non-university/maximum care [Non-UM]), surgical procedures, and outcomes.
resultsA total of 293 patients (mean age 12.4 ± 4.5 years) were included; 71% were adolescents (12-18 years). Adolescents were predominantly treated in Non-PD (89%), whereas younger children were more often managed in PD (50%;
conclusionsManagement of OT in Germany varies markedly by department and hospital type. PD and UM treat more younger patients but perform oophorectomy more frequently, whereas Non-PD and Non-UM favor laparoscopic, ovary-sparing strategies. These differences highlight the urgent need for standardized, evidence-based protocols prioritizing ovarian preservation and optimizing long-term outcomes in affected children and adolescents.
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