Demographic, clinical, and socioeconomic factors associated with delayed diagnosis and management of pediatric testicular torsion in West China: a retrospective study of 301 cases in a single tertiary children’s hospital

BMC Pediatrics

Tianxin Zhao¹  Sheng Wen²  Chengjun Yu²  Yi Wei²  Jie Zhao²  Jiandong Lu²  Guanghui Wei³  Shengde Wu³  Tao Lin³  Dawei He³  Li Jiang⁴ 

[1] Department of Pediatric Urology, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, Guangdong, China;Department of Urology, Children’s Hospital of Chongqing Medical University, Zhongshan 2nd Road, Yuzhong District, 400014, Chongqing, China;Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China;National Clinical Research Center for Child Health and Disorders, Chongqing, China;China International Science and Technology Cooperation Basfe of Child Development and Critical Disorders, Chongqing, China;Chongqing Key Laboratory of Pediatrics Chongqing, Chongqing, China;Department of Urology, Children’s Hospital of Chongqing Medical University, Zhongshan 2nd Road, Yuzhong District, 400014, Chongqing, China;Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China;National Clinical Research Center for Child Health and Disorders, Chongqing, China;China International Science and Technology Cooperation Basfe of Child Development and Critical Disorders, Chongqing, China;Chongqing Key Laboratory of Pediatrics Chongqing, Chongqing, China;Ministry of Education Key Laboratory of Child Development and Disorders, Room 806, Kejiao Building (NO.6), No.136, Zhongshan 2nd Road, 400014, Yuzhong District, Chongqing City, China;Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China;

关键词: Delayed surgery;    Pediatrics;    Socioeconomic factors;    Testicular torsion;   

DOI  :  10.1186/s12887-021-03001-7

来源: Springer

【 摘 要 】

BackgroundTo investigate the association between geographic, clinical, socioeconomic factors and delayed management of pediatric testicular torsion (TT) in West China.MethodsA retrospective study was conducted on TT at Children’s Hospital of Chongqing Medical University in West China from November 2004 to December 2020. Univariate analysis and logistic regression analysis were conducted to determine the association between these factors and delayed management of TT.ResultsA total of 301 cases were included in this study. The misdiagnosis rate of TT in primary, secondary healthcare units and tertiary hospitals was 93.8, 71.1, and 8.9%, respectively. Approximately 26.9% of TT boys received timely surgical management (within 12 h from symptoms inset to surgery). Logistic regression analyses suggested the following factors were associated with delayed repair of TT:age less than 6 years (P = 0.001), with a history of symptoms progress (P = 0.001) or former treatment (P <0.001), absence of other diagnosis (P = 0.011) and those boys living far away from the main city zones (P <0.001).ConclusionsDelayed surgical management for TT was more likely for boys with age less than 6 years, the absence of other diagnosis, with a history of former treatment or symptoms progress, and those living far away from the main city zone. To maximize the possibility of timely surgical management for TT, it is vital to strengthen the public awareness of TT and conduct continuously re-education and update physicians working at primary and secondary healthcare units.

【 授权许可】

CC BY