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

Abstract

Background To investigate the association between geographic, clinical, socioeconomic factors and delayed management of pediatric testicular torsion (TT) in West China. Methods A 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. Results A 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). Conclusions Delayed 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.

Clinical characteristics, socioeconomic factors and COVID-19 were associated with delayed surgery in children with hypospadias: a retrospective study of 4439 cases in a single center

“…Regarding socioeconomics, children living in low economic areas and not close to a medical center had a higher risk of delayed surgery, consistent with previous findings of delayed surgery for cryptorchidism and testicular torsion [ 22 , 23 ]. Newborns with hypospadias are generally examined and given preliminary treatment advice by the primary community physicians.…”

Clinical characteristics, socioeconomic factors and COVID-19 were associated with delayed surgery in children with hypospadias: a retrospective study of 4439 cases in a single center

“…Regarding socioeconomics, children living in low economic areas and not close to leading medical centers had a higher risk of delayed surgery, consistent with previous ndings of delayed surgery for cryptorchidism and testicular torsion [22,23]. Newborns with hypospadias are generally examined and given preliminary treatment advice by the primary community physicians.…”

Clinical characteristics of testicular torsion and factors influencing testicular salvage in children: A 12-year study in tertiary center

“…We found a correlation between age and TS, with younger children being more likely to undergo orchiectomy. This may be because younger children are unable to judge the severity of pain and accurately describe pain symptoms in words[ 17 ]. Similarly, Bayne et al [ 18 ] reported that misdiagnosed patients tended to be younger and more likely to have developmental, cognitive, or social disorders than those in an acute setting[ 18 ].…”