Undescended testis: Level of knowledge among potential referring health‐care providers

Lim, Li Min; Nah, Shireen Anne; Lakshmi, Narasimhan K; Yap, Te‐Lu; Jacobsen, Anette Sundfor; Low, Ying Min; Ong, Caroline C. P.

doi:10.1111/jpc.12911

Cited by 8 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The reason behind this was multifactorial but mainly attributed to the fact that physicians assume that acquired ascending cryptorchidism is the underlying pathophysiology rather than UDT. 12 A similar survey was conducted in Singapore showing lack of familiarity with UDT. 13 As the study results show that the knowledge of UDT amongst primary care physicians could be improved, infants with either a definitive or suspected diagnosis are to be referred promptly, in order to avoid an untimely diagnosis.…”

Section: Discussionmentioning

confidence: 98%

Undescended testis: Knowledge and Practice Among Primary Care Physicians in Bahrain

2021

J Bah Med Soc

View full text Add to dashboard Cite

Background & Objectives: Un-descended testis (UDT) is the most common congenital anomaly in male newborns. Spontaneous descent of testes does not occur beyond six months of age. As Bahrain has a universal child screening program, primary care physicians are the first physicians to encounter these children. This study aimed to investigate the knowledge of UDT, its work up and management among primary care physicians in Bahrain. Awareness of recent guidelines and current recommended practices in management were evaluated. Materials & Methods:This cross-sectional study was based on a self-administered 12-item questionnairewith questions about incidence, pathophysiology, examination, management and complications of undescended testes, which was distributed among 101 among primary care physicians. Data was expressed as mean±standard deviation and measures of central tendency were used for descriptive analysis. P value was set at <0.05.Results: An equal number of family physicians and pediatricians completed the survey, while general practitioners formed the lowest proportion of responders. Most of the responders had at least 5 years of experience (72.3%) and encountered an average of one to four cases of UDT per year (70.3%). With respect to the knowledge of UDT and specialty (p >0.05), work experience (p >0.05) or annual case load (p >0.05) was observed. The average score in this cohort was 5.9 out of a maximum of 10 points. About 50.5% of the respondents scored between 5 and 6 points (50.5%).Conclusions:A remarkablegap in the knowledge about the different aspects of UDT amongst primary care physicians was documented.

show abstract

Section: Discussionmentioning

confidence: 98%

Undescended testis: Knowledge and Practice Among Primary Care Physicians in Bahrain

2021

J Bah Med Soc

View full text Add to dashboard Cite

show abstract

“…A brief focused educational update for CO diagnosis is effective. 12,13,19,20 However, overdiagnosis is by no means an error in patients with suspected CO because RT has an approximately 30% risk of becoming ascending or acquired CO. 17,21 There have been reports of infant scrotal examination training, 7,12,22 and it is important to instruct primary care pediatricians, who are primarily responsible for the routine health checkups. Pediatric urologists are responsible for guiding and making the correct diagnosis at the appropriate time.…”

Section: Discussionmentioning

confidence: 99%

“…The public health checkup is often performed by general pediatricians, who should be educated about the need for early surgery. A brief focused educational update for CO diagnosis is effective 12,13,19,20 . However, overdiagnosis is by no means an error in patients with suspected CO because RT has an approximately 30% risk of becoming ascending or acquired CO 17,21 .…”

Section: Discussionmentioning

confidence: 99%

Assessment of diagnostic accuracy for cryptorchidism and risk factors for delayed orchidopexy

Morizawa,

Aoki,

Fukui

et al. 2023

Int J of Urology

View full text Add to dashboard Cite

ObjectivesCryptorchidism (CO) diagnosis by palpation is challenging. Patients with suspected CO are primarily referred to pediatric urologists by general pediatricians and urologists. Currently, surgical treatment for CO is recommended earlier than in previous guidelines. In this study, we evaluated factors that lead to diagnosis discordance and delayed orchidopexy in patients referred with suspected CO in addition to timing of initial screening.MethodsIn total, 731 patients (1052 testes) with suspected CO were included. Risk factors for diagnostic discrepancy in CO diagnosis by pediatric urologists and risk of delayed orchiopexy were evaluated.ResultsHerein, 659 (90%) patients were diagnosed during routine public health checkups for infants and young children, and 419 (57%) patients were referred by pediatric practitioners. Of 1052 testes, 374 (36%) were diagnosed with CO by pediatric urologists. In multivariate analysis, risk factors of diagnostic discrepancy for CO diagnosis by pediatric urologists were bilateral testis (odds ratio [OR] = 9.17, p < 0.0001), >6 months old at initial diagnosis (OR = 1.036, p < 0.0001), and pediatric referral (OR = 4.60, p < 0.0001). In total, 296 patients underwent orchiopexy for CO. In multivariate analysis, risk factors for delayed orchiopexy were presence of comorbidities (OR = 3.43, p = 0.003) and >10 months old at referral (OR = 12.62, p < 0.0001).ConclusionsPediatric referral is a risk factor for discordant CO diagnostics, and late age at referral brings a risk of delayed orchiopexy. It is necessary to enlighten pediatricians, who are mainly responsible for routine health checkups, in teaching CO diagnostic techniques to ensure early referral.

show abstract

“…Iz navedenih podataka jasno je vidljivo da su stečena znanja o nespuštenim testisima nedovoljna. Iako je većina liječnika iz navedene studije bila svjesna ozbiljnih posljedica neliječenih nespuštenih testisa, većina je smatrala da bi se orhidopeksija trebala učiniti tek nakon prve godine djetetova života (35).…”

Section: Raspravaunclassified

Knowledge and attitudes about undescended testicles – the need for an educational approach

Bašković¹,

Čolić²,

Mašić³

et al. 2022

Paediatr Croat

View full text Add to dashboard Cite

Cilj: S obzirom na loše pokazatelje dobi orhidopeksije za kongenitalnu skupinu nespuštenih testisa, cilj ovoga rada bio je istražiti znanja i stavove specijalizanata/mladih specijalista pedijatrije, obiteljske i školske medicine o navedenoj problematici jer upravo su oni, u većini slučajeva prvi kojima se roditelji obraćaju za pomoć i mišljenje.Metode: Znanje i stavovi specijalizanata i mladih specijalista ispitani su pomoću anonimnog online upitnika, temeljenog na najnovijim spoznajama i smjernicama. Prikupljanje podataka provedeno je putem besplatnog programa Google Forms®. Kako bismo utvrdili odstupaju li dobiveni odgovori od odgovora koje bismo očekivali pod određenom hipotezom, odgovori su uspoređivani korištenjem hi-kvadrat testa uz razinu statističke značajnosti od 5%.Rezultati: Upitnik je ispunilo 129 specijalizanata/mladih specijalista, od kojih većina smatra kako za vrijeme studiranja i specijalističkog usavršavanja nisu dovoljno čuli i naučili o nespuštenim testisima, kako svoje znanje o problematici nespuštenih testisa smatraju nezadovoljavajućim te kako se u dosadašnjoj karijeri nisu susreli sa smjernicama koje govore o dijagnostici i liječenju nespuštenih testisa. Odgovori na većinu pitanja, koja su se temeljila na najnovijim smjernicama, bili su nezadovoljavajući. Gotovo 2/3 ispitanika smatra kako se o dječacima s nespuštenim testisima u Republici Hrvatskoj ne vodi pravodobna briga i liječenje, a 1/3 ispitanika ključni problem vidi u primarnim pedijatrima, obiteljskim liječnicima te u timovima školske medicine.Zaključci: S obzirom na dobro poznate posljedice nepravodobnog liječenja nespuštenih testisa u dječaka, rezultatima analize ankete kojima ne možemo biti zadovoljni potrebno je ozbiljno pristupiti. Stoga potičemo buduće edukativne intervencije, utemeljene na dokazima, koje će za cilj imati bolju informiranost o problematici nespuštenih testisa i u konačnici vremenski pomak samih orhidopeksija k ranijoj dobi.

show abstract

Undescended testis: Level of knowledge among potential referring health‐care providers

Cited by 8 publications

References 15 publications

Undescended testis: Knowledge and Practice Among Primary Care Physicians in Bahrain

Undescended testis: Knowledge and Practice Among Primary Care Physicians in Bahrain

Assessment of diagnostic accuracy for cryptorchidism and risk factors for delayed orchidopexy

Knowledge and attitudes about undescended testicles – the need for an educational approach

Contact Info

Product

Resources

About