Patterns of care in testicular torsion: influence of hospital transfer on testicular outcomes.
Patterns of care in testicular torsion: influence of hospital transfer on testicular outcomes.
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DOI：
10.1016/j.jpurol.2013.06.003
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发表时间：
2013-12
影响因子：
2
通讯作者：
Litwin, Mark S.
中科院分区：
文献类型：
--
作者：
Yiee, Jenny H.;Chang, Lynne;Kaplan, Alan;Kwan, Lorna;Chung, Paul J.;Litwin, Mark S.
关键词：
To investigate patterns of care for testicular torsion and influence of hospital transfers on testicular outcomes. Hospital transfer may be a source of treatment delay in a condition where delays increase likelihood of orchiectomy. We used a retrospective cohort of Californian males with ICD-9/CPT-defined torsion from inpatient, emergency department (ED), and ambulatory surgery center (ASC) data. Logistic regression assessed predictors of orchiectomy. Predictors of orchiectomy were ages <1 year (OR 19.2, 95% CI 6.3–58.9), 1–9 years (OR 2.7, 95% CI 1.4–5.2), and ≥40 years (OR 6.6, 95% CI 3.1–13.9) (vs. masked age). Treatment at mid-volume (vs. high-volume) facilities was associated with lower odds of orchiectomy (OR 0.5, 95% CI 0.3–0.7). Rural location, non-private insurance, and hospital transfer were associated with orchiectomy on univariate but not multivariate analysis. During 2008–2010, 2,794 subjects experienced torsion (average incidence 5.08 per 100,000 males yearly). Encounters occurred in ASCs (55%), inpatient facilities (36%), and EDs (9%). 60% of subjects were privately insured, 2% experienced hospital transfer, and 31% underwent orchiectomy. Our census found that most cases of testicular torsion were treated in outpatient settings. Hospital transfer was not associated with orchiectomy.
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影响因子：
6.2
作者：
Garceau, Patrick;Dery, Jean-Pierre;de Larochelliere, Robert
通讯作者：
de Larochelliere, Robert
影响因子：
6.6
作者：
Bayne, Aaron P.;Madden-Fuentes, Ramiro J.;Hsieh, Michael H.
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Hsieh, Michael H.
影响因子：
6.6
作者：
BARADA, JH;WEINGARTEN, JL;CROMIE, WJ
通讯作者：
CROMIE, WJ
影响因子：
2.1
作者：
Carey, Kathleen;Burgess, James F., Jr.;Young, Gary J.
通讯作者：
Young, Gary J.
影响因子：
--
作者：
Mansbach, JM;Forbes, P;Peters, C
通讯作者：
Peters, C