Age at orchidopexy as an indicator of the quality of regional child health services
Age at orchidopexy as an indicator of the quality of regional child health services
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DOI：
10.1111/j.1440-1754.2011.02202.x
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发表时间：
2012-07-01
影响因子：
1.7
通讯作者：
Beasley, Spencer W.
中科院分区：
文献类型：
--
作者：
Bruijnen, Christine J. P.;Vogels, Helen D. E.;Beasley, Spencer W.
原发性睾丸未降（UDT）的早期治疗对于预防睾丸退化和提高生育能力是必要的。一般建议进行睾丸固定术的年龄为 2 岁以下。比较不同服务之间睾丸固定术的年龄分布可以间接表明儿童保健服务的质量，因为及时诊断和转诊将导致男孩在最佳年龄接受睾丸固定术。本文回顾了1997年至2006年新西兰南岛和澳大利亚维多利亚州接受睾丸固定术的男孩的年龄分布：南岛有64.2%的男孩和维多利亚州有48.0%的男孩在5岁之前接受过睾丸固定术。两个地区0至4岁和10至14岁儿童的比例存在相当大的差异。在审查期间，这两个人群均未发现明显的年龄趋势。这些结果表明，许多男孩没有在最佳年龄接受 UDT 治疗。接受睾丸固定术的年龄可能是一个地区儿科外科服务质量（在诊断、可及性和及时性方面）的一个指标，并且可以确定如果要实现早期诊断和转诊，应注意哪些方面。
Early treatment for primary undescended testis (UDT) is necessary to prevent testicular degeneration and improve fertility. The general recommended age for orchidopexy is before 2 years of age. Comparing the age distribution of orchidopexy between different services may give an indirect indication of the quality of the child health services, since timely diagnosis and referral will lead to boys undergoing orchidopexy at the optimal age. This paper reviews the age distribution of boys having orchidopexies for UDT between 1997 and 2006 in the South Island of New Zealand and the state of Victoria, Australia: 64.2% of boys on the South Island and 48.0% of boys in Victoria had orchidopexies before the age of 5. There was a considerable difference in the proportions of children from 0 to 4 years and from 10 to 14 years between the two regions. No distinct trend in age was seen in either population during the period reviewed. These results show that many boys do not receive treatment for UDT at the optimal age. Age at orchidopexy may be an indicator of the quality (in terms of diagnosis, access and timeliness) of a region's paediatric surgical service and may identify where attention should be paid if earlier diagnosis and referral is to be achieved.