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. 2018 May 24;44(1):58.
doi: 10.1186/s13052-018-0499-4.

Management of undescended testis may be improved with educational updates and new transferring model

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Management of undescended testis may be improved with educational updates and new transferring model

Wei Yi et al. Ital J Pediatr. .

Abstract

Background: To investigate whether management of undescended testis (UDT) may be improved with educational updates and new transferring model among referring providers (RPs).

Methods: The age of orchidopexies performed in Children's Hospital of Chongqing Medical University were reviewed. We then proposed educational updates and new transferring model among RPs. The age of orchidopexies performed after our intervention were collected. Data were represented graphically and statistical analysis Chi-square for trend were used.

Results: A total of 1543 orchidopexies were performed. The median age of orchidopexy did not matched the target age of 6-12 months in any subsequent year. Survey of the RPs showed that 48.85% of their recommended age was below 12 months. However, only 25.50% of them would directly make a surgical referral to pediatric surgery specifically at this point. After we proposed educational updates, tracking the age of orchidopexy revealed a statistically significant trend downward.

Conclusions: The management of undescended testis may be improved with educational updates and new transferring model among primary healthcare practitioners.

Keywords: Age; Children; Educational updates; Orchidopexy; Undescended testis (UDT).

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Not applicable

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The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
Graph showing the median age at orchidopexy each year from 2010 to 2015. Shaded box shows the target range for the age at orchidopexy during that time period
Fig. 2
Fig. 2
Graph showing the waiting list time of orchidopexies (n = 199). A = The time from diagnosing UDT to referral to specialist center. B = The time from making outpatient appointment to orchidopexy

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