Premium
The incidence rate and characteristics in patients with testicular torsion: a nationwide, population‐based study
Author(s) -
Huang WeiYi,
Chen YuFen,
Chang HongChiang,
Yang TengKai,
Hsieh JuTon,
Huang KuoHow
Publication year - 2013
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12275
Subject(s) - medicine , testicular torsion , spermatic cord torsion , incidence (geometry) , torsion (gastropod) , pediatrics , population based study , population , surgery , environmental health , optics , physics
Aim To determine the incidence rate and characteristics in patients with testicular torsion in T aiwan using a nationwide insurance database. Methods This study utilizes a subset of national health insurance research database, which contains the data of all paid medical benefit claims over the period 1997–2010 for in 1 000 000 beneficiaries in 2005. We analysed claims data for all male subjects younger than 25 years with the diagnosis of testicular torsion. Results A total of 86 subjects younger than 25 years with the diagnosis of testicular torsion were included. Among them, 22 (25.6%) underwent orchiectomies and 64 (74.4%) underwent orchiopexies. The estimated incidence of testicular torsion was 3.5 per 100 000 person‐years. There are two peaks in the age‐specific incidence rates: the first in boys aged 10–14 years (at 7.7 per 100 000 person‐years) and the second in male infants aged <1 year (at 7.6 per 100 000 person‐years). There was significant difference between orchiectomy and orchiopexy groups in the Insurance fee (p = 0.032). Conclusion The incidence of testicular torsion in T aiwan was similar with previous report in the U nited S tates. It is important to improve the medical access to achieve better outcomes of testicular torsion.