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

Wei Guang-Hui,Lin Tao,He Da-Wei,Wei Yi,Shen Lian-Ju,Wu Sheng-De

doi:10.1186/s13052-018-0499-4

Abstract

BackgroundTo investigate whether management of undescended testis (UDT) may be improved with educational updates and new transferring model among referring providers (RPs).MethodsThe 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.ResultsA 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.ConclusionsThe management of undescended testis may be improved with educational updates and new transferring model among primary healthcare practitioners.

Highlights

To investigate whether management of undescended testis (UDT) may be improved with educational updates and new transferring model among referring providers (RPs)
This problem is similar in the southwest district of China based on our clinical observation, and we believed that some aspects of management could be improved with educational updates for the referring provider (RPs)/ primary
Part 1: Assessment of management of Undescended testis (UDT) prior to referral to urology The age of orchidopexy A total of 1543 orchidopexies were performed from 1 April 2010 to 1 February 2015

Summary

Introduction

To investigate whether management of undescended testis (UDT) may be improved with educational updates and new transferring model among referring providers (RPs). Studies have shown that the average age at orchidopexy currently remains significantly older than the suggested targets, and bringing the age down may be difficult to achieve [9, 10]. This problem is similar in the southwest district of China based on our clinical observation, and we believed that some aspects of management could be improved with educational updates for the referring provider (RPs)/ primary

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