MP55-07 INDIVIDUAL AND SYSTEMS LEVEL FACTORS ASSOCIATED WITH ODDS OF ORCHIECTOMY IN TESTICULAR TORSION IN NEW YORK STATE

Abstract

You have accessJournal of UrologyPediatric Urology V (MP55)1 Sep 2021MP55-07 INDIVIDUAL AND SYSTEMS LEVEL FACTORS ASSOCIATED WITH ODDS OF ORCHIECTOMY IN TESTICULAR TORSION IN NEW YORK STATE Annie Chen, Anjali Kapur, Autumn Breutzmann, Taylor Charter, Elise Hsu, Nomi Weiss-Laxer, Jason Kim, and Ezekiel Young Annie ChenAnnie Chen More articles by this author , Anjali KapurAnjali Kapur More articles by this author , Autumn BreutzmannAutumn Breutzmann More articles by this author , Taylor CharterTaylor Charter More articles by this author , Elise HsuElise Hsu More articles by this author , Nomi Weiss-LaxerNomi Weiss-Laxer More articles by this author , Jason KimJason Kim More articles by this author , and Ezekiel YoungEzekiel Young More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002085.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Testicular torsion is an emergency that can result in loss of the torsed testicle. Although there are many factors reported in the literature that affect odds of orchiectomy versus orchiopexy, many of these studies are limited by small patient populations. This study seeks to identify factors associated with orchiectomy associated with testicular torsion within different pediatric age groups in New York State over a 15-year period. METHODS: The Statewide Planning and Research Cooperative System (SPARCS) database was queried from 2003-18 for orchiectomy CPT code 54520 and orchiopexy CPT codes 54600, 54620, 54640, and 54650. All patients between 1 and 18 years old with the diagnosis code for torsion (ICD9 608.2 and ICD10 N44.00) were included. Unadjusted and adjusted logistic regression models examined correlates (age, time and day of presentation, presentation to trauma center, insurance status and year) associated with the odds of orchiectomy. Patients were stratified into 3 age groups: (1) 1-6, (2) 7-12, (3) 13-18. RESULTS: N= 4,159 children were included. 26% underwent orchiectomy. In unadjusted models, the odds of orchiectomy were higher during peak hours (5am-5pm) (OR=1.35, p=0.001) and lower during the weekend (OR=0.79, p=0.033). Individuals with government insurance (compared to private or self pay) had higher odds of orchiectomy (OR=1.55, p<0.0001). In stratified and adjusted models, correlates varied by age group. Among children ages 1-6 (N=766), odds of orchiectomy were lower on the weekend (OR=0.46, p=0.034). Among children 7-12 (N=915), there was no difference in time or day of presentation; however, they had increased odds of orchiectomy if they had government insurance (OR=1.5, p=0.03) or self-pay (OR=3.31, p=0.014), and if they presented to a trauma center (OR=1.5, p=0.037). Children 13-18 (N=2478) had higher odds of orchiectomy if they presented later in the day (1.05 for every hour after midnight [p>0.0001]) and if they had government insurance (OR=1.27, p=0.046). CONCLUSIONS: Predictors of orchiectomy vary for different age groups depending on time and day of presentation, insurance type, and presentation to a trauma center. These findings have implications for a healthcare systems approach to improving pediatric urological outcomes. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e960-e961 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Annie Chen More articles by this author Anjali Kapur More articles by this author Autumn Breutzmann More articles by this author Taylor Charter More articles by this author Elise Hsu More articles by this author Nomi Weiss-Laxer More articles by this author Jason Kim More articles by this author Ezekiel Young More articles by this author Expand All Advertisement Loading ...