隐睾症的管理可以通过教育更新和新的转介模式得到改善。
Management of undescended testis may be improved with educational updates and new transferring model.
机构信息
Department of Urology, Children's Hospital of Chongqing Medical University, Room 806, Kejiao Building (NO.6 Building), No.136, 2nd Zhongshan Road, Yuzhong District, Chongqing City, 400014, China.
Chongqing Key Laboratory of Child Urogenital Development and Tissue Engineering, Chongqing, China.
出版信息
Ital J Pediatr. 2018 May 24;44(1):58. doi: 10.1186/s13052-018-0499-4.
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.
背景
为了探讨通过对基层医疗从业者进行教育更新和转诊模式的改变，是否能改善隐睾（UDT）的管理。
方法
我们回顾了重庆医科大学附属儿童医院实施的睾丸固定术的年龄，并提出了教育更新和转诊模式的改变。收集了干预后实施的睾丸固定术的年龄数据。采用图形表示数据，并进行了趋势卡方检验。
结果
共实施了 1543 例睾丸固定术。任何一年的睾丸固定术中位年龄都未达到 6-12 个月的目标年龄。对转诊医生的调查显示，他们推荐的年龄有 48.85%低于 12 个月。然而，只有 25.50%的人会在此时直接将患儿转介到小儿外科进行手术治疗。在我们提出教育更新后，对睾丸固定术年龄的跟踪显示出了统计学上的显著下降趋势。
结论
通过对基层医疗从业者进行教育更新和转诊模式的改变，可能会改善隐睾的管理。
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