Nelms M, Coggon D
J Epidemiol Community Health. 1986 Mar;40(1):76-9. doi: 10.1136/jech.40.1.76.
Data from Hospital Activity Analysis (HAA) for the Wessex Health Region show a 70% increase in hospital admissions for torsion of the testis between 1971 and 1982. The frequency of emergency admission leading to orchidopexy doubled, but there was no increase in the rate of emergency admission followed by orchidectomy. Detailed investigation of records from Southampton hospitals suggests that the trend cannot be explained by errors in the ascertainment of cases by HAA. The rise in admissions could result from a greater awareness of the diagnosis among general practitioners leading to more frequent referral of mild cases, but it seems more likely that it reflects a real increase in the incidence of the disorder.
来自韦塞克斯健康地区医院活动分析(HAA)的数据显示,1971年至1982年间,睾丸扭转的住院人数增加了70%。导致睾丸固定术的急诊入院频率翻倍,但随后进行睾丸切除术的急诊入院率并未增加。对南安普敦医院记录的详细调查表明,这种趋势无法用HAA病例确诊错误来解释。入院人数的增加可能是由于全科医生对该诊断的认识提高,导致轻症病例转诊更频繁,但似乎更有可能反映出该疾病发病率的实际上升。