Universidade Estadual de Campinas, Faculdade de Medicina, Departamento de Cirurgia, Divisão de Cirurgia Pediátrica, Campinas, SP, Brazil.
Universidade Estadual de Campinas, Faculdade de Medicina, Departamento de Cirurgia, Divisão de Cirurgia Pediátrica, Campinas, SP, Brazil.
J Pediatr (Rio J). 2024 Nov-Dec;100(6):640-645. doi: 10.1016/j.jped.2024.06.002. Epub 2024 Jul 9.
Evaluate the level of information of pediatricians about the diagnosis and management of cryptorchidism.
A cross-sectional observational study was conducted using a form via the "Google Forms" platform. The study population included pediatricians and pediatric residents associated with the Brazilian Society of Pediatrics. Seven hundred twenty-eight responses were recorded and analyzed using IBM SPSS v21.
728 valid responses were obtained. Of these answers, only 20.5 % answered that the physical examination was sufficient for the diagnosis, and 79.4 % responded that they requested ultrasound as the best test to aid in diagnosing cryptorchidism. When questioned about the ideal age for referring a patient with cryptorchidism, the survey recorded 56.3 % of the responses defending the correct age as six months old, 30.2 % shortly after birth, and 13.2 % at two years old. Other topics were addressed in the form, such as the frequency of evaluation of testicular position and investigation for DDS, among others. Still, the answers to these questions were compatible with current manuals and guidelines on cryptorchidism.
It is evident that the understanding of the professionals consulted about the diagnosis and management of cryptorchidism needs to be updated with the current practices adopted and that pediatricians, in general, must maintain periodic programs on this subject. Therefore, this topic should be part of a continuing education program with pediatric surgery.
评估儿科医生对隐睾症的诊断和管理的信息水平。
采用“Google 表单”平台进行横断面观察性研究。研究人群包括与巴西儿科学会有关的儿科医生和儿科住院医师。记录了 728 个回复,并使用 IBM SPSS v21 进行了分析。
共获得 728 个有效回复。在这些回答中,只有 20.5%的人回答说体格检查足以诊断,79.4%的人回答说他们要求超声作为诊断隐睾症的最佳检查。当被问及隐睾症患者的推荐年龄时,调查记录了 56.3%的人支持 6 个月大是正确的年龄,30.2%的人支持出生后不久,13.2%的人支持 2 岁。表格中还涉及其他主题,如睾丸位置的评估频率和 DDS 调查等。然而,这些问题的答案与隐睾症的现行手册和指南是一致的。
显然,咨询的专业人员对隐睾症的诊断和管理的理解需要根据当前采用的实践进行更新,而且一般来说,儿科医生必须定期进行有关这一主题的方案。因此,这个话题应该成为与小儿外科相关的继续教育计划的一部分。