Practice variation and clinical confusion regarding undescended testes and retractile testes among primary care respondents

A multi-regional survey study in the United States

Margarett Shnorhavorian, Micah A. Jacobs, Gillian Stearns, Gerald Mingin, Martin A. Koyle

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Purpose Although previous studies have looked at referral patterns and indications for orchiopexy, this is the first attempt at quantifying the primary care provider knowledge base of cryptorchidism and its implications in a large multi-state setting in the United States. Methods Primary care providers (PCPs) (n = 3,000) were invited to complete a web-based survey regarding cryptorchidism. We evaluated: practice setting; training; knowledge of cryptorchidism; relationship to pediatric urologists and surgeons; understanding of the relationship between cryptorchidism, infertility and testis cancer. Results Seventeen percent (n = 453) of PCPs responded to the survey. Fifty-three percent indicated that they had minimal to no exposure to pediatric urology during training. Two-thirds refer patients with retractile testes to surgical specialists. Practice setting was associated with the type of information families received about the impact of UDT on fertility and malignancy with rural practices being more likely to counsel that unilateral UDT imparted a high risk of malignancy (RR 1.5; 95 % CI 1.2, 1.9) and bilateral UDT resulted in likely infertility (RR 2.1; 95 % CI 1.5, 2.8). Conclusions This study underscores the need for increased evidence-based recommendations, as well as improved training and education of PCPs in the US who deal with disorders of testicular descent.

Original languageEnglish (US)
Pages (from-to)635-639
Number of pages5
JournalPediatric Surgery International
Volume28
Issue number6
DOIs
StatePublished - Jun 2012

Fingerprint

Cryptorchidism
Testis
Primary Health Care
Infertility
Pediatrics
Orchiopexy
Knowledge Bases
Testicular Neoplasms
Urology
Fertility
Neoplasms
Referral and Consultation
Education
Surveys and Questionnaires

Keywords

  • Cryptorchidism
  • Pediatric
  • Retractile testes
  • Surgery
  • Urology

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Practice variation and clinical confusion regarding undescended testes and retractile testes among primary care respondents : A multi-regional survey study in the United States. / Shnorhavorian, Margarett; Jacobs, Micah A.; Stearns, Gillian; Mingin, Gerald; Koyle, Martin A.

In: Pediatric Surgery International, Vol. 28, No. 6, 06.2012, p. 635-639.

Research output: Contribution to journalArticle

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