Variation in Oophorectomy Rates for Children with Ovarian Torsion across US Children's Hospitals

Susan C Lipsett; Lalita Haines; Michael C Monuteaux; Katherine Hayes; Kenneth A Michelson

doi:10.1016/j.jpeds.2020.12.019

Variation in Oophorectomy Rates for Children with Ovarian Torsion across US Children's Hospitals

J Pediatr. 2021 Apr:231:269-272.e1. doi: 10.1016/j.jpeds.2020.12.019. Epub 2020 Dec 17.

Authors

Susan C Lipsett¹, Lalita Haines², Michael C Monuteaux³, Katherine Hayes⁴, Kenneth A Michelson³

Affiliations

¹ Department of Pediatrics, Harvard Medical School, Boston, MA; Division of Emergency Medicine, Boston Children's Hospital, Boston, MA. Electronic address: susan.lipsett@childrens.harvard.edu.
² Department of Obstetrics/Gynecology, Brigham and Women's Hospital, Boston, MA.
³ Department of Pediatrics, Harvard Medical School, Boston, MA; Division of Emergency Medicine, Boston Children's Hospital, Boston, MA.
⁴ Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT; Division of Pediatric and Adolescent Gynecology, Primary Children's Hospital, Salt Lake City, UT.

Abstract

In this multicenter study of 1783 children diagnosed with ovarian torsion from 2012 to 2017, 402 children (22.5%) underwent oophorectomy. The odds of oophorectomy were higher in children under 11 years of age, children with public insurance, and children with complex chronic conditions. Future efforts should target a preservation-first approach.

Keywords: adnexal torsion; gonadal torsion; outcomes; pediatric; women's health.

Publication types

Multicenter Study
Research Support, U.S. Gov't, P.H.S.

MeSH terms

Child
Child, Preschool
Cohort Studies
Female
Hospitals, Pediatric
Humans
Ovarian Torsion / surgery*
Ovariectomy / statistics & numerical data*
Retrospective Studies
United States

Abstract

Publication types

MeSH terms

Grants and funding