Rate of oophorectomy in pediatric ovarian torsion: risk factors and change over time
Topic overview
This retrospective study of 7,008 pediatric ovarian torsion cases shows oophorectomy rates have declined over time, though disparities persist. Patients with benign neoplasms and those treated at rural hospitals remain at higher risk for oophorectomy despite current recommendations favoring ovarian salvage.
Key takeaways
- Oophorectomy rates in pediatric ovarian torsion have decreased over time, reflecting improved adoption of ovarian-salvage techniques.
- Patients with benign ovarian neoplasms remain at 2× higher risk for oophorectomy despite low malignancy rates (0.4% in this cohort).
- Rural hospitals perform oophorectomy more frequently than urban teaching centers, suggesting geographic disparities in surgical approach.
- Ovarian salvage is now standard of care given fertility preservation goals and rarity of malignancy in pediatric ovarian torsion.
- Continued education is needed to reduce unnecessary oophorectomy, especially for benign neoplasms and in non-academic settings.
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How to cite: GlobalCastMD. Rate of oophorectomy in pediatric ovarian torsion: risk factors and change over time. GlobalCastMD Medical Library. 2024-06-24. https://dev.library.globalcastmd.com/article/8769?via_space=staycurrentmd
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