Parental decision regret in childhood hypospadias surgery: A systematic review
We conducted a systematic review of the literature to establish the prevalence of and predictive factors for parental decision regret in hypospadias surgery. A search strategy without language restrictions was developed with expert help, and two reviewers undertook independent study selection. Five...
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| Veröffentlicht in: | Journal of paediatrics and child health 2020-10, Vol.56 (10), p.1514-1520 |
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| creator | Vavilov, Sergey Smith, Grahame Starkey, Malcolm Pockney, Peter Deshpande, Aniruddh V |
| description | We conducted a systematic review of the literature to establish the prevalence of and predictive factors for parental decision regret in hypospadias surgery. A search strategy without language restrictions was developed with expert help, and two reviewers undertook independent study selection. Five studies were included in this review (four for quantitative analysis) with a total of 783 participants. The mean overall prevalence of parental decision regret was 65.2% (moderate to severe – 20.3%). Although significant predictors of regret were identified (post‐operative complications, small size glans, meatal location, decision conflict between parents, parental educational level and others), they had unexplained discordance between studies. Parental decision regret after proximal hypospadias surgery and refusing surgery was inadequately reported. In conclusion, even though the prevalence of parental decision regret after consenting for the hypospadias repair appears to be high, risk factors associated with it were discordant suggesting imprecision in estimates due to unknown confounders. |
| doi_str_mv | 10.1111/jpc.15075 |
| format | Article |
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A search strategy without language restrictions was developed with expert help, and two reviewers undertook independent study selection. Five studies were included in this review (four for quantitative analysis) with a total of 783 participants. The mean overall prevalence of parental decision regret was 65.2% (moderate to severe – 20.3%). Although significant predictors of regret were identified (post‐operative complications, small size glans, meatal location, decision conflict between parents, parental educational level and others), they had unexplained discordance between studies. Parental decision regret after proximal hypospadias surgery and refusing surgery was inadequately reported. In conclusion, even though the prevalence of parental decision regret after consenting for the hypospadias repair appears to be high, risk factors associated with it were discordant suggesting imprecision in estimates due to unknown confounders.</description><identifier>ISSN: 1034-4810</identifier><identifier>EISSN: 1440-1754</identifier><identifier>DOI: 10.1111/jpc.15075</identifier><identifier>PMID: 32885548</identifier><language>eng</language><publisher>Australia: John Wiley & Sons Australia, Ltd</publisher><subject>Childhood ; Clinical decision making ; Decision making ; Deformities ; Emotions ; ethic ; Female ; general paediatrics ; Humans ; Hypospadias - surgery ; Male ; Parents ; Parents & parenting ; Pediatrics ; Penis ; Reconstructive Surgical Procedures ; surgery ; Surgical outcomes ; Systematic review ; Urethra - surgery ; Urological surgery ; urology/gynaecology</subject><ispartof>Journal of paediatrics and child health, 2020-10, Vol.56 (10), p.1514-1520</ispartof><rights>2020 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)</rights><rights>2020 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3535-a4b1dedba099b3af30a8ec221ea6d39d953fb5190a9be51d8d7ea4cf76bce3d73</citedby><cites>FETCH-LOGICAL-c3535-a4b1dedba099b3af30a8ec221ea6d39d953fb5190a9be51d8d7ea4cf76bce3d73</cites><orcidid>0000-0002-4503-1789</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjpc.15075$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjpc.15075$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32885548$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vavilov, Sergey</creatorcontrib><creatorcontrib>Smith, Grahame</creatorcontrib><creatorcontrib>Starkey, Malcolm</creatorcontrib><creatorcontrib>Pockney, Peter</creatorcontrib><creatorcontrib>Deshpande, Aniruddh V</creatorcontrib><title>Parental decision regret in childhood hypospadias surgery: A systematic review</title><title>Journal of paediatrics and child health</title><addtitle>J Paediatr Child Health</addtitle><description>We conducted a systematic review of the literature to establish the prevalence of and predictive factors for parental decision regret in hypospadias surgery. A search strategy without language restrictions was developed with expert help, and two reviewers undertook independent study selection. Five studies were included in this review (four for quantitative analysis) with a total of 783 participants. The mean overall prevalence of parental decision regret was 65.2% (moderate to severe – 20.3%). Although significant predictors of regret were identified (post‐operative complications, small size glans, meatal location, decision conflict between parents, parental educational level and others), they had unexplained discordance between studies. Parental decision regret after proximal hypospadias surgery and refusing surgery was inadequately reported. In conclusion, even though the prevalence of parental decision regret after consenting for the hypospadias repair appears to be high, risk factors associated with it were discordant suggesting imprecision in estimates due to unknown confounders.</description><subject>Childhood</subject><subject>Clinical decision making</subject><subject>Decision making</subject><subject>Deformities</subject><subject>Emotions</subject><subject>ethic</subject><subject>Female</subject><subject>general paediatrics</subject><subject>Humans</subject><subject>Hypospadias - surgery</subject><subject>Male</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Pediatrics</subject><subject>Penis</subject><subject>Reconstructive Surgical Procedures</subject><subject>surgery</subject><subject>Surgical outcomes</subject><subject>Systematic review</subject><subject>Urethra - surgery</subject><subject>Urological surgery</subject><subject>urology/gynaecology</subject><issn>1034-4810</issn><issn>1440-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLtOwzAUQC0EoqUw8AMoEgsMae3YzoOtqniqgg4wR45907rKCzuhyt9jSGFAwsv1cO7R1UHonOApcW-2beSUcBzxAzQmjGGfRJwduj-mzGcxwSN0Yu0WYxxwHh-jEQ3imHMWj9HzShioWlF4CqS2uq48A2sDracrT250oTZ1rbxN39S2EUoL69nOrMH0N97cs71toRStlm7rQ8PuFB3lorBwtp8T9HZ3-7p48Jcv94-L-dKXlFPuC5YRBSoTOEkyKnKKRQwyCAiIUNFEJZzmGScJFkkGnKhYRSCYzKMwk0BVRCfoavA2pn7vwLZpqa2EohAV1J1NA1eBhSFNQode_kG3dWcqd52jOE2CkIfcUdcDJU1trYE8bYwuhelTgtOvyKmLnH5HduzF3thlJahf8qeqA2YDsNMF9P-b0qfVYlB-AkJahsU</recordid><startdate>202010</startdate><enddate>202010</enddate><creator>Vavilov, Sergey</creator><creator>Smith, Grahame</creator><creator>Starkey, Malcolm</creator><creator>Pockney, Peter</creator><creator>Deshpande, Aniruddh V</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4503-1789</orcidid></search><sort><creationdate>202010</creationdate><title>Parental decision regret in childhood hypospadias surgery: A systematic review</title><author>Vavilov, Sergey ; 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A search strategy without language restrictions was developed with expert help, and two reviewers undertook independent study selection. Five studies were included in this review (four for quantitative analysis) with a total of 783 participants. The mean overall prevalence of parental decision regret was 65.2% (moderate to severe – 20.3%). Although significant predictors of regret were identified (post‐operative complications, small size glans, meatal location, decision conflict between parents, parental educational level and others), they had unexplained discordance between studies. Parental decision regret after proximal hypospadias surgery and refusing surgery was inadequately reported. In conclusion, even though the prevalence of parental decision regret after consenting for the hypospadias repair appears to be high, risk factors associated with it were discordant suggesting imprecision in estimates due to unknown confounders.</abstract><cop>Australia</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>32885548</pmid><doi>10.1111/jpc.15075</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4503-1789</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Childhood Clinical decision making Decision making Deformities Emotions ethic Female general paediatrics Humans Hypospadias - surgery Male Parents Parents & parenting Pediatrics Penis Reconstructive Surgical Procedures surgery Surgical outcomes Systematic review Urethra - surgery Urological surgery urology/gynaecology |
| title | Parental decision regret in childhood hypospadias surgery: A systematic review |
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