Laparoscopy for Abdominal Testes: Nationwide Analysis of German Routine Data
Laparoscopy has been used for the evaluation of impalpable testes for more than 30 years. However, its use for intra-abdominal testes has never been evaluated in a population-based approach. Neither has the share of timely orchiopexies of intra-abdominal testes according to published guidelines. We...
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| Veröffentlicht in: | Journal of laparoendoscopic & advanced surgical techniques. Part A 2021-02, Vol.31 (2), p.236-241 |
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| container_title | Journal of laparoendoscopic & advanced surgical techniques. Part A |
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| creator | Oetzmann von Sochaczewski, Christina Muensterer, Oliver J |
| description | Laparoscopy has been used for the evaluation of impalpable testes for more than 30 years. However, its use for intra-abdominal testes has never been evaluated in a population-based approach. Neither has the share of timely orchiopexies of intra-abdominal testes according to published guidelines. We aimed to provide this information by using nationwide administrative data for hospital reimbursements.
We obtained data for procedures for exploration and orchiopexy of intra-abdominal testes in Germany from 2005 through 2018 and analyzed them with linear regression for the use of laparoscopy and timely repair.
In 2005, laparoscopy was already used in more than 60% of explorations, which composed 76% (95% confidence interval [CI]: 72 to 79) of children operated before their first birthday and 68% (95% CI: 65 to 70) of children up to 4 years of age. Throughout the study period, laparoscopy became increasingly popular for orchiopexy of intra-abdominal testes with a yearly increase of 1.8% (95% CI: 1.2 to 2.5,
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| doi_str_mv | 10.1089/lap.2020.0311 |
| format | Article |
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We obtained data for procedures for exploration and orchiopexy of intra-abdominal testes in Germany from 2005 through 2018 and analyzed them with linear regression for the use of laparoscopy and timely repair.
In 2005, laparoscopy was already used in more than 60% of explorations, which composed 76% (95% confidence interval [CI]: 72 to 79) of children operated before their first birthday and 68% (95% CI: 65 to 70) of children up to 4 years of age. Throughout the study period, laparoscopy became increasingly popular for orchiopexy of intra-abdominal testes with a yearly increase of 1.8% (95% CI: 1.2 to 2.5,
< .001) in the first year of life and 1.3% (95% CI: 0.2 to 3.4,
< .001) until the age of 4. The share of patients treated before their first birthday increased yearly by 1.9% for explorations and 1.6% for orchiopexies (
< .001 for both) but did not exceed 30% in 2018.
Laparoscopy is the method of choice for exploration of intra-abdominal testes and orchiopexy. In this study, more than 70% of boys were treated after their first birthday, thus not meeting the time limit set by guidelines.</description><identifier>ISSN: 1092-6429</identifier><identifier>EISSN: 1557-9034</identifier><identifier>DOI: 10.1089/lap.2020.0311</identifier><identifier>PMID: 33259766</identifier><language>eng</language><publisher>United States</publisher><ispartof>Journal of laparoendoscopic & advanced surgical techniques. Part A, 2021-02, Vol.31 (2), p.236-241</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c293t-5962af6432b432dd65f4d08b929f84cf059ae2f63cae45c0a693039f33c2705f3</citedby><cites>FETCH-LOGICAL-c293t-5962af6432b432dd65f4d08b929f84cf059ae2f63cae45c0a693039f33c2705f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33259766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oetzmann von Sochaczewski, Christina</creatorcontrib><creatorcontrib>Muensterer, Oliver J</creatorcontrib><title>Laparoscopy for Abdominal Testes: Nationwide Analysis of German Routine Data</title><title>Journal of laparoendoscopic & advanced surgical techniques. Part A</title><addtitle>J Laparoendosc Adv Surg Tech A</addtitle><description>Laparoscopy has been used for the evaluation of impalpable testes for more than 30 years. However, its use for intra-abdominal testes has never been evaluated in a population-based approach. Neither has the share of timely orchiopexies of intra-abdominal testes according to published guidelines. We aimed to provide this information by using nationwide administrative data for hospital reimbursements.
We obtained data for procedures for exploration and orchiopexy of intra-abdominal testes in Germany from 2005 through 2018 and analyzed them with linear regression for the use of laparoscopy and timely repair.
In 2005, laparoscopy was already used in more than 60% of explorations, which composed 76% (95% confidence interval [CI]: 72 to 79) of children operated before their first birthday and 68% (95% CI: 65 to 70) of children up to 4 years of age. Throughout the study period, laparoscopy became increasingly popular for orchiopexy of intra-abdominal testes with a yearly increase of 1.8% (95% CI: 1.2 to 2.5,
< .001) in the first year of life and 1.3% (95% CI: 0.2 to 3.4,
< .001) until the age of 4. The share of patients treated before their first birthday increased yearly by 1.9% for explorations and 1.6% for orchiopexies (
< .001 for both) but did not exceed 30% in 2018.
Laparoscopy is the method of choice for exploration of intra-abdominal testes and orchiopexy. In this study, more than 70% of boys were treated after their first birthday, thus not meeting the time limit set by guidelines.</description><issn>1092-6429</issn><issn>1557-9034</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNo9kFFLwzAQgIMobk4ffZU8-tKZ5pJ08W1MnUJRkPkc0jSBStvUpEX2781wenDccXwcdx9C1zlZ5mQl71o9LCmhZEkgz0_QPOe8yCQBdpp6ImkmGJUzdBHjJ0khgZ2jGQDlshBijspSDzr4aPywx84HvK5q3zW9bvHOxtHGe_yqx8b3301t8TrN97GJ2Du8taHTPX7309j0Fj_oUV-iM6fbaK-OdYE-nh53m-esfNu-bNZlZqiEMeNSUO0EA1qlrGvBHavJqpJUuhUzjnCpLXUCjLaMG6KFBALSARhaEO5ggW5_9w7Bf03pTNU10di21b31U1SUCUElgwISmv2iJj0Zg3VqCE2nw17lRB0EqiRQHQSqg8DE3xxXT1Vn63_6zxj8AFntavM</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Oetzmann von Sochaczewski, Christina</creator><creator>Muensterer, Oliver J</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202102</creationdate><title>Laparoscopy for Abdominal Testes: Nationwide Analysis of German Routine Data</title><author>Oetzmann von Sochaczewski, Christina ; Muensterer, Oliver J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c293t-5962af6432b432dd65f4d08b929f84cf059ae2f63cae45c0a693039f33c2705f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oetzmann von Sochaczewski, Christina</creatorcontrib><creatorcontrib>Muensterer, Oliver J</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laparoendoscopic & advanced surgical techniques. Part A</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oetzmann von Sochaczewski, Christina</au><au>Muensterer, Oliver J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopy for Abdominal Testes: Nationwide Analysis of German Routine Data</atitle><jtitle>Journal of laparoendoscopic & advanced surgical techniques. Part A</jtitle><addtitle>J Laparoendosc Adv Surg Tech A</addtitle><date>2021-02</date><risdate>2021</risdate><volume>31</volume><issue>2</issue><spage>236</spage><epage>241</epage><pages>236-241</pages><issn>1092-6429</issn><eissn>1557-9034</eissn><abstract>Laparoscopy has been used for the evaluation of impalpable testes for more than 30 years. However, its use for intra-abdominal testes has never been evaluated in a population-based approach. Neither has the share of timely orchiopexies of intra-abdominal testes according to published guidelines. We aimed to provide this information by using nationwide administrative data for hospital reimbursements.
We obtained data for procedures for exploration and orchiopexy of intra-abdominal testes in Germany from 2005 through 2018 and analyzed them with linear regression for the use of laparoscopy and timely repair.
In 2005, laparoscopy was already used in more than 60% of explorations, which composed 76% (95% confidence interval [CI]: 72 to 79) of children operated before their first birthday and 68% (95% CI: 65 to 70) of children up to 4 years of age. Throughout the study period, laparoscopy became increasingly popular for orchiopexy of intra-abdominal testes with a yearly increase of 1.8% (95% CI: 1.2 to 2.5,
< .001) in the first year of life and 1.3% (95% CI: 0.2 to 3.4,
< .001) until the age of 4. The share of patients treated before their first birthday increased yearly by 1.9% for explorations and 1.6% for orchiopexies (
< .001 for both) but did not exceed 30% in 2018.
Laparoscopy is the method of choice for exploration of intra-abdominal testes and orchiopexy. In this study, more than 70% of boys were treated after their first birthday, thus not meeting the time limit set by guidelines.</abstract><cop>United States</cop><pmid>33259766</pmid><doi>10.1089/lap.2020.0311</doi><tpages>6</tpages></addata></record> |
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| source | Alma/SFX Local Collection |
| title | Laparoscopy for Abdominal Testes: Nationwide Analysis of German Routine Data |
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