{"id":2860,"date":"2020-07-24T00:00:00","date_gmt":"2020-07-24T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/timing-of-paediatric-orchidopexy-in-universal-healthcare-systems-international-administrative-data-cohort-study\/"},"modified":"2023-06-14T20:01:12","modified_gmt":"2023-06-15T00:01:12","slug":"timing-of-paediatric-orchidopexy-in-universal-healthcare-systems-international-administrative-data-cohort-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/timing-of-paediatric-orchidopexy-in-universal-healthcare-systems-international-administrative-data-cohort-study\/","title":{"rendered":"Timing of paediatric orchidopexy in universal healthcare systems: international administrative data cohort study"},"content":{"rendered":"<p><strong>Background <\/strong>&#x2014; International guidelines in 2008 recommended orchidopexy for undescended testis at 6&#x2013;12 months of age to reduce the risk of testicular cancer and infertility. Using administrative data from England, Finland, Ontario (Canada), Scotland and Sweden (with data from Victoria (Australia) and Iceland in supplementary analyses), the aim of this study was to investigate compliance with these guidelines and identify potential socioeconomic inequities in the timing of surgery before 1 and 3 years.<\/p>\n<p><strong>Methods <\/strong>&#x2014; All boys born in 2003&#x2013;2011 with a diagnosis code of undescended testis and procedure codes indicating orchidopexy before their fifth birthday were identified from administrative health records. Trends in the proportion of orchidopexies performed before 1 and 3 years of age were investigated, as were socioeconomic inequities in adherence to the guidelines.<\/p>\n<p><strong>Results <\/strong>&#x2014; Across all jurisdictions, the proportion of orchidopexies occurring before the first birthday increased over the study period. By 2011, from 7&#xb7;6 per cent (Sweden) to 27&#xb7;9 per cent (Scotland) of boys had undergone orchidopexy by their first birthday and 71&#xb7;5 per cent (Sweden) to 90&#xb7;4 per cent (Scotland) by 3 years of age. There was limited evidence of socioeconomic inequities for orchidopexy before the introduction of guidelines (2008). Across all jurisdictions for boys born after 2008, there was consistent evidence of inequities in orchidopexy by the first birthday, favouring higher socioeconomic position. Absolute differences in these proportions between the highest and lowest socioeconomic groups ranged from 2&#xb7;5 to 5&#xb7;9 per cent across jurisdictions.<\/p>\n<p><strong>Conclusion <\/strong>&#x2014; Consistent lack of adherence to the guidelines across jurisdictions questions whether the guidelines are appropriate.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; International guidelines in 2008 recommended orchidopexy for undescended testis at 6&#x2013;12 months of age to reduce the risk of testicular cancer and infertility. Using administrative data from England, Finland, Ontario (Canada), Scotland and Sweden (with data from Victoria (Australia) and Iceland in supplementary analyses), the aim of this study was to investigate compliance [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-2860","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Jay MA, Arat A, Wijlaars L, Ajetunmobi O, Fitzpatrick T, Lu H, Lei S, Skerritt C, Goldfeld S, Gissler M, Gunnlaugsson G, J&#xf3;nsson SH, Hjern A, Guttmann A, Gilbert R. <em>BJS Open<\/em>. 2020; 4(6):1117-24. Epub 2020 Jul 24.","source_url":"https:\/\/bjssjournals.onlinelibrary.wiley.com\/doi\/full\/10.1002\/bjs5.50329","ices_scientist":[1238,13131],"site":[6733],"research_program":[],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"A0AD198F-9745-45EB-8A3A-C3B8477CFB40","sitecore_item_name":"Timing-of-paediatric-orchidopexy-in-universal-healthcare-systems-international-administrative","sitecore_field_values":"{\n  \"Title\": \"Timing of paediatric orchidopexy in universal healthcare systems: international administrative data cohort study\",\n  \"Short title\": \"Timing of paediatric orchidopexy\",\n  \"Summary\": \"This study aimed to investigate the compliance of international guidelines for undescended testis and to identify potential socioeconomic inequities in the timing of surgery before 1 and 3 years.\",\n  \"Citation\": \"<p>Jay MA, Arat A, Wijlaars L, Ajetunmobi O, Fitzpatrick T, Lu H, Lei S, Skerritt C, Goldfeld S, Gissler M, Gunnlaugsson G, J&oacute;nsson SH, Hjern A, Guttmann A, Gilbert R. <em>BJS Open<\/em>. 2020; 4(6):1117-24. Epub 2020 Jul 24. DOI: <a href=\"https:\/\/doi.org\/10.1002\/bjs5.50329\" title=\"Opens external link\">https:\/\/doi.org\/10.1002\/bjs5.50329<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Background <\/strong>&mdash; International guidelines in 2008 recommended orchidopexy for undescended testis at 6&ndash;12 months of age to reduce the risk of testicular cancer and infertility. Using administrative data from England, Finland, Ontario (Canada), Scotland and Sweden (with data from Victoria (Australia) and Iceland in supplementary analyses), the aim of this study was to investigate compliance with these guidelines and identify potential socioeconomic inequities in the timing of surgery before 1 and 3 years.<\/p>n<p><strong>Methods <\/strong>&mdash; All boys born in 2003&ndash;2011 with a diagnosis code of undescended testis and procedure codes indicating orchidopexy before their fifth birthday were identified from administrative health records. Trends in the proportion of orchidopexies performed before 1 and 3 years of age were investigated, as were socioeconomic inequities in adherence to the guidelines.<\/p>n<p><strong>Results <\/strong>&mdash; Across all jurisdictions, the proportion of orchidopexies occurring before the first birthday increased over the study period. By 2011, from 7&middot;6 per cent (Sweden) to 27&middot;9 per cent (Scotland) of boys had undergone orchidopexy by their first birthday and 71&middot;5 per cent (Sweden) to 90&middot;4 per cent (Scotland) by 3 years of age. There was limited evidence of socioeconomic inequities for orchidopexy before the introduction of guidelines (2008). Across all jurisdictions for boys born after 2008, there was consistent evidence of inequities in orchidopexy by the first birthday, favouring higher socioeconomic position. Absolute differences in these proportions between the highest and lowest socioeconomic groups ranged from 2&middot;5 to 5&middot;9 per cent across jurisdictions.<\/p>n<p><strong>Conclusion <\/strong>&mdash; Consistent lack of adherence to the guidelines across jurisdictions questions whether the guidelines are appropriate.<\/p>n<p><a href=\"https:\/\/bjssjournals.onlinelibrary.wiley.com\/doi\/full\/10.1002\/bjs5.50329\" title=\"Opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{5B1AF319-EC9B-4BF0-A9CD-D066ABE49D71}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{DF9D6D4F-1B33-4FB9-AD9B-576798163C2C}|{9896A0CF-1FD3-454E-B574-37CFAA5B2613}\",\n  \"Posted Date\": \"20200724T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2020\/July\/Timing-of-paediatric-orchidopexy-in-universal-healthcare-systems-international-administrative"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Timing of paediatric orchidopexy in universal healthcare systems: international administrative data cohort study<\/title>\n<meta name=\"description\" content=\"Background &#x2014; 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