Health Disparities in the Appropriate Management of Cryptorchidism.

Autor: Savoie KB; Department of General Surgery, University of Tennessee Health Science Center, Memphis, TN; Le Bonheur Foundation, Le Bonheur Children's Hospital, Memphis, TN. Electronic address: ksavoie@uthsc.edu., Bachier-Rodriguez M; Department of General Surgery, University of Tennessee Health Science Center, Memphis, TN; Le Bonheur Foundation, Le Bonheur Children's Hospital, Memphis, TN., Schurtz E; Department of Urology, University of Tennessee Health Science Center, Memphis, TN., Tolley EA; Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN., Giel D; Department of Urology, University of Tennessee Health Science Center, Memphis, TN., Feliz A; Department of General Surgery, University of Tennessee Health Science Center, Memphis, TN.
Jazyk: angličtina
Zdroj: The Journal of pediatrics [J Pediatr] 2017 Jun; Vol. 185, pp. 187-192.e1. Date of Electronic Publication: 2017 Apr 10.
DOI: 10.1016/j.jpeds.2017.03.003
Abstrakt: Objective: To assess regional practices in management of cryptorchidism with regard to timely fixation by the current recommended age of 18 months.
Study Design: A retrospective study was performed. Charts of all patients who underwent surgical correction for cryptorchidism by a pediatric general surgeon or urologist within a tertiary pediatric hospital in an urban setting were systematically reviewed.
Results: We identified 1209 patients with cryptorchidism. The median age of surgical correction was 3.7 years (IQR: 1.4, 7.7); only 27% of patients had surgical correction before 18 months of age. Forty-six percent of our patients were white, 40% were African American, and 8% were Hispanic. African American and Hispanic patients were less likely to undergo timely repair (P?=?.01), as were those with public or no insurance (P?Conclusions: A majority of our patients were not referred for surgical intervention in a timely manner, which may reflect poor access to care in our region. Public and self-pay insurance status was associated with delayed repair. Education of community physicians and families could be potentially beneficial.
(Copyright © 2017 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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