Timing of paediatric orchidopexy in universal healthcare systems: international administrative data cohort study
MA Jay, A Arat, L Wijlaars, O Ajetunmobi, T Fitzpatrick, H Lu, S Lei, C Skerritt, S Goldfeld, M Gissler, G Gunnlaugsson, S Hrafn Jonsson, A Hjern, A Guttmann, R Gilbert
BJS OPEN | JOHN WILEY & SONS LTD | Published : 2020
BACKGROUND: International guidelines in 2008 recommended orchidopexy for undescended testis at 6-12 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. METHODS: All boys born in 2003-2011 with a diagnosis code of undescended testis and procedure codes indicating orchidopexy before their fifth birthday were identified from administrative health re..View full abstract
R.G. and L.W. were (in part) supported by the National Institutes of Health Research (NIHR) Children and Families Policy Research Unit, but not commissioned by the NIHR Policy Research Programme. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. A.A., A.H., G.G. and S.H.J. were supported by a grant from EU Horizon 2020. Research at University College London Great Ormond Street Institute of Child Health is supported by the NIHR Great Ormond Street Hospital Biomedical Research Centre.The Ontario portion of this analysis was supported by ICES, which is funded by an annual grant from the Ontario Ministry of Health and Long-Term Care (MOHLTC). The opinions, results and conclusions reported in this paper are those of the authors and are independent of the funding sources. No endorsement by ICES or the Ontario MOHLTC is intended or should be inferred. Parts of this material are based on data and information compiled and provided by the Canadian Institute for Health Information (CIHI). However, the analyses, conclusions, opinions and statements expressed herein are those of the authors, and not necessarily those of CIHI. A.G. was supported by a Canadian Institute for Health Research Applied Chair in Reproductive and Child Health Services and Policy Research, which also funded the Ontario analyses.