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Report Finds Pediatric Ovarian Torsion Incidence to Be Low

Increasing use of conservative management may decrease torsion-related oophorectomy rate

MONDAY, Feb. 1 (HealthDay News) -- In the pediatric population, ovarian torsion is a relatively rare condition, but it occurs in all ages and many cases are treated with oophorectomy, according to an article published online Feb. 1 in Pediatrics.

Bridgette D. Guthrie, M.D., of the Northwestern University Feinberg School of Medicine in Chicago, and colleagues conducted a cohort analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database of 900, 1,224, and 1,232 pediatric ovarian torsion hospitalizations in the years 2000, 2003, and 2006, respectively.

In 2006, the researchers estimated that the incidence of pediatric ovarian torsion was 4.9 per 100,000, and found that 713 (58 percent) of the patients were treated with oophorectomy, the same rate as in 2000 and 2003. They also found that each increasing year of age was associated with a decreased likelihood of oophorectomy, and that lower socioeconomic status or a diagnosis of benign neoplasm was associated with an increased likelihood of oophorectomy.

"A growing body of literature supporting conservative management of ovarian torsion may decrease over time the rate of torsion-related oophorectomy," the authors conclude. "Ongoing analysis will be important to determine changes in the rate of ovarian torsion-related oophorectomy and factors that are associated with successful conservative management."

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