关键词: Clinical decision-making Cryptorchidism Diagnosis Orchiopexy Pediatrics Surgical procedure

来  源:   DOI:10.1016/j.jped.2024.06.002

Abstract:
OBJECTIVE: Evaluate the level of information of pediatricians about the diagnosis and management of cryptorchidism.
METHODS: A cross-sectional observational study was conducted using a form via the \"Google Forms\" platform. The study population included pediatricians and pediatric residents associated with the Brazilian Society of Pediatrics. Seven hundred twenty-eight responses were recorded and analyzed using IBM SPSS v21.
RESULTS: 728 valid responses were obtained. Of these answers, only 20.5 % answered that the physical examination was sufficient for the diagnosis, and 79.4 % responded that they requested ultrasound as the best test to aid in diagnosing cryptorchidism. When questioned about the ideal age for referring a patient with cryptorchidism, the survey recorded 56.3 % of the responses defending the correct age as six months old, 30.2 % shortly after birth, and 13.2 % at two years old. Other topics were addressed in the form, such as the frequency of evaluation of testicular position and investigation for DDS, among others. Still, the answers to these questions were compatible with current manuals and guidelines on cryptorchidism.
CONCLUSIONS: It is evident that the understanding of the professionals consulted about the diagnosis and management of cryptorchidism needs to be updated with the current practices adopted and that pediatricians, in general, must maintain periodic programs on this subject. Therefore, this topic should be part of a continuing education program with pediatric surgery.
摘要:
目的:评价儿科医生对隐睾诊断和治疗的信息水平。
方法:通过“GoogleForms”平台使用表格进行了一项横断面观察性研究。研究人群包括与巴西儿科学会相关的儿科医生和儿科居民。使用IBMSPSSv21记录和分析了7128个响应。
结果:获得728个有效应答。在这些答案中,只有20.5%的人回答身体检查足以诊断,79.4%的人回答说,他们要求超声作为诊断隐睾的最佳测试。当被问及转诊隐睾患者的理想年龄时,调查记录了56.3%的受访者捍卫六个月的正确年龄,30.2%出生后不久,两岁时占13.2%。其他主题以表格形式讨论,如睾丸位置的评估频率和DDS的调查,在其他人中。尽管如此,这些问题的答案与现行的关于隐睾的手册和指南一致.
结论:很明显,咨询的专业人员对隐睾的诊断和管理的理解需要随着目前采用的做法而更新,总的来说,必须保持关于这个主题的定期程序。因此,这个主题应该是儿科外科继续教育计划的一部分。
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