{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T09:00:41Z","timestamp":1780218041599,"version":"3.54.0"},"reference-count":32,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpurol.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Urology"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.jpurol.2025.09.005","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T15:52:02Z","timestamp":1757605922000},"page":"105597","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["The impact of sociodemographic factors and patient transfer on hospital throughput and surgical outcome in acute testicular torsion"],"prefix":"10.1016","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1850-9019","authenticated-orcid":false,"given":"Hannah","family":"Lachmayr","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0674-6658","authenticated-orcid":false,"given":"Vivian","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivienne","family":"Feng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1058-2318","authenticated-orcid":false,"given":"David","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Casey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7072-6120","authenticated-orcid":false,"given":"Caleb P.","family":"Nelson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9120-4492","authenticated-orcid":false,"given":"Julia B.","family":"Finkelstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.jpurol.2025.09.005_bib1","doi-asserted-by":"crossref","first-page":"2009","DOI":"10.1016\/j.juro.2011.07.024","article-title":"Pediatric testicular torsion epidemiology using a national database: incidence, risk of orchiectomy and possible measures toward improving the quality of care","volume":"186","author":"Zhao","year":"2011","journal-title":"J Urol"},{"issue":"4 Suppl","key":"10.1016\/j.jpurol.2025.09.005_bib2","doi-asserted-by":"crossref","first-page":"1743","DOI":"10.1016\/j.juro.2010.03.073","article-title":"Factors associated with delayed treatment of acute testicular torsion-do demographics or interhospital transfer matter?","volume":"184","author":"Bayne","year":"2010","journal-title":"J Urol"},{"issue":"6","key":"10.1016\/j.jpurol.2025.09.005_bib3","article-title":"A retrospective analysis of intervention for testicular torsion: searching for a hallmark of high reliability","volume":"4","author":"Calder","year":"2019","journal-title":"Pediatr Qual Saf"},{"key":"10.1016\/j.jpurol.2025.09.005_bib4","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1016\/j.jss.2019.06.033","article-title":"Optimal predictor of gonadal viability in testicular torsion: time to treat versus duration of symptoms","volume":"244","author":"Morin","year":"2019","journal-title":"J Surg Res"},{"issue":"4","key":"10.1016\/j.jpurol.2025.09.005_bib5","doi-asserted-by":"crossref","first-page":"388.e1","DOI":"10.1016\/j.jpurol.2017.03.034","article-title":"Indicators and outcomes of transfer to tertiary pediatric hospitals for patients with testicular torsion","volume":"13","author":"Preece","year":"2017","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.jpurol.2025.09.005_bib6","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.ajem.2020.11.023","article-title":"Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: a case-control study","volume":"41","author":"Zvizdic","year":"2021","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jpurol.2025.09.005_bib7","series-title":"Methodology: U.S. news & world report best children's hospitals 2023-24","author":"Olmsted","year":"2023"},{"issue":"3","key":"10.1016\/j.jpurol.2025.09.005_bib8","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.jpurol.2021.03.008","article-title":"Beyond morbidity and mortality: measuring processes and procedure specifics in the national Surgical Quality Improvement Program Pediatric (NSQIPP)","volume":"17","author":"Finkelstein","year":"2021","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.jpurol.2025.09.005_bib9","unstructured":"American College of Surgeons. ACS NSQIP pediatric. Accessed February 11, 2025. https:\/\/www.facs.org\/quality-programs\/data-and-registries\/pediatric\/."},{"issue":"6","key":"10.1016\/j.jpurol.2025.09.005_bib10","doi-asserted-by":"crossref","first-page":"2287","DOI":"10.1016\/S0022-5347(06)00329-6","article-title":"Torsion of the cryptorchid testis--can it be salvaged?","volume":"175","author":"Zilberman","year":"2006","journal-title":"J Urol"},{"issue":"4","key":"10.1016\/j.jpurol.2025.09.005_bib11","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1097\/PEC.0000000000002969","article-title":"Atypical presentation delays treatment of pediatric testicular torsion","volume":"40","author":"Moran","year":"2024","journal-title":"Pediatr Emerg Care"},{"issue":"4","key":"10.1016\/j.jpurol.2025.09.005_bib12","doi-asserted-by":"crossref","first-page":"233 e231","DOI":"10.1016\/j.jpurol.2016.04.019","article-title":"Standardized process to improve patient flow from the Emergency Room to the operating Room for pediatric patients with testicular torsion","volume":"12","author":"Afsarlar","year":"2016","journal-title":"J Pediatr Urol"},{"issue":"5","key":"10.1016\/j.jpurol.2025.09.005_bib13","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/j.jpurol.2019.07.011","article-title":"Implementation of the accelerated care of torsion pathway: a quality improvement initiative for testicular torsion","volume":"15","author":"Zee","year":"2019","journal-title":"J Pediatr Urol"},{"issue":"7","key":"10.1016\/j.jpurol.2025.09.005_bib14","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1016\/j.jpedsurg.2024.03.033","article-title":"Assessing the impact of neighborhood and built environment on pediatric perioperative care: a systematic review of the literature","volume":"59","author":"Chacon","year":"2024","journal-title":"J Pediatr Surg"},{"issue":"2","key":"10.1016\/j.jpurol.2025.09.005_bib15","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1097\/CORR.0000000000002368","article-title":"Are neighborhood conditions associated with surgical delays and meniscus tears in children and adolescents undergoing ACL reconstruction?","volume":"481","author":"Rosenberg","year":"2023","journal-title":"Clin Orthop Relat Res"},{"issue":"17","key":"10.1016\/j.jpurol.2025.09.005_bib16","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1161\/CIRCULATIONAHA.122.060030","article-title":"Contemporary socioeconomic and childhood opportunity disparities in congenital heart surgery","volume":"146","author":"Sengupta","year":"2022","journal-title":"Circulation"},{"issue":"1","key":"10.1016\/j.jpurol.2025.09.005_bib17","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.jpurol.2024.09.012","article-title":"Does socioeconomic opportunity impact distal hypospadias surgical outcome or post-operative care?","volume":"21","author":"Beland","year":"2025","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.jpurol.2025.09.005_bib18","article-title":"What matters in testicular torsion? Association of hospital transfer, race and socioeconomic factors with testicular outcomes in a single center experience","author":"Uppaluri","year":"2024","journal-title":"J Pediatr Urol"},{"issue":"6S","key":"10.1016\/j.jpurol.2025.09.005_bib19","doi-asserted-by":"crossref","first-page":"2459","DOI":"10.1016\/j.juro.2011.01.016","article-title":"Pediatric testicular torsion: demographics of National Orchiopexy versus orchiectomy rates","volume":"185","author":"Cost","year":"2011","journal-title":"J Urol"},{"issue":"2","key":"10.1016\/j.jpurol.2025.09.005_bib20","doi-asserted-by":"crossref","first-page":"210.e1","DOI":"10.1016\/j.jpurol.2022.01.011","article-title":"Do healthcare disparities play a role in pediatric testicular torsion? - analysis of a single large pediatric center","volume":"18","author":"Lee","year":"2022","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.jpurol.2025.09.005_bib21","unstructured":"Economic Innovation Group. Distressed communities index, https:\/\/eig.org\/about-us\/and https:\/\/eig.org\/distressed-communities\/?geo=states&lat=38.01&lon=-96.42&z=4.33; [accessed 26 February 2025]."},{"issue":"6","key":"10.1016\/j.jpurol.2025.09.005_bib22","doi-asserted-by":"crossref","first-page":"1706","DOI":"10.1016\/j.athoracsur.2018.12.022","article-title":"Socioeconomic distressed communities index predicts risk-adjusted mortality after cardiac surgery","volume":"107","author":"Charles","year":"2019","journal-title":"Ann Thorac Surg"},{"issue":"5","key":"10.1016\/j.jpurol.2025.09.005_bib23","doi-asserted-by":"crossref","first-page":"523.e1","DOI":"10.1016\/j.jpurol.2023.04.007","article-title":"Characterizing digital access in pediatric urology","volume":"19","author":"Finkelstein","year":"2023","journal-title":"J Pediatr Urol"},{"issue":"6","key":"10.1016\/j.jpurol.2025.09.005_bib24","doi-asserted-by":"crossref","first-page":"1985","DOI":"10.1016\/j.jvs.2019.03.060","article-title":"Socioeconomically Distressed Communities Index independently predicts major adverse limb events after infrainguinal bypass in a national cohort","volume":"79","author":"Hawkins","year":"2019","journal-title":"J Vasc Surg"},{"issue":"3","key":"10.1016\/j.jpurol.2025.09.005_bib25","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1097\/SLA.0000000000002997","article-title":"Socioeconomic \u201cDistressed Communities Index\u201d improves surgical risk-adjustment","volume":"271","author":"Mehaffey","year":"2020","journal-title":"Ann Surg"},{"issue":"4","key":"10.1016\/j.jpurol.2025.09.005_bib26","doi-asserted-by":"crossref","first-page":"694.e1","DOI":"10.1016\/j.jpurol.2024.04.008","article-title":"Factors contributing to telemedicine efficacy in pediatric urology","volume":"20","author":"Schults","year":"2024","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.jpurol.2025.09.005_bib27","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.jpurol.2022.01.005","article-title":"Comparison of the outcomes of testicular torsion among children presenting during the Coronavirus Disease 2019 (COVID-19) pandemic versus the pre-pandemic period: a systematic review and meta-analysis","volume":"18","author":"Pogorelic","year":"2022","journal-title":"J Pediatr Urol"},{"issue":"5","key":"10.1016\/j.jpurol.2025.09.005_bib28","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1016\/j.jpurol.2024.05.010","article-title":"The ball's in your court: trends, causes, outcomes, and costs of patient transfer for pediatric testicular torsion","volume":"20","author":"Clennon","year":"2024","journal-title":"J Pediatr Urol"},{"issue":"2","key":"10.1016\/j.jpurol.2025.09.005_bib29","doi-asserted-by":"crossref","first-page":"179.e1","DOI":"10.1016\/j.jpurol.2018.12.002","article-title":"Do repeat ultrasounds affect orchiectomy rate in patients with testicular torsion treated at a pediatric institution?","volume":"15","author":"Huang","year":"2019","journal-title":"J Pediatr Urol"},{"issue":"6","key":"10.1016\/j.jpurol.2025.09.005_bib30","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.jpurol.2018.09.017","article-title":"A systematic review and meta-analysis revealing realistic outcomes following paediatric torsion of testes","volume":"14","author":"MacDonald","year":"2018","journal-title":"J Pediatr Urol"},{"issue":"4","key":"10.1016\/j.jpurol.2025.09.005_bib31","doi-asserted-by":"crossref","first-page":"367.e1","DOI":"10.1016\/j.jpurol.2019.04.014","article-title":"Point-of-care influences orchiectomy rates in pediatric patients with testicular torsion","volume":"15","author":"Romao","year":"2019","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.jpurol.2025.09.005_bib32","first-page":"291e1","article-title":"State appellant cases for testicular torsion: case review form 1985 to 2015","volume":"12","author":"Gaither","year":"2016","journal-title":"J Pediatr"}],"container-title":["Journal of Pediatric Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1477513125004772?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1477513125004772?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T08:02:27Z","timestamp":1780214547000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1477513125004772"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S1477513125004772"],"URL":"https:\/\/doi.org\/10.1016\/j.jpurol.2025.09.005","relation":{},"ISSN":["1477-5131"],"issn-type":[{"value":"1477-5131","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The impact of sociodemographic factors and patient transfer on hospital throughput and surgical outcome in acute testicular torsion","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Urology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpurol.2025.09.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"105597"}}