{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T20:37:14Z","timestamp":1761511034884},"reference-count":12,"publisher":"Royal College of Surgeons of England","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2018,5]]},"abstract":"Introduction<\/jats:title> In 2015, the Royal College of Surgeons of England (RCS) commissioned the East Midlands Clinical Network to develop a set of guidelines for the management of paediatric torsion. Two quality measures identified were the provision of surgery locally where possible and 100% of explorations within three hours. We sought to assess the adherence to these quality measures within our referral network. <\/jats:p><\/jats:sec>Materials and methods<\/jats:title> Retrospective data were collected for all paediatric scrotal explorations performed within our centre between January 2014 and July 2016. Patient demographics, sources of referral, transfer times, time to surgery and operative findings were obtained. <\/jats:p><\/jats:sec>Results<\/jats:title> A total of 100 patients underwent a scrotal exploration. Median age at presentation was 11 years (range 4 months to 15 years). Fifty-three per cent of referrals were from network hospitals. The median duration of symptoms was 25 hours (range 1\u2013210 hours). The median transfer time from local centres was 120 minutes (range 45\u2013540 minutes). The median time to theatre from the decision being made to operate was 60 minutes (range 30\u2013600 minutes). Eighty-seven per cent of cases were explored within three hours. There were 13 cases of torsion with one orchidectomy. When taking into account the transfer time for external patients aged over five years without precluding comorbidities, exploration within three hours dropped to 18 of 46 (39%). <\/jats:p><\/jats:sec>Conclusion<\/jats:title> The RCS guidelines recognise the need for specialist input in very young patients. A large proportion of explorations are, however, currently taking place in older patients with unacceptably long transfer times. We propose an extension of this review nationally to work towards the local provision of care for suitable patients. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2018.0041","type":"journal-article","created":{"date-parts":[[2018,3,15]],"date-time":"2018-03-15T15:05:16Z","timestamp":1521126316000},"page":"397-400","source":"Crossref","is-referenced-by-count":13,"title":["Management of Paediatric Testicular Torsion \u2013 Are we adhering to Royal College of Surgeons (RCS) recommendations"],"prefix":"10.1308","volume":"100","author":[{"given":"HS","family":"Thakkar","sequence":"first","affiliation":[{"name":"Paediatric Surgery Department, Evelina London Children\u2019s Hospital, Guy\u2019s and St. Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Yardley","sequence":"additional","affiliation":[{"name":"Paediatric Surgery Department, Evelina London Children\u2019s Hospital, Guy\u2019s and St. Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Kufeji","sequence":"additional","affiliation":[{"name":"Paediatric Surgery Department, Evelina London Children\u2019s Hospital, Guy\u2019s and St. Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2016.08.012"},{"issue":"6","key":"bib2","first-page":"8,594","volume":"23","author":"Pogoreli\u0107 Z","year":"2016","journal-title":"Can J Urol"},{"key":"bib3","author":"NHS East Midlands Clinical Network","year":"2016","journal-title":"Commissioning Guide: Management of Paediatric Torsion"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09557.x"},{"key":"bib5","volume-title":"Standards for Children\u2019s Surgery","author":"Children\u2019s Surgical Forum","year":"2013"},{"key":"bib6","volume-title":"Standards for Non-Specialist Emergency Surgical Care of Children","author":"Royal College of Surgeons of England","year":"2015"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12771863937007"},{"key":"bib10","first-page":"1377","volume-title":"Bailey and Love\u2019s Short Practice of Surgery","author":"Eardley I","year":"2013"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h1563"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2012.08.012"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2011.212555"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10130.x"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2018.0041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:38:55Z","timestamp":1684147135000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2018.0041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5]]},"references-count":12,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1308\/rcsann.2018.0041"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2018.0041","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5]]}}}