{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T08:08:35Z","timestamp":1772611715045,"version":"3.50.1"},"reference-count":16,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008678","name":"Leipzig University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008678","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Reports"],"abstract":"<jats:p>Background: Ovarian torsion (OT) is a rare but urgent surgical condition in children and adolescents. Evidence on how management differs between pediatric (PD) and non-pediatric (Non-PD) departments in Germany remains limited. Methods: We conducted a retrospective cohort study using anonymized claims data from two major German statutory health insurance funds (2010\u20132019), covering 6.3 million insured individuals (\u22481 million children). Patients \u226418 years with an inpatient diagnosis of OT (ICD-10-GM N83.5) were analyzed with respect to demographics, department type (PD vs. Non-PD), hospital type (university\/maximum care [UM] vs. non-university\/maximum care [Non-UM]), surgical procedures, and outcomes. Results: A total of 293 patients (mean age 12.4 \u00b1 4.5 years) were included; 71% were adolescents (12\u201318 years). Adolescents were predominantly treated in Non-PD (89%), whereas younger children were more often managed in PD (50%; p &lt; 0.0001). Most cases were treated in Non-UM (82%). Laparoscopy was more commonly used in Non-PD departments (85%), while open surgery and oophorectomy occurred more frequently in PD and university hospitals (UM). Ovary-sparing procedures accounted for 77% of all cases, whereas 23% underwent oophorectomy. Mean hospital stay was longer in PD (6.7 \u00b1 9.0 days) than in Non-PD (4.9 \u00b1 2.2 days; p = 0.0167). Readmission rates were comparable across groups. Conclusions: Management of OT in Germany varies markedly by department and hospital type. PD and UM treat more younger patients but perform oophorectomy more frequently, whereas Non-PD and Non-UM favor laparoscopic, ovary-sparing strategies. These differences highlight the urgent need for standardized, evidence-based protocols prioritizing ovarian preservation and optimizing long-term outcomes in affected children and adolescents.<\/jats:p>","DOI":"10.3390\/pediatric18020032","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T14:55:01Z","timestamp":1772463301000},"page":"32","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preservation vs. Resection? Pediatric and Non-Pediatric Management Patterns in Ovarian Torsion"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8151-5027","authenticated-orcid":false,"given":"Xiaoyan","family":"Feng","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, University of Leipzig, 04103 Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Zimmermann","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University of Leipzig, 04103 Leipzig, Germany"},{"name":"Department of Pediatric Surgery and Congenital Malformations, Helios Dr. Horst Schmidt Kliniken Wiesbaden, 65199 Wiesbaden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Pardey","sequence":"additional","affiliation":[{"name":"Center for Health Economics Research Hannover (CHERH), 30159 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Gnatzy","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University of Leipzig, 04103 Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Bassler","sequence":"additional","affiliation":[{"name":"AOK PLUS-Die Gesundheitskasse fuer Sachsen und Thueringen, 01067 Dresden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jona T.","family":"Stahmeyer","sequence":"additional","affiliation":[{"name":"AOK-Die Gesundheitskasse fuer Niedersachsen, 30519 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4616-9464","authenticated-orcid":false,"given":"Martin","family":"Lacher","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University of Leipzig, 04103 Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0104-2267","authenticated-orcid":false,"given":"Jan","family":"Zeidler","sequence":"additional","affiliation":[{"name":"Center for Health Economics Research Hannover (CHERH), 30159 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.suc.2016.08.008","article-title":"Pediatric Ovarian Torsion","volume":"97","author":"Childress","year":"2017","journal-title":"Surg. 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