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- W2043272986 abstract "<b>Background/Purpose</b> Ovarian torsion (OT) is a clinical diagnosis with a variable presentation. The aim of this study was to develop a practical scoring system to predict patients with OT in the pediatric population to facilitate more accurate diagnosis. <b>Methods</b> A retrospective study evaluating menarchal pediatric patients (1998 to 2005) with surgically confirmed OT (<i>n</i> = 28) compared with patients with abdominal pain and surgically confirmed non-OT (<i>n</i> = 26). Histogram analysis was performed to determine threshold values and used to generate the OT composite index (OT-CI). <b>Results</b> Four factors were independently associated with OT: ovarian ratio, ovarian volume, nausea, and duration of pain. Arterial and venous Doppler flows were not associated with OT. The OT-CI was more accurate than any individual factor. There were no cases of OT in patients with OT-CI scores < 3. Patients with score ≥ 3 had 100% sensitivity and 65.3% specificity. A score ≥ 5 has 100% specificity. <b>Conclusions</b> The OT-CI is a practical scoring system combining clinical and radiologic findings to more accurately predict OT. An OT-CI score < 3 is strong evidence against OT in pediatric menarchal patients, which may minimize unnecessary surgical intervention. In contrast, scores ≥ 3 should be considered for surgical intervention to maximize ovarian salvage." @default.
- W2043272986 created "2016-06-24" @default.
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- W2043272986 date "2013-04-15" @default.
- W2043272986 modified "2023-09-25" @default.
- W2043272986 title "The Utility of a Composite Index for the Evaluation of Ovarian Torsion" @default.
- W2043272986 doi "https://doi.org/10.1055/s-0033-1343084" @default.
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