SUSTAINED POSITIVE PRACTICE CHANGE AFTER TARGETED EDUCATION IN THE MANAGEMENT OF OVARIAN TORSION

jpedsurg.org

Failure to perform ovarian conservation surgery (OCS) for patients who present with adnexal torsion was recognized as a practice gap by the American Pediatric Surgical Association (APSA) in 2017. A targeted educational campaign was conducted to promote detorsion and ovarian conservation surgery as the standard of care for ovarian torsion. We evaluated the practice change that has occurred for pediatric and adolescent patients with ovarian torsion from 2012-2022.

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Article · Nov 2024 · 1 min read

In brief

This study evaluates the impact of a targeted educational campaign by APSA to promote ovarian conservation surgery and detorsion as standard care for pediatric and adolescent ovarian torsion. The analysis spans a decade (2012-2022) and assesses sustained practice changes following the 2017 educational intervention addressing the practice gap of unnecessary oophorectomy.

Ovarian conservation surgery (detorsion) is now the standard of care for adnexal torsion in pediatric and adolescent patients.
APSA identified failure to perform ovarian conservation as a practice gap in 2017, prompting targeted educational intervention.
Targeted education campaigns can drive sustained practice change in pediatric surgical management over a 10-year period.
Historical practice often involved oophorectomy; current evidence supports detorsion to preserve ovarian function and fertility.
Practice patterns for ovarian torsion management shifted significantly between 2012-2022 following educational efforts.

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