Kwenda EP, Locke RA, DeMarco RT, et al. - A systematic review and meta-analysis were conducted to evaluate the effect of hospital transfer on pediatric testicular torsion outcomes. For this quantitative analysis, 9 retrospective studies out of 18 eligible studies comprised of 2,564 patients (532 transferred and 2032 direct) were enrolled. Researchers conducted a meta-analysis using a random-effects model with transferred status as the “intervention” using Review Manager 5.3. This study’s findings demonstrate that hospital transfer does not affect orchiectomy rate in pediatric patients with testicular torsion when pooling data from all presentation timeframes in this meta-analysis. According to the findings, subgroup analysis of patients presenting with testicular torsion in an acute setting (< 24 hours of symptom onset) implies the delay correlated with hospital transfer has a deleterious effect on testicular viability.