FOUR STUDIES giving STATISTICS FOR GENERAL COMPLAINTS
Phimosis is recorded at less than 1% in two reports from school
medical check-ups where eyes lungs etc. are all checked, the similarity
of these two results must be significant and I suggest it reflects
an extremely narrow definition of phimosis.
Kohler L, "Physical examination of four-year-old children." Acta Paediatr Scand 1973 Mar;62(2):181-92
"Phimosis, in combination with recurrent balanitis or voiding difficulties,
..., ... was the cause of referral in 12 boys (0.9%)."
Smith GC, Powell A, Reynolds K, Campbell CA, "The five year
school medical--time for change"Arch Dis Child 1990 Feb;65(2):225-7
School medical records of 1000 children born in 1981 were studied retrospectively.
They showed that once known medical problems and those screened for
by the school nurse (hearing, vision, growth) were excluded, only 17
problems requiring treatment were discovered: speech (n = 10), development
(n = 3), undescended testes (n = 3), and phimosis (n = 1).
Unavailable through German Libraries
Navarro Alonso JA, Fuster Quinonero D, Evaluacion de resultados
del examen de salud escolar en la region de Murcia. Curso 1986/1987.
- [Evaluation of results of school health examination in the Murcia]
region. 1986/87Aten Primaria 1989 Jun-Jul;6(6):406-8
"In the present study, we have carried out an evaluation of school
examinations in 47,943 children in the past course. We have compared
our results with those from similar previous studies in other parts
of Spain. Our findings were comparable in visual acuity and scoliosis,
and not so much about cryptorchidism and phimosis. We think that examinations
are necessary, but it is needed to increase the quality and the effectiveness,
to get closer to the knowledge of usefulness and to the correct evaluation
of school health programs."
Sarria Santamera A, Por que se hospitalizan los ninos en
Espana? - [Why are children hospitalized in Spain?] An Esp Pediatr
"This work describes regional differences in Spanish pediatric hospital
admissions." This is not a study on the frequency of phimosis, it records
only how often in different age groups phimosis is diagnosed leading
to a hospital admission.
"PATIENTS AND METHODS: National, regional, age-specific
and diagnostic-specific discharge rates were obtained from the 1987
Hospital Morbidity Survey. To assess regional variations, weighted
coefficient of variations (WCV) were obtained. RESULTS: The overall
national discharge rate was 60.45 discharges per 1000 children less
than 15 years of age. The weighted coefficient of variation obtained
for the sex and age adjusted discharge rates of the 10 more frequent
diagnoses was highest for phimosis (56.13) and lowest for appendicitis
(19.44). CONCLUSIONS: Differences in supply and professional practice
style have been recognized as causes for the variations in hospital
utilization. Hospitalization of patients represents costs and risks.
They are justified when scientific evidence shows that their suggested
benefits overcome their inconveniences. The existence of this difference
leads to suspect that non-clinical factors could be decisive in medical