| Referral criteria for school scoliosis screening: assessment and recommendations based on a large longitudinally followed cohort. | |
| | |
MedLine Citation:
|
PMID: 21102278 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
STUDY DESIGN: This study was a retrospective cohort study. OBJECTIVE: To examine the criteria recommended in the literature for the school-based scoliosis screening program in Hong Kong. SUMMARY OF BACKGROUND DATA: School-based screening for scoliosis has been a controversy. Objectors to the policy were concerned about the high over-referral and false-positive rates. Recommendations were then made for improvement, but the feasibility of these recommendations has not been studied. METHODS: The cohort consisted of students in Grade 5 in 1995/1996 or 1996/1997 who underwent scoliosis screening in Hong Kong. Participants who had an angle of trunk rotation (ATR) ≥15°, 2 or more moiré lines, or presented significant clinical signs were referred for radiography. Screening histories and radiography records before the age of 19 years were extracted. The accuracy measures for different combinations of screening tests were examined. RESULTS: There were 115,178 students in the cohort, of which 3228 (2.8%) were referred for radiography. Among the 1406 students who displayed a curve ≥20° during screening, 257 (18.3%) were boys and 336 (23.9%) were identified as 16 years or older, ruling out the suggestion of screening only 10-year-old girls. The sensitivity and positive predictive value for the current referral criteria were 88.1% and 43.6%, respectively. The sensitivity would drop substantially if the use of moiré topography (39.8%) or clinical signs (55.5%) were discarded. With the inclusion of these 2 tests, the clinical effectiveness measures were robust to the cutoff for ATR, unless it was set below 10°. CONCLUSION: Selectively screening only premenarche girls was not feasible, as this screen would have missed a significant proportion of children with significant curvature. No refinement of the current protocol was necessary, although boys could be screened beginning at 12 years of age. The tandem use of ATR, moiré topography, and clinical signs was recommended for future studies. |
| | |
Authors:
|
C F Lee; Daniel Y T Fong; Kenneth M C Cheung; Jack C Y Cheng; Bobby K W Ng; T P Lam; K H Mak; Paul S F Yip; Keith D K Luk |
Related Documents
:
|
16135588 - A cost-effectiveness analysis of prenatal screening strategies for down syndrome. 20152098 - 'show me the money': financial incentives increase chlamydia screening rates among tert... 14634308 - Analysis of a casino's self-exclusion program. 841398 - Advocacy and compliance factors in a voluntary selective screening program. 19161958 - Student satisfaction and team development outcomes with preassigned learning communities. 21711988 - Postgraduate trainee performance with structured assessment techniques in competency-ba... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Spine Volume: 35 ISSN: 1528-1159 ISO Abbreviation: Spine Publication Date: 2010 Dec |
Date Detail:
|
Created Date: 2010-11-24 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: United States |
Other Details:
|
Languages: eng Pagination: E1492-8 Citation Subset: IM |
Affiliation:
|
Department of Nursing Studies, University of Hong Kong, Pokfulam, Hong Kong SAR, China. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Lordosis restoration after Smith-Petersen osteotomies and interbody strut placement: a radiographic ...
Next Document: Lumbar interspinous spacers: a systematic review of clinical and biomechanical evidence.