A Population-Based Study of School Scoliosis Screening

Yawn, Barbara P.

doi:10.1001/jama.282.15.1427

Cited by 135 publications

(106 citation statements)

References 27 publications

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“…Esse percentual está dentro da faixa de variação (4,1% a 22,4%) encontrada na literatura consultada 8,10,13,17,24,25 . O exame físico realizado pelo pesquisador principal confirmou 142 testes de Adams (67,6%), revelando 32,4% de falsos positivos.…”

Section: Discussionunclassified

Prevalência de escoliose idiopática e variáveis associadas em escolares do ensino fundamental de escolas municipais de Cuiabá, MT, 2002

Santo

Guimarães

Galera

2011

Rev. bras. epidemiol.

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OBJETIVO: Estimar a prevalência de escoliose idiopática e variáveis associadas em escolares do ensino público fundamental. MÉTODOS: Estudo de corte transversal em duas fases, sendo a primeira nas salas de aula, com teste de Adams. Os que apresentaram Adams positivo foram convidados para a segunda fase, que constou de entrevista para fatores associados e exames para escoliose. Aqueles com teste confirmado nessa fase foram radiografados para escoliose e outras alterações. Para cálculo de prevalência utilizou-se, como ponto de corte, curvas > 5 e > 10 graus Cobb. RESULTADOS: Na primeira fase contaram-se 382 escolares com teste Adams positivo; destes, 210 compareceram para a segunda fase, sendo 142 com o teste confirmado. Comparando-se as variáveis idade, sexo e cor da pele, pelo teste de Qui-quadrado, do grupo das perdas (n = 172) com aqueles que atenderam ao convite (n = 210), não observamos diferenças com significância estatística, permitindo a validade para a amostra estudada (n = 3.105). A prevalência estimada de escoliose foi de 5,3% para curvas > 5 graus Cobb, e de 2,2% para curvas > 10 graus Cobb. Curva torácica foi observada em 44,8%, Risser grau 1 em 97,4% e 13,2% de rotação vertebral grau I. Observou-se significância estatística (p < 0,05) na associação de escoliose com atividade física. CONCLUSÃO: A prevalência estimada da escoliose, em nosso estudo, é comparável com aquelas descritas na literatura, e o seu diagnóstico e acompanhamento são importantes na promoção da saúde e prevenção de distúrbios mais graves.

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Section: Discussionunclassified

Prevalência de escoliose idiopática e variáveis associadas em escolares do ensino fundamental de escolas municipais de Cuiabá, MT, 2002

Santo

Guimarães

Galera

2011

Rev. bras. epidemiol.

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“…Furthermore, screening identifies some children who ultimately receive treatment but involves referral of many more who do not. 17 Therefore, these costs are an underestimation of the real costs, because they exclude the costs of visits to general practitioners and orthopedic surgeons and of radiographs attributable to false-positive results. Yawn and Yawn 18 calculated that case finding costs for screening were $10 836 per child treated (conservatively or surgically) for scoliosis.…”

Section: Figurementioning

confidence: 99%

Estimating the Effectiveness of Screening for Scoliosis: A Case-Control Study

et al. 2008

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OBJECTIVE. The aim of this study was to test the hypothesis that screening for scoliosis is effective in reducing the need for surgical treatment. METHODS. The study was a case-control study. A total of 125 consecutive patients who were treated surgically for idiopathic scoliosis between January 2001 and October 2004 and who were born on or after January 1, 1984, were invited; 108 agreed to participate. A total of 216 control subjects were selected randomly and anonymously, matched with respect to age and gender. For 279 adolescents, exact screening exposure and outcomes could be analyzed. Case subjects were recruited from 4 university and 6 nonuniversity Dutch hospitals; control subjects were recruited from all 37 municipal health services in the Netherlands. RESULTS. Screen-detected patients received diagnoses at a significantly younger age than did otherwise-detected patients (10.8 ± 2.6 vs 13.4 ± 1.7 years). In total, 32.8% of the surgically treated patients had been screened between 11 and 14 years of age, compared with 43.4% of the control subjects. The odds ratio for being exposed to screening was 0.64. In total, 28% of the patients were diagnosed as having scoliosis before 11 years of age. CONCLUSIONS. Our results showed no evidence that screening for scoliosis reduced the need for surgery. Abolishing screening seems justified, especially because the effectiveness of early treatment with bracing is still strongly debated. A randomized, controlled trial on the effectiveness of treating patients with idiopathic scoliosis with bracing is urgently needed.

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“…Bu sütunun primer görevi, baş, göğüs ve karın içi organları taşımak ve bunlara destek olmanın yanında spinal kanalı oluşturup, içinden geçen medulla spinalise sağlam ve emniyetli bir kılıf oluşturmaktır [8]. Omurga ayrıca başın ve gövdenin hareketlerinde de rol alır ve gövde ağırlığının büyük kısmını taşıyıp, bunu alt ekstremitelere kontrollü biçimde aktarır.…”

Section: Biyomekanikunclassified

Three-dimensional Spinal Deformity: Scoliosis [Uc Boyutlu Omurga Deformitesi: Skolyoz]

Korkmaz

Sevimli²,

Selçuk³

et al. 2015

Med-Science

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A Population-Based Study of School Scoliosis Screening

Abstract: In this population, school scoliosis screening identified some children who went on to receive treatment but referred many more who did not. These data should be considered in making decisions regarding school scoliosis screening.

Cited by 135 publications

References 27 publications

Prevalência de escoliose idiopática e variáveis associadas em escolares do ensino fundamental de escolas municipais de Cuiabá, MT, 2002

Prevalência de escoliose idiopática e variáveis associadas em escolares do ensino fundamental de escolas municipais de Cuiabá, MT, 2002

Estimating the Effectiveness of Screening for Scoliosis: A Case-Control Study

Three-dimensional Spinal Deformity: Scoliosis [Uc Boyutlu Omurga Deformitesi: Skolyoz]

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