Journal article
Professional opinion concerning the effectiveness of bracing relative to observation in adolescent idiopathic scoliosis
Journal of pediatric orthopaedics, Vol.27(3), pp.270-276
2007
DOI: 10.1097/01.bpb.0000248579.11864.47
PMCID: PMC4668936
PMID: 17414008
Abstract
Objective: To determine if community equipoise exists concerning the effectiveness of bracing in adolescent idiopathic scoliosis.
Background data: Bracing is the standard of care for adolescent idiopathic scoliosis despite the lack of strong reasearch evidence concerning its effectiveness. Thus, some researchers support the idea of a randomized trial, whereas others think that randomization in the face of a standard of care would be unethical.
Methods: A random of Scoliosis Research Society and Pediatric Orthopaedic Society of North America members were asked to consider 12 clinical profiles and to give their opinion concerning the radiographic outcomes after observation and bracing.
Results: An expert panel was created from the respondents. They expressed a wide array of opinions concerning the percentage of patients within each scenario who would benefit from bracing. Agreement was noted concerning the risk due to bracing for post-menarchal patients only.
Conclusions: : This study found a high degree of variability in opinion among clinicians concerning the effectiveness of bracing, suggesting that a randomized trial of bracing would be ethical.
Details
- Title: Subtitle
- Professional opinion concerning the effectiveness of bracing relative to observation in adolescent idiopathic scoliosis
- Creators
- Lori A DOLAN - Department of Orthopaedics and Rehabilitation, University of Iowa Health Care, Iowa City, IA, United StatesMelanie J DONNELLY - Dartmouth-Hitchcock Medical Center, Hanover, NH, United StatesKevin F SPRATT - Dartmouth-Hitchcock Medical Center, Hanover, NH, United StatesStuart L WEINSTEIN - Department of Orthopaedics and Rehabilitation, University of Iowa Health Care, Iowa City, IA, United States
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric orthopaedics, Vol.27(3), pp.270-276
- DOI
- 10.1097/01.bpb.0000248579.11864.47
- PMID
- 17414008
- PMCID
- PMC4668936
- NLM abbreviation
- J Pediatr Orthop
- ISSN
- 0271-6798
- eISSN
- 1539-2570
- Publisher
- Lippincott; Hagerstown, MD
- Language
- English
- Date published
- 2007
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
- Record Identifier
- 9984040457802771
Metrics
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