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首页> 外文期刊>Spine >A Practical Study of Diagnostic Accuracy Scoliosis Screenings of Middle School Students by a Trained Nurse With a Smartphone Versus a Spine Surgeon With a Scoliometer
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A Practical Study of Diagnostic Accuracy Scoliosis Screenings of Middle School Students by a Trained Nurse With a Smartphone Versus a Spine Surgeon With a Scoliometer

机译：训练护士与智能手机与脊柱外科医生的训练护士诊断精度脊柱侧凸筛分的实践研究

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Study Design. Cross-sectional. Objective. This study aimed to assess the accuracy of smartphone-aided diagnosis of scoliosis by a trained nurse compared with scoliometer-based diagnosis by a spine surgeon. Summary of Background Data. Many assessments have been developed to estimate the reliability of smartphone-aided measurements in diagnosing scoliosis. However, clinical studies assessing the accuracy of smartphone-aided diagnosis with radiographs or scoliometers are scarce. Methods. A total of 2702 grade 7 students (mean age 13.56 yrs, range 13-15) at 10 middle schools were first screened with a smartphone by a trained nurse from the orthopedics department. Approximately half a year later, most of the students underwent a chest x-ray examination as part of a compulsory medical examination. Students with suspicious findings in either the first screen or the chest x-ray were recommended to a scoliosis clinic for single-blind tests, such as a forward bending test (FBT) and an analysis of the angle of trunk rotation (ATR) with a scoliometer, performed by an experienced spine surgeon. Finally, the Cobb method was conducted with full-spine radiographs to serve as the gold standard. Results. The agreement between the first screening by the nurse and the second test by the spine surgeon was low in cases with a Cobb angle 10 degrees (kappa = 0.349 [0.19-0.50], P < 0.001). The results of receiver operating characteristic (ROC) curve analysis also suggested that these two tests were similar in their ability to diagnose scoliosis. However, when the Cobb angle cutoff was adjusted to 15 degrees, the latter had markedly better diagnostic ability than the former. Overall, the sensitivity of the smartphone screening was not acceptable for recognizing scoliosis. Conclusion. This study revealed that smartphone-aided screening for scoliosis is risky.
机译：学习规划。横截面。客观的。本研究旨在评估培训的护士对培训的护士诊断芯片诊断的准确性，与脊柱外科医生的脊柱尺的诊断相比。背景数据摘要。已经制定了许多评估来估算智能手机辅助测量的可靠性诊断脊柱侧凸。然而，评估智能手机辅助诊断的准确性的临床研究是稀释的。方法。总共2702年级的学生（平均13.56岁，13-15岁）首先是由骨科部门的训练有素的护士用智能手机筛选智能手机。大约半年后，大多数学生接受了胸部X射线检查作为强制体检的一部分。建议在第一屏幕或胸部X射线中具有可疑结果的学生进行单盲检查的脊柱侧凸诊所，例如前向弯曲试验（FBT）和躯干旋转角度（ATR）的分析由经验丰富的脊椎外科医生进行的焦管仪。最后，通过全脊柱射线照相进行COBB方法，用作金标准。结果。在Cobb角度10度（Kappa = 0.349 [0.19-0.50]，P <0.001）的情况下，护士第一次筛选和第二次测试之间的第一次筛选和第二次测试的协议是低的。接收器操作特征（ROC）曲线分析的结果还表明这两种测试在诊断脊柱侧凸的能力中是相似的。然而，当Cobb角度截止调整为15度时，后者的诊断能力明显多于前者。总的来说，智能手机筛选的敏感性对于识别脊柱侧凸是不可接受的。结论。本研究表明，智能手机辅助筛查脊柱侧凸是有风险的。

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