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首页> 外文期刊>Spine >Patient characteristics at the initial visit to a scoliosis clinic: a cross-sectional study in a community without school screening.
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Patient characteristics at the initial visit to a scoliosis clinic: a cross-sectional study in a community without school screening.

机译：初次访问脊柱侧弯诊所时的患者特征：在没有学校检查的社区进行的横断面研究。

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摘要

STUDY DESIGN: A cross-sectional study was conducted of all patients referred for an initial visit to the orthopedic outpatient clinic of a metropolitan pediatric hospital in Canada for suspected adolescent idiopathic scoliosis (AIS). OBJECTIVE: To document the appropriateness of current referral patterns for AIS in comparison to those that were prevailing before discontinuation of school screening in Canada. SUMMARY OF BACKGROUND DATA: The consequences of the discontinuation of school scoliosis screening programs on the referral patterns of AIS patients remain unknown. METHODS: The clinical and radiologic charts of the 636 consecutive patients referred for scoliosis evaluation over a 1-year period were reviewed. Patients were classified according to defined criteria of appropriateness of referral based on skeletal maturity and curve magnitude. RESULTS: Of the 489 suspected cases of AIS, 206 (42%) had no significant deformity (Cobb angle <10 degrees ) and could be considered as inappropriate referrals. In subjects with confirmed AIS, 91 patients (32%) were classified as late referrals with regards to brace treatment indications. CONCLUSIONS: These findings suggest that current referral mechanisms for AIS are leading to a suboptimal case-mix in orthopedics in terms of appropriateness of referral.
机译：研究设计：进行了一项横断面研究，对所有因可疑的青少年特发性脊柱侧凸（AIS）转诊至加拿大大都会儿科医院的骨科门诊的患者进行了横断面研究。目的：记录与加拿大终止学校筛查之前的现行AIS推荐模式相比是否合适。背景数据摘要：终止学校脊柱侧弯筛查计划对AIS患者转诊模式的影响仍然未知。方法：回顾了在1年期间转诊进行脊柱侧弯评估的636例连续患者的临床和放射学图表。根据骨骼成熟度和曲线幅度，根据确定的转诊适当性标准对患者进行分类。结果：在489例AIS疑似病例中，有206例（42％）没有明显的畸形（Cobb角<10度），可以认为是不适当的转诊。在确诊为AIS的受试者中，根据支架治疗指征将91例患者（占32％）归类为晚期转诊患者。结论：这些发现表明，就推荐的适当性而言，目前AIS的推荐机制正在导致整形外科病例组合的欠佳。

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