ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2011
Empirically derived maximal acceptable wait time for surgery to treat adolescent idiopathic scoliosis.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- The impacts of waiting for surgical correction of Adolescent Idiopathic Scoliosis and its repercussions for publicly funded health systems: systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Pooled it
- A classification algorithm for prioritizing surgery in Pediatric patients with idiopathic scoliosis when Long Surgical delays are expected.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- How Long Can You Delay? Curve Progression While Awaiting Vertebral Body Tethering Surgery.Journal of clinical medicine · 2024Article
- The influence of night-time bracing on curve progression is not affected by curve magnitude in adolescent idiopathic scoliosis: a study of 299 patients.Acta orthopaedica · 2024Review
- A Risk Quantification Reference Table for Progressed Adolescent Idiopathic Scoliosis Surgery: An Exact Case Matched Outcomes Analysis.Global spine journal · 2023Article
- Time to surgery for adolescent idiopathic scoliosis: How long does it take? A multicenter study.World neurosurgery: X · 2023Article
- Impact of the Suspension of Elective Surgeries for Adolescent Idiopathic Scoliosis during the COVID-19 Pandemic.Revista brasileira de ortopedia · 2023Article
- Experiences of Health Care Professionals Working Extra Weekends to Reduce COVID-19-Related Surgical Backlog: Cross-sectional Study.JMIR perioperative medicine · 2022Article
- Revisiting the concept of urgency in surgical prioritization and addressing backlogs in elective surgery provision.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
- Benchmarking surgical indications for adolescent idiopathic scoliosis across time, region, and patient population: a study of 4229 cases.Spine deformity · 2022Article
- Predictors of Operative Duration in Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis: A Retrospective Cohort Study.International journal of spine surgery · 2022Article
- The impact of COVID-19 on idiopathic scoliosis referrals: cause for concern.Spine deformity · 2021Article
- Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System.Revista brasileira de ortopedia · 2021Article
- The burden of waiting: wait times for pediatric surgical procedures in Quebec and compliance with national benchmarks.Canadian journal of surgery. Journal canadien de chirurgie · 2021Article
- Influence of Insurance Status on Curve Magnitude in Adolescent Idiopathic Scoliosis in Mainland China.Global spine journal · 2020Article
- How the COVID-19 pandemic is affecting paediatric orthopaedics practice: a preliminary report.Journal of children's orthopaedics · 2020Article
- Community Care Administration of Spinal Deformities in the Brazilian Public Health System.Clinics (Sao Paulo, Brazil) · 2017Article
- Preoperative curves of greater magnitude (>70°) in adolescent idiopathic scoliosis are associated with increased surgical complexity, higher cost of surgical treatment and a delayed return to function.Irish journal of medical science · 2016Article
- Management of severe and rigid idiopathic scoliosis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2015Article
- Knowledge and management of Adolescent Idiopathic Scoliosis among family physicians, pediatricians, chiropractors and physiotherapists in Québec, Canada: An exploratory study.The Journal of the Canadian Chiropractic Association · 2013Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrioritizing patients using empirically derived access targets can help to ensure high-quality care. Adolescent scoliosis can worsen while patients wait for treatment, increasing the risk of adverse events. Our objective was to determine an empirically derived access target for scoliosis surgery and to compare this with consensus-based targets.
methodsTwo-hundred sixteen sequential patients receiving surgery for adolescent idiopathic scoliosis were included in the study. The main outcome was need for additional surgery. Logistic regression modeling was used to evaluate the relation between surgical wait times and adverse events and χ2 analysis was used as the primary analysis for the main outcome.
resultsOf the 88 patients who waited longer than six months for surgery, 13 (14.8%) needed additional surgery due to progression of curvature versus 1.6% (2 of 128 patients) who waited less than six months for surgery (χ2 analysis, p=0.0001). Patients who waited longer than six months for surgery had greater progression of curvature, longer surgeries and longer stays in hospital. These patients also had less surgical correction than patients who waited less than six months for surgery (Wilcoxon-Mann-Whitney test, p=0.011). All patients requiring additional surgeries waited longer than three months for their initial surgery. A receiver-operator characteristic curve also suggested a three-month wait as an access target. The adjusted odds ratio for an adverse event for each additional 90 days of waiting from time of consent was 1.81 (95% confidence interval 1.34-2.44). The adjusted odds ratio increased with skeletal immaturity and with the size of the spinal curvature at the time of consent.
interpretationA prolonged wait for surgery increased the risk of additional surgical procedures and other adverse events. An empirically derived access target of three months for surgery to treat adolescent idiopathic scoliosis could potentially eliminate the need for additional surgery by reducing progression of curvature. This is a shorter access target than the six months determined by expert consensus.
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