Evidence map›Paper›PMID 24026162›Full record

Trial reportSpine2013

Design of the Bracing in Adolescent Idiopathic Scoliosis Trial (BrAIST).

Stuart L Weinstein, Lori A Dolan, James G Wright, Matthew B Dobbs

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Spine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00448448 (Bracing in Adolescent Idiopathic Scoliosis Trial), which is not on this map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00448448 naterminatednot on this map

Bracing in Adolescent Idiopathic Scoliosis Trial (BrAIST)

TypeinterventionalSponsorStuart L. Weinstein, MDRan2007 to 2013Enrolled383ConditionsAdolescent Idiopathic ScoliosisArmsBrace, Observation
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Braces for idiopathic scoliosis in adolescents.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Effects of bracing in adolescents with idiopathic scoliosis.The New England journal of medicine · 2013
    Trial
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Stuart L Weinstein*Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA †Department of Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada, and the Division of Orthopedic Surgery, University of Toronto, Toronto, Ontario, Canada; and ‡Department of Orthopaedic Surgery, Washington University School of Medicine and St. Louis Shriners Hospital for Children, St. Louis, MO.
Lori A Dolan
James G Wright
Matthew B Dobbs

Funding

Bracing in Adolescent Idiopathic Scoliosis IIR01AR052113 · NIAMS · UNIVERSITY OF IOWA · PI WEINSTEIN, STUART LESLIE · 2006 to 2013
$5.3M
Bracing in Adolescent Idiopathic Scoliosis (BrAIST)R21AR049587 · NIAMS · UNIVERSITY OF IOWA · PI WEINSTEIN, STUART LESLIE · 2002 to 2002
$135k
CIHR FRN-81050NIAMS NIH HHS R01 AR052113NIAMS NIH HHS R01AR052113NIAMS NIH HHS R21 AR049587NIAMS NIH HHS R21AR049587
6 · The paper itself

Abstract

STUDY

designDescriptive.

objectiveTo describe the design and development of Bracing in Adolescent Idiopathic Scoliosis Trial (BrAIST). SUMMARY OF BACKGROUND DATA: Bracing has remained the standard of care for the nonoperative treatment of adolescent idiopathic scoliosis since the introduction of the Milwaukee brace in the late 1940s, but it has never been subjected to a rigorous evaluation of either its efficacy or its effectiveness. The BrAIST was designed to address the primary question: Do braces (specifically a thoracolumbosacral orthosis) lower the risk of curve progression to a surgical threshold (≥50°) in patients with adolescent idiopathic scoliosis relative to watchful waiting alone?

methodsThe authors describe the rationale for BrAIST, including the limitations of the current literature evaluating bracing for adolescent idiopathic scoliosis. Second, the authors describe the preliminary work, including the preparation of the National Institutes of Health clinical trials planning grant. Finally, the authors describe the trial design in detail.

resultsBrAIST was conducted in 25 sites in North America. Subjects were treated either with a thoracolumbosacral orthosis or watchful waiting and followed every 6 months until they reached skeletal maturity or the surgical threshold of 50° Cobb angle.

conclusionClinical decision making will be improved by translation of the BrAIST results into evidence-based prognosis and estimates of how the prognosis, specifically the risk of progressing to surgery, may be altered by the use of bracing. LEVEL OF EVIDENCE: N/A.

Indexed as

BracesWatchful WaitingAdolescentCanadaChildDisease ProgressionFemaleFollow-Up StudiesHumansLinear ModelsLogistic ModelsMaleRadiographyResearch DesignScoliosisSurveys and Questionnaires

Identifiers

PMID24026162
PMCPMC4536980

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.