Evidence map›Paper›PMID 25873992›Full record

ArticleScoliosis2015

Predictive factors of Osaka Medical College (OMC) brace treatment in patients with adolescent idiopathic scoliosis.

Hiroshi Kuroki, Naoki Inomata, Hideaki Hamanaka, Kiyoshi Higa, Etsuo Chosa, Naoya Tajima

Abstract read
In one paragraph

Article in Scoliosis, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Predictive factors for brace treatment outcome in adolescent idiopathic scoliosis: a best-evidence synthesis.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 · 2019
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Bracing In The Treatment Of Adolescent Idiopathic Scoliosis: Evidence To Date.Adolescent health, medicine and therapeutics · 2019
    Article
  8. Article
  9. Article
  10. 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

6 authors.

Hiroshi KurokiDepartment of Orthopaedic Surgery, National Hospital Organization Miyazaki Higashi Hospital, 4374-1 Tayoshi Ooaza, Miyazaki, 880-0911 Japan.
Naoki InomataDepartment of Orthopaedic Surgery, University of Miyazaki Faculty of Medicine, Miyazaki, Japan.
Hideaki HamanakaDepartment of Orthopaedic Surgery, University of Miyazaki Faculty of Medicine, Miyazaki, Japan.
Kiyoshi HigaDepartment of Orthopaedic Surgery, University of Miyazaki Faculty of Medicine, Miyazaki, Japan.
Etsuo ChosaDepartment of Orthopaedic Surgery, University of Miyazaki Faculty of Medicine, Miyazaki, Japan.
Naoya TajimaDepartment of Orthopaedic Surgery, Nozaki Higashi Hospital, Miyazaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFactors influencing clinical course of brace treatment apply to adolescent idiopathic scoliosis (AIS) patients remain unclear. By making clear them, we may select suitable patients for brace treatment and alleviate overtreatment. The purpose of this study was to explore predictive factors of Osaka Medical College (OMC) brace treatment for AIS patients in accordance with the modified standardized criteria proposed by the Scoliosis Research Society (SRS) committee on bracing and non-operative management.

methodsFrom 1999 through 2010, 31 consecutive patients with AIS who were newly prescribed the OMC brace and met the modified SRS criteria were studied. The study included 2 boys and 29 girls with a mean age of 12 years and 0 month. We investigated the clinical course and evaluated the impacts of compliance, initial brace correction rate, curve flexibility, curve pattern, Cobb angle, chronological age, and Risser stage to clinical outcomes. The clinical course of the brace treatment was considered progression if ≥6° curvature increase occurred and improvement if ≥6° curvature decrease occurred according to SRS judgment criteria.

resultsThe curve progressed in 10 cases, the curve improved in 6 cases, and the curve remained unchanged in 15 cases (success rate: 67.7%). The success rate was statistically higher in the patient group whose instruction adherence rate was greater than 50% as compared with in those 50% or less. Initial brace correction rate, curve flexibility, curve pattern, the magnitude of Cobb angle, chronological age, and Risser stage did not have any significant effect for clinical courses. However, success rate was insignificantly higher in the cases whose Cobb angle in brace was smaller than that in hanging position.

conclusionsOMC brace treatment could alter the natural history of AIS, however, that was significantly affected by compliance of brace wear.

Indexed as

Adolescent idiopathic scoliosis (AIS)Conservative treatmentOsaka Medical College (OMC) bracePredictive factorScoliosis Research Society (SRS)Standardized inclusion and assessment criteria

Identifiers

PMID25873992
PMCPMC4395903

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Registered trials

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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.