Evidence map›Paper›PMID 27807774›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2017

Low body mass index can be predictive of bracing failure in patients with adolescent idiopathic scoliosis: a retrospective study.

Weixiang Sun, Jin Zhou, Minghui Sun, Xiaodong Qin, Yong Qiu, Zezhang Zhu, Leilei Xu

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In one paragraph

Article in 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, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

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

13 citing papers in PubMed, 2 syntheses or guidelines 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
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  12. Bracing In The Treatment Of Adolescent Idiopathic Scoliosis: Evidence To Date.Adolescent health, medicine and therapeutics · 2019
    Article
  13. Overweight is not predictive of bracing failure in adolescent idiopathic scoliosis: results from a retrospective cohort study.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 · 2017
    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

7 authors.

Weixiang SunDepartment of Spine Surgery, The Drum Tower Hospital of Nanjing University Medical School, Zhongshan Road 321, Nanjing, 210008, China.
Jin ZhouDepartment of Radiology, The Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Minghui SunDepartment of Spine Surgery, The Drum Tower Hospital of Nanjing University Medical School, Zhongshan Road 321, Nanjing, 210008, China.
Xiaodong QinDepartment of Spine Surgery, The Drum Tower Hospital of Nanjing University Medical School, Zhongshan Road 321, Nanjing, 210008, China.
Yong QiuDepartment of Spine Surgery, The Drum Tower Hospital of Nanjing University Medical School, Zhongshan Road 321, Nanjing, 210008, China.
Zezhang ZhuDepartment of Spine Surgery, The Drum Tower Hospital of Nanjing University Medical School, Zhongshan Road 321, Nanjing, 210008, China.
Leilei XuDepartment of Spine Surgery, The Drum Tower Hospital of Nanjing University Medical School, Zhongshan Road 321, Nanjing, 210008, China. peterxu_drumtower@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposesTo determine the relationship between low body mass index (BMI) and the outcome of brace treatment in patients with adolescent idiopathic scoliosis (AIS).

methods350 braced female AIS patients were included in this study. The baseline characteristics of the patient were recorded at their first visit, including age, Risser sign, digital skeletal age, BMI, curve pattern, and curve magnitude. Underweight was defined as lower than the 5th percentile of the sex- and age-specific BMI. The treatment was considered as a failure if the curve progressed more than 5°, or if patients underwent surgery. According to the final outcome of brace treatment, the cohort was divided into the success group and the failure group. A logistic regression model was created to determine the independent predictors of the bracing outcome.

results24.5% (86/350) of the patients were identified as underweight at their initial visit, which was significantly higher than the rate of 13.1% (46/350) at the final follow-up (p < 0.001). At the initial visit of the patients, the rate of underweight was 17.6% (45/255) in the success group, which was significantly lower than the rate of 43.1% (41/95) in the failure group (p < 0.001). Logistic regression analysis showed that low BMI was significantly associated with bracing failure (p < 0.001).

conclusionThe low BMI could be predictive of bracing failure in AIS patients, which should be taken into account when surgeons prescribe brace treatment to such patients.

Indexed as

Body Mass IndexBracesThinnessAdolescentChildFemaleHumansLogistic ModelsMaleRetrospective StudiesScoliosisTreatment FailureBody mass indexBrace treatmentPredictScoliosis

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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.