Evidence map›Paper›PMID 32852591›Full record

SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2020

Cancer and mortality risks of patients with scoliosis from radiation exposure: a systematic review and meta-analysis.

Fu-Jun Luan, Yi Wan, Kin-Cheung Mak, Chi-Jiao Ma, Hai-Qiang Wang

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 4 pooled it
5.5field-weighted citation impact, top 3% of its field
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

54 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Evaluation of the effect of Rigo-Chêneau type brace on adolescent idiopathic scoliosis using computer-aided modeling and 3D surface analysis.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 · 2026
    Article
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  7. Kyphosis, lordosis and height velocity. What is the effect of rate of growth on the development of the sagittal parameters of the spine in normal children?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 · 2026
    Article
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  10. Advanced machine learning model for Cobb angle progression in adolescent idiopathic scoliosis with surface topography: a multicenter, prospective, observational 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 · 2026
    Article
  11. Clinical relevance among optical, ultrasonic, and radiographic imaging in scoliosis assessment.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 · 2026
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  15. Smartphone Monitoring of Guided Growth.Journal of the Pediatric Orthopaedic Society of North America · 2025
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  20. Comparison of two ultrasound methods from ScolioscanEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    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

5 authors at 4 institutions in 1 country.

Fu-Jun LuanDepartment of Orthopaedics, Yongchuan Hospital of Chongqing Medical University, 439# Xuanhua Road, Yongchuan District, Chongqing, 402160, China.
Yi WanDepartment of Health Services, Fourth Military Medical University, 169# Changle Western Rd., Xi'an, 710032, Shaanxi Province, China.
Kin-Cheung MakSpine Central, Specialist Central, The Hong Kong Adventist Hospital, Hong Kong SAR, China.
Chi-Jiao MaDepartment of Orthopaedics, Ankang Hospital of Traditional Chinese Medicine, Shaanxi University of Chinese Medicine, Ankang, 725000, Shaanxi Province, China.
Hai-Qiang WangInstitute of Integrative Medicine, Shaanxi University of Chinese Medicine, Xixian Avenue, Xixian District, Xi'an, 712046, Shaanxi Province, China. drwanghq@163.com.ORCID 0000-0002-7752-6217
Shaanxi University of Chinese Medicine · CNAir Force Medical University · CNChongqing Medical University · CNHong Kong Adventist Hospital · CN

Funding

Foundation of Yongchuan Hospital of Chongqing Medical university YJLC201716National Natural Science Foundation of China 81572182
6 · The paper itself

Abstract

purposeThe study aimed for unraveling the long-term health impact of cumulative radiation exposure from full-spine radiographs on children/adolescents with scoliosis.

methodsAll cohort, case-control or cross-sectional studies about radiation exposure to scoliosis patients with follow-up period as 20 years or more were included. Meta-analyses were performed for outcomes reported in two or more studies.

resultsA total of 9 eligible studies involving 35,641 participants between 1912 and 1990 fulfilled the inclusion criteria, including 18,873 patients with scoliosis and 16,768 controls as regional matched general population. The average number of full-spine radiographs was 23.13 (range: 0-618) according to 14,512 patients between 1912 and 1990 in five studies. The estimated mean cumulated radiation dose of breast was 11.35 cGy. In comparison with controls, pooled incidence rates of cancer, breast cancer and cancer mortality of patients with scoliosis were statistically significant higher [rate of cancer, odds risk (OR) = 1.46, p < 0.00001; breast cancer, OR = 1.20, p = 0.02; cancer mortality, OR = 1.50, p < 0.00001]. No statistically significant differences were found in terms of reproductive events for scoliosis patients, pulmonary function and physical activity for adolescent idiopathic scoliosis patients.

conclusionsBased on 35,641 participants with over 20 years' observations from 1912 to 1990, repeated radiographs and pertaining cumulative radiation dose resulted in elevated rates of cancer, breast cancer and cancer mortality for children/adolescents with scoliosis in comparison with matched general population. It is recommended that low-radiation or radiation-free and efficient methods should be used to monitor the evolution of children/adolescents with scoliosis.

Indexed as

NeoplasmsRadiation ExposureScoliosisAdolescentChildCohort StudiesCross-Sectional StudiesHumansRadiographyCancerCancer mortalityMeta-analysisRadiation exposureReproductive eventsScoliosis

Identifiers

PMID32852591
OpenAlexW3080956608

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.