Evidence map›Paper›PMID 34465348›Full record

ArticleJournal of orthopaedic surgery and research2021

Lack of in-brace x-rays in compliant AIS patients wearing full-time TLSO braces associates with failure.

Isabel Alvarez, Kiley Poppino, Lori Karol, Amy L McIntosh

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02412137 (Effect of Compliance Counseling on Brace Success in Patients With Idiopathic Scoliosis), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 27% 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.

NCT02412137 nacompletednot on this map

Effect of Compliance Counseling on Brace Success in Patients With Idiopathic Scoliosis

TypeinterventionalSponsorTexas Scottish Rite Hospital for ChildrenRan2007 to 2020Enrolled245ConditionsAdolescent Idiopathic ScoliosisArmsCounseled cohort
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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 at 3 institutions in 1 country.

Isabel AlvarezUniversity of Texas-Southwestern, Dallas, TX, USA.ORCID https://orcid.org/0000-0002-0249-9410
Kiley PoppinoTexas Scottish Rite Hospital for Children, 2222 Welborn St, Dallas, TX, 75219, USA.ORCID https://orcid.org/0000-0001-9635-832X
Lori KarolChildren's Hospital Colorado, Aurora, CO, USA.
Amy L McIntoshUniversity of Texas-Southwestern, Dallas, TX, USA. Amy.mcintosh@tsrh.org.ORCID https://orcid.org/0000-0002-3660-4901
Texas Scottish Rite Hospital for Children · USChildren's Hospital Colorado · USThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn-brace correction and brace compliance with thoraco-lumbo-sacral orthotic (TLSO) braces are associated with successful treatment of adolescent idiopathic scoliosis (AIS). This paper compares patients who had consistent radiographic documentation of in-brace correction to those who did not.

methodsAll skeletally immature (Risser 0-2) patients were treated for AIS (25-45°) with full-time TLSO braces that had compliance temperature monitors. All patients wore their braces at least 12 h a day. Brace failure was defined as curve progression to a surgical magnitude (≥ 50°). All patients were followed until brace discontinuation.

resultsNinety patients (F 82, M 8) with an average age of 12.1 (10.1-15.0) years, Risser grade 0 (0-2), BMI percentile 48.5 (0.0-98.8), and daily brace wear of 16.5 (12.1-21.6) h/day were treated for 24.3 (8.0-66.6) months. Patients went through 1.7 (1-4) braces on average. Forty-two out of 90 (46.7%) patients had some amount of brace time with an unknown in-brace correction, which, on average, was 66.1% of their total treatment course (11.5-100). On univariate analysis, patients that did not have a repeat in-brace x-ray with major brace adjustments or new brace fabrication tended to be more skeletally immature (Risser 0 and tri-radiate open, p = 0.028), wear more braces throughout their treatment (2.0 vs 1.4, p < 0.001), were treated for a longer period of time (27 vs 22 months, p = 0.022), and failed bracing more often (47.6% vs 22.9%, p = 0.014).

conclusionsPatients who did not have new in-brace x-rays with major brace adjustments and/or new brace fabrication were 3.1 (95% CI 1.2-7.6) times more likely to fail bracing than patients who were re-checked with new in-brace x-rays.

trial registrationClinicalTrials.gov- NCT02412137 , initial registration date April 2015 LEVEL OF EVIDENCE: III.

Indexed as

KyphosisScoliosisAdolescentBracesChildHumansTreatment OutcomeX-RaysAdolescent idiopathic scoliosisIn-brace correction

Identifiers

PMID34465348
PMCPMC8406839
OpenAlexW3167920325

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.