Evidence map›Paper›PMID 34676518›Full record

SynthesisSpine deformity2022

Is nighttime bracing effective in the treatment of adolescent idiopathic scoliosis? A meta-analysis and systematic review based on scoliosis research society guidelines.

Abdul Fettah Buyuk, Walter H Truong, Sara J Morgan, Andrew J Snyder, Dan J Miller, Kristine K Nolin, Kristin J Smith

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Spine deformity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Abdul Fettah BuyukGillette Children's Specialty Healthcare, 200 University Ave East, 490105, St. Paul, MN, 55101, USA.ORCID 0000-0003-0316-5444
Walter H TruongGillette Children's Specialty Healthcare, 200 University Ave East, 490105, St. Paul, MN, 55101, USA. wtruong@gillettechildrens.com.ORCID 0000-0001-7114-195X
Sara J MorganGillette Children's Specialty Healthcare, 200 University Ave East, 490105, St. Paul, MN, 55101, USA.ORCID 0000-0001-8059-3659
Andrew J SnyderGillette Children's Specialty Healthcare, 200 University Ave East, 490105, St. Paul, MN, 55101, USA.ORCID 0000-0002-2520-3520
Dan J MillerGillette Children's Specialty Healthcare, 200 University Ave East, 490105, St. Paul, MN, 55101, USA.ORCID 0000-0002-8848-6724
Kristine K NolinGillette Children's Specialty Healthcare, 200 University Ave East, 490105, St. Paul, MN, 55101, USA.
Kristin J SmithGillette Children's Specialty Healthcare, 200 University Ave East, 490105, St. Paul, MN, 55101, USA.
Gillette Children's Specialty Healthcare · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStandard treatment for skeletally immature adolescents with moderate Adolescent Idiopathic Scoliosis (AIS) is a full-time spinal orthosis. However, adherence to full-time wear (≥ 18 h/day) is often challenging for these patients. Nighttime bracing is an alternative option that may improve patient adherence and/or satisfaction. This systematic review and meta-analysis assessed the effectiveness of nighttime bracing in patients with AIS.

methodsA systematic review of studies evaluating nighttime bracing was performed. PubMed, Medline, Embase, CINAHL and Cochrane library databases were searched (01/1975-03/2020); two reviewers assessed eligibility. Eligible articles were peer reviewed, in English, and reported outcomes for patients who met Scoliosis Research Society (SRS) criteria. The primary outcome was curve progression ≥ 6°. Pooled progression rates were calculated from random effects meta-analyses with inverse-variance weights; 95% CIs were calculated.

resultsNine studies (n = 595) were included. The overall pooled progression rate to ≥ 6° was 40.7% (95% CI: 30.4-51.5%). The pooled progression rate to surgical magnitude was 24.8% (95% CI: 4.5-53.6%). The most successful outcomes were in subjects with thoracolumbar/lumbar curves and subjects who initiated bracing at Risser 1/2 (pooled progression rates were 27.8% (95% CI: 17.0-40.0%) and 16.5% (95% CI: 11.7-21.8%), respectively). Univariate sub-analyses were conducted due to sample sizes.

conclusionsProgression rates in patients with primary thoracolumbar/lumbar curves and in patients who initiated nighttime bracing at Risser 1/2 were comparable to published progression rates for full-time bracing, indicating that nighttime bracing may be equally effective for these patients. However, the strength of these conclusions is limited by the sample size and the overall quality of included studies.

Indexed as

KyphosisOrthopedic ProceduresScoliosisAdolescentBracesHumansPractice Guidelines as TopicTreatment OutcomeBraceCharlestonNighttimeProvidenceScoliosisTLSO

Identifiers

PMID34676518
OpenAlexW3205518571

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.