Evidence map›Paper›PMID 36194305›Full record

ArticleWiener klinische Wochenschrift2023

The role of school medicine in the early detection and management of adolescent idiopathic scoliosis.

Josipa Glavaš, Mirjana Rumboldt, Željka Karin, Roberta Matković, Sandro Kresina, Nataša Dragaš-Zubalj, Jure Aljinović

Open access · bronzeAbstract read
In one paragraph

Article in Wiener klinische Wochenschrift, 2023. 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
2.6field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Epidemiological trends and predictive factors of adolescent scoliosis in qingdao: insights from a Large-scale screening program (2022-2024).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 · 2025
    Article
  6. Posture Status Differences Between Preschool Boys and Girls.Journal of functional morphology and kinesiology · 2025
    Article
  7. 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

7 authors at 3 institutions in 1 country.

Josipa GlavašDepartment of School and University Medicine, Teaching Institute for Public Health, Split-Dalmatia County, Vukovarska 46, Split, Croatia. josipa.glavas@nzjz-split.hr.ORCID http://orcid.org/0000-0002-8032-3269
Mirjana RumboldtDepartment of Family medicine, University of Split, Split, Croatia.
Željka KarinDepartment of School and University Medicine, Teaching Institute for Public Health, Split-Dalmatia County, Vukovarska 46, Split, Croatia.
Roberta MatkovićDepartment of Mental Health, Teaching Institute for Public Health, Split-Dalmatia County, Split, Hrvatska.
Sandro KresinaDepartment of School and University Medicine, Teaching Institute of Public Health of Primorje-Gorski Kotar County, Rijeka, Croatia.
Nataša Dragaš-ZubaljInstitute of Physical Medicine and Rehabilitation with Rheumatology, University Hospital of Split, Split, Croatia.
Jure AljinovićInstitute of Physical Medicine and Rehabilitation with Rheumatology, University Hospital of Split, Split, Croatia.
University of Split · HRCroatian Hydrographic Institute · HRInstitute of Public Health Zadar · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the trends in scoliosis screenings over 10 years (2010 vs. 2020). To assess the management of schoolchildren with a preliminary diagnosis of adolescent idiopathic scoliosis by school medicine specialists.

methodsHistorical data were used for the year 2009/2010, and a cross-sectional study was conducted during the school year 2019/2020 on 18,216 pupils of 5th, 6th, and 8th elementary school grades. A forward bend test was used to detect clinical features of scoliosis and some positive findings were referred to orthopedists or physiatrists for further evaluation.

resultsIn the analyzed 10-year period abnormal forward bend test findings increased from 4.9 to 5.8% (by 18.4%; P < 0.001). While its prevalence escalated markedly in girls (from 5.8 to 8.3%; P < 0.001), a modest but significant decrease, from 3.8 to 3.2% (P = 0.018), was noted in boys. Most pupils had low to moderate curves, and its prevalence was some 6.5 times higher in girls (P < 0.001). The forward bend test positive predictive value was 84.7%. Discrete forward bend test aberrations were managed by school medicine specialists only.

conclusionWhile actively promoting scoliosis screening in children, we have shown that forward bend test is an acceptable tool for early adolescent idiopathic scoliosis detection in school medicine. In collaboration with other specialists and using additional diagnostic methods, school medicine specialists can ensure early detection and appropriate interventions, avoiding the potential harms of radiation exposure.

Indexed as

KyphosisScoliosisAdolescentChildCross-Sectional StudiesEarly DiagnosisFemaleHumansMaleMass ScreeningSchoolsAdams forward bend testPrevalenceReferralSchool doctorsScoliosis screening

Identifiers

PMID36194305
PMCPMC9531638
OpenAlexW4300979601

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.