Evidence map›Paper›PMID 37052745›Full record

ArticleSpine deformity2023

Lower socioeconomic status is not associated with severity of adolescent idiopathic scoliosis: a matched cohort analysis.

Tyler J Pease, Ryan A Smith, Alexandra Thomson, Ivan Ye, Alysa Nash, Andre Sabet, Eve Hoffman, Kelley Banagan, Eugene Koh, Daniel Gelb and 1 more

Abstract read
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In one paragraph

Article in Spine deformity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Health Disparity Indices in the Assessment of Adolescent Idiopathic Scoliosis: Are All Indices Similar?Journal of the Pediatric Orthopaedic Society of North America · 2025
    Article
  4. 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

11 authors.

Tyler J PeaseDepartment of Orthopaedic Surgery, Division of Spine Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA.
Ryan A SmithDepartment of Orthopaedic Surgery, Division of Spine Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA.
Alexandra ThomsonDepartment of Orthopaedic Surgery, Division of Spine Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA.
Ivan YeDepartment of Orthopaedic Surgery, Division of Spine Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA.
Alysa NashDepartment of Orthopaedic Surgery, Division of Spine Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA.
Andre SabetDepartment of Orthopaedic Surgery, Division of Spine Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA.
Eve HoffmanDepartment of Orthopaedic Surgery, Division of Spine Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA.
Kelley BanaganDepartment of Orthopaedic Surgery, Division of Spine Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA.
Eugene KohDepartment of Orthopaedic Surgery, Division of Spine Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA.
Daniel GelbDepartment of Orthopaedic Surgery, Division of Spine Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA.
Steven LudwigDepartment of Orthopaedic Surgery, Division of Spine Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA. sludwig@som.umaryland.edu.ORCID http://orcid.org/0000-0002-3962-5724

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAssessing the influence of socioeconomic status (SES) on the severity of adolescent idiopathic scoliosis (AIS) on initial presentation to the spinal surgeon remains a challenge. The area deprivation index (ADI) is a validated measure of SES that abstracts multiple domains of disadvantage into a single score. We hypothesized that patients with low SES (high ADI) present to the orthopedic clinic with more advanced curve pathology.

methodsWe retrospectively reviewed patients diagnosed with AIS. Subjects were assigned ADI scores based on Zip codes. Matched cohorts of high and low ADI were generated using propensity scores. Bivariate and multivariate analyses were performed to identify factors impacting the magnitude of the curve at presentation.

resultsA total of 425 patients with appropriate imaging were included. After matching, the study population was 69.2% female and 92.3% Black. The mean BMI percentile was 61.9. Medicaid covered 57.3% of subjects, and 42.7% had commercial insurance. The mean ADI was 55.5. The mean Cobb angle at presentation was 33.6 degrees. Cobb angle was significantly greater among female patients (36.0 degrees vs 28.0) and among patients with greater BMI percentile (β = 0.127), but was not significantly associated with ADI, race, or insurance type. ADI was not associated with the rate of surgery.

conclusionADI is not predictive of curve severity in pediatric patients presenting to the clinic for AIS. Female sex and BMI are independently associated with advanced curvature. Public health workers, primary care providers, and surgeons should remain aware of the complex interactions of socioeconomic factors, BMI and sex when addressing barriers to timely care. LEVEL OF EVIDENCE: Prognostic Level III.

Indexed as

KyphosisScoliosisAdolescentChildFemaleHumansMaleRetrospective StudiesSocial ClassSocioeconomic FactorsUnited StatesAdolescent idiopathic scoliosisArea deprivation indexBody-mass indexSocioeconomic status

Identifiers

PMID37052745

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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.