Evidence map›Paper›PMID 40048140›Full record

SynthesisSpine deformity2025

The impact of the social determinants of health on adolescent idiopathic scoliosis: a systematic review.

Rohit Paradkar, Ria Paradkar, Manjot Singh, Ashley Knebel, Mariah Balmaceno-Criss, Jinseong Kim, Joseph E Nassar, Michael J Farias, Landon Paulino, Bassel G Diebo and 1 more

Erratum issuedAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Spine deformity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Rohit ParadkarVirginia Commonwealth University, Richmond, VA, USA.
Ria ParadkarAlbany Medical College, Albany, NY, USA.
Manjot SinghWarren Alpert Medical School, Brown University, Providence, RI, USA.
Ashley KnebelWarren Alpert Medical School, Brown University, Providence, RI, USA.
Mariah Balmaceno-CrissWarren Alpert Medical School, Brown University, Providence, RI, USA.
Jinseong KimDepartment of Orthopedics, Brown University, 1 Kettle Point Avenue, East Providence, RI, 02914, USA.
Joseph E NassarWarren Alpert Medical School, Brown University, Providence, RI, USA.
Michael J FariasWarren Alpert Medical School, Brown University, Providence, RI, USA.
Landon PaulinoWarren Alpert Medical School, Brown University, Providence, RI, USA.
Bassel G DieboDepartment of Orthopedics, Brown University, 1 Kettle Point Avenue, East Providence, RI, 02914, USA.
Alan H DanielsDepartment of Orthopedics, Brown University, 1 Kettle Point Avenue, East Providence, RI, 02914, USA. alandanielsmd@gmail.com.ORCID http://orcid.org/0000-0001-9597-4139

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdolescent idiopathic scoliosis (AIS) has been associated with significant physical and psychosocial burdens. Social determinants of health play a well-documented role in treatment and outcomes of various conditions, including AIS. As such, it is crucial to understand the multifaceted socioeconomic factors that may affect its prevalence and severity.

methodsA comprehensive search of major bibliographic databases such as Medline, Embase, and Cochrane Library was conducted from inception to August 2024 for studies examining AIS in marginalized populations. Demographical and clinical outcomes data were extracted for quantitative and qualitative analyses.

resultsOur initial search identified 479 articles, of which 14 met the eligibility criteria. The mean age was 14.1 years, 76.8% were females, 59.6% were White, and 73.6% had private insurance. Black adolescents with AIS presented with more severe forms of the condition that necessitated surgical management. Furthermore, lower socioeconomic status, along with residence in socioeconomically disadvantaged neighborhoods and enrollment in public insurance programs, often contributed to delayed clinical presentation, more severe curves at initial presentation, and delayed treatment.

conclusionThis systematic review revealed disparities in the diagnosis and management of AIS based on race, ethnicity, language, insurance status, and socioeconomic status. These disparities highlight the urgent need for a multifaceted approach to improve equity in AIS care. Addressing these challenges requires systemic reforms targeted towards enhancing access and treatment for marginalized populations. Focused interventions should consider the unique social determinants that contribute to these disparities, ultimately promoting a more equitable healthcare system for all adolescents affected by idiopathic scoliosis. LEVEL OF EVIDENCE: Level II.

Indexed as

Healthcare DisparitiesScoliosisSocial Determinants of HealthAdolescentFemaleHumansMaleSocial ClassSocioeconomic FactorsAdolescent idiopathic scoliosisDisparitiesManagementMarginalizedMinorityOutcomes

Identifiers

PMID40048140

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.