Evidence map›Paper›PMID 40743255›Full record

ArticlePloS one2025

Predicting pulmonary function using thoracic deformity parameters in early onset scoliosis patients.

Mattan R Orbach, Patrick J Cahill, Annalise Noelle Larson, Ron El-Hawary, Oscar H Mayer, Sriram Balasubramanian

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Mattan R OrbachSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, United States of America.
Patrick J CahillDivision of Orthopaedic Surgery, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
Annalise Noelle LarsonDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, United States of America.
Ron El-HawaryDepartment of Orthopedics, Boston Children's Hospital, Harvard University, Boston, Massachusetts, United States of America.
Oscar H MayerDivision of Pulmonary Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
Sriram BalasubramanianSchool of Biomedical Engineering, Science and Health Systems, Drexel University, Philadelphia, Pennsylvania, United States of America.ORCID https://orcid.org/0000-0002-7886-6184

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThoracospinal deformities in early onset scoliosis (EOS) patients often lead to thoracic insufficiency syndrome, in which respiration or lung growth is impaired. Pulmonary function tests (PFTs) are used to assess pulmonary deficits but are challenging to comply with for EOS patients, who typically are between 5 and 10 years old. Thus, the objective was to predict PFT values in EOS patients directly from deformity parameters measured on routine radiographs.

methodsCorresponding preoperative radiographs and PFT values were retrospectively obtained from 47 EOS patients (13M/34F; mean age: 9.8 ± 3.0 years), and 19 literature-based deformity parameters were measured. Multiple linear regression (MLR) analyses using an exhaustive search feature selection method were used to estimate percent predicted forced vital capacity (%FVC) and forced expiratory volume in one second (%FEV1). Ten percent of the dataset was set aside to validate the predictive accuracy of the MLR models.

resultsThe additive contributions of multiple thoracospinal deformity parameters successfully yielded significant (p < 0.001) MLR models that predicted %FVC (R2 = 0.54) and %FEV1 (R2 = 0.59) in EOS patients. For the validation test, no significant differences (p > 0.05) in prediction error magnitudes were found.

conclusionThe developed MLR models provide the highest reported precision for predicting PFT values in EOS patients from radiographic deformity parameters. Additionally, a key subset of deformity parameters was identified, and their relative contributions to predicting PFT values provide quantitative metrics to guide surgical treatment.

Indexed as

LungScoliosisAdolescentChildChild, PreschoolFemaleForced Expiratory VolumeHumansLinear ModelsMaleRadiographyRespiratory Function TestsRetrospective StudiesThoracic VertebraeVital Capacity

Identifiers

PMID40743255
PMCPMC12312942

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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.