Evidence map›Paper›PMID 40940639›Full record

SynthesisSpine deformity2026

Long-term cancer risk in historic cohorts of patients with adolescent idiopathic scoliosis: a systematic review.

F D Højsager, L W Laursen, R Castelein, A Simony

Abstract readSystematic Review
In one paragraph

Synthesis in Spine deformity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. Observational
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

4 authors.

F D HøjsagerDepartment of Orthopedic Surgery, The Region of Southern Denmark University Hospital, Sygehusvej 24, 6000, Kolding, Denmark.
L W LaursenDepartment of Orthopedic Surgery, The Region of Southern Denmark University Hospital, Sygehusvej 24, 6000, Kolding, Denmark.
R CasteleinDepartment of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
A SimonyDepartment of Orthopedic Surgery, The Region of Southern Denmark University Hospital, Sygehusvej 24, 6000, Kolding, Denmark. Ane.simony1@rsyd.dk.ORCID http://orcid.org/0000-0002-1788-1161

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the long-term cancer risks associated with AIS, focusing on the roles of genetic predispositions and radiation exposure.

methodsA comprehensive systematic search was conducted on August 5, 2024, across PubMed, EMBASE, Scopus, Cochrane Libraries, and CINAHL, covering studies from 1947 onward. Human studies on patients with scoliosis diagnosed before age 20 were included. For cancer assessment, both risk, incidence and mortality were included. Studies were excluded if they focused solely on congenital or secondary scoliosis. Screening and quality assessment were conducted using Covidence. The first author performed the initial screening, while the first and second authors conducted full-text assessments and quality assessment collaboratively, with an agreement score of 0.83.

resultsSeven studies from the USA, Australia, Denmark and The Netherlands were identified. Notable findings included elevated breast cancer risks among US cohorts, linked to historical radiographic practices that delivered higher radiation doses. None of the included studies assessed genetic etiologies of cancer. Risk of bias in the studies were generally attributed to selection bias and underreporting of characteristics and confounding variables. While most studies included either showed a tendency or a significant association towards an association between scoliosis and risk of cancer, it was mainly based on data before 1990 with exposure to radiation several orders of magnitude larger than modern standards. These changes could be a major factor in the risk of cancer identified in historical cohorts.

conclusionThis review highlights the importance of continued research, including the effect of modern examination techniques, such as EOS, MRI on rates of cancer in modern populations.

Indexed as

NeoplasmsNeoplasms, Radiation-InducedScoliosisAdolescentAustraliaBreast NeoplasmsCohort StudiesFemaleGenetic Predisposition to DiseaseHumansIncidenceMaleRadiation ExposureRisk FactorsUnited StatesCancer mortalityCancer riskHistorical DataScoliosisSystematic review

Identifiers

PMID40940639
PMCPMC12816099

What OpenQuestion holds

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LicenceCC BY
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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.