Evidence map›Paper›PMID 42373920›Full record

ArticleSpine deformity2026

Reporting quality and risk of bias in adolescent idiopathic scoliosis brace studies: a systematic evaluation on behalf of the SRS comprehensive care committee.

H M van West, S Donzelli, S Negrini, B D Roye, B Smith, T P C Schlösser

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Article in Spine deformity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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4 · The record

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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

6 authors.

H M van WestDepartment of Orthopedics and Sports Medicine, Erasmus MC, University Medical Center Rotterdam, Dr Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands. h.vanwest@erasmusmc.nl.ORCID http://orcid.org/0000-0001-5070-4303
S DonzelliSOSORT (The International Society on Scoliosis Orthopaedic and Rehabilitation Treatment), Fairfax, VA, USA.
S NegriniDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
B D RoyeDepartment of Orthopaedic Surgery, Columbia University Irving Medical Center, New York, USA.
B SmithConnecticut Children's Medical Center, Hartford, CT, USA.
T P C SchlösserDepartment of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReporting quality in studies on brace treatment for adolescent idiopathic scoliosis (AIS) is highly variable, which limits the interpretability of outcomes and introduces potential sources of bias. In 2015, the Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) and the Scoliosis Research Society (SRS) issued recommendations to standardize research methodology and improve transparency in scoliosis bracing studies.

aimTo evaluate the quality of reporting and risk of bias in AIS brace studies and to examine whether studies published after 2015 demonstrate adherence to SOSORT/SRS recommendations.

designSystematic evaluation of reporting quality and risk of bias.

methodsPubMed, Embase, Medline, Web of Science Core Collection, and the Cochrane Central Register of Controlled Trials were systematically searched for studies reporting outcomes of specific brace treatments in AIS. Two independent reviewers screened studies according to predefined criteria. Reporting quality was assessed using a 19-item checklist derived from the 2015 SOSORT/SRS recommendations (score range 1-18).

resultsA total of 163 studies met inclusion criteria (129 published before 2015 and 34 after). The median reporting quality score was 6 (range 2-12), with no significant improvement in studies published after the SOSORT/SRS recommendations (median 6 vs. 7, p = 0.53). While most studies described the study population (75%), key elements with direct implications for risk of bias were consistently underreported: inclusion of "Risser 0-2, 25-40° curves" (31%), incorporation of skeletal maturity staging in analyses (1%), adherence monitoring (17%), patient-centered outcomes (13%), and standardized timepoint reporting (37%). Radiographic outcomes were commonly reported (93%), but validated quality of life measures were rarely used (13%).

conclusionReporting quality in AIS brace studies remains low. This study identifies the persistent gaps that contribute to substantial risk of bias and limit comparability across studies. Despite the publication of SOSORT/SRS recommendations, adherence remains limited. A structured, standardized reporting framework is needed to improve transparency, reduce bias, and enhance the comparability of future research in AIS bracing.

Indexed as

BraceQualityReviewScoliosisSOSORT/SRS guidelines

Identifiers

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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.