#scoliosis #escoliosisidiopatica #adolescente #escoliosis
Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/24201070
http://journals.lww.com/jpo-b/pages/articleviewer.aspx?year=2014&issue=01000&article=00002&type=abstract
De:
Lee JZ1, Lam DJ, Lim KB.
J Pediatr Orthop B. 2014 Jan;23(1):6-14. doi: 10.1097/01.bpb.0000434243.64440.13
Todos los derechos reservados para:
Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.
Abstract
Children and young teenagers with adolescent idiopathic scoliosis (AIS) not infrequently present with Cobb angles in excess of 40° at the first clinic visit. This study aimed to establish the incidence of this group of patients, identify the possible factors that may account for the late presentation, and make appropriate recommendations where applicable. This is an institutional review board-approved study. The index posteroanterior spinal radiographs of all 1176 AIS patients who presented to our institution between January 2007 and December 2011 were independently reviewed by two authors (J.Z.J.L. and K.B.L.L.). Patients with curves 40° or greater were included. An interviewer-administered survey was conducted by phone interview to obtain demographic information and identify possible factors for late presentation. The incidence of late presenters was found to be 5.5% (65/1176). The response rate was 73.8% (48/65). Twenty-four (50.0%) respondents acknowledged delaying seeking help after initial suspicion of scoliosis. The reasons cited most were that they were 'too busy' and 'did not know it was scoliosis'. Thirteen (27.1%) respondents attempted 'alternative' treatment before their first specialist appointment, of which 'Chinese Sinseh massage' was the most popular. Thirty-two (66.7%) respondents were not aware of AIS before their diagnosis. In conclusion, the incidence of late presentation in AIS is 5.5% in this series and significantly higher than the published figure of 0.1%. A time delay in seeking help because of a poor understanding of the condition and the failure to appreciate the importance of early specialist review may have contributed toward this relatively high incidence. Patient education and emphasis on timely specialist review can enhance and complement school screening to reduce the incidence of late presentation.
Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/24201070
http://journals.lww.com/jpo-b/pages/articleviewer.aspx?year=2014&issue=01000&article=00002&type=abstract
De:
Lee JZ1, Lam DJ, Lim KB.
J Pediatr Orthop B. 2014 Jan;23(1):6-14. doi: 10.1097/01.bpb.0000434243.64440.13
Todos los derechos reservados para:
Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.
Abstract
Children and young teenagers with adolescent idiopathic scoliosis (AIS) not infrequently present with Cobb angles in excess of 40° at the first clinic visit. This study aimed to establish the incidence of this group of patients, identify the possible factors that may account for the late presentation, and make appropriate recommendations where applicable. This is an institutional review board-approved study. The index posteroanterior spinal radiographs of all 1176 AIS patients who presented to our institution between January 2007 and December 2011 were independently reviewed by two authors (J.Z.J.L. and K.B.L.L.). Patients with curves 40° or greater were included. An interviewer-administered survey was conducted by phone interview to obtain demographic information and identify possible factors for late presentation. The incidence of late presenters was found to be 5.5% (65/1176). The response rate was 73.8% (48/65). Twenty-four (50.0%) respondents acknowledged delaying seeking help after initial suspicion of scoliosis. The reasons cited most were that they were 'too busy' and 'did not know it was scoliosis'. Thirteen (27.1%) respondents attempted 'alternative' treatment before their first specialist appointment, of which 'Chinese Sinseh massage' was the most popular. Thirty-two (66.7%) respondents were not aware of AIS before their diagnosis. In conclusion, the incidence of late presentation in AIS is 5.5% in this series and significantly higher than the published figure of 0.1%. A time delay in seeking help because of a poor understanding of the condition and the failure to appreciate the importance of early specialist review may have contributed toward this relatively high incidence. Patient education and emphasis on timely specialist review can enhance and complement school screening to reduce the incidence of late presentation.
Resumen
Los niños y adolescentes con escoliosis idiopática del adolescente (AIS) con no poca frecuencia se presentan con ángulos de Cobb de más de 40 ° en la primera visita a la clínica. Este estudio tuvo como objetivo establecer la incidencia de este grupo de pacientes, identificar los posibles factores que pueden explicar la presentación tardía, y formular las recomendaciones pertinentes en su caso. Se trata de un estudio aprobado por la junta de revisión institucional. El índice posteroanterior radiografías de columna de todas las 1.176 AIS pacientes que acudieron a nuestro centro entre enero de 2007 y diciembre de 2011 fueron revisados de forma independiente por dos autores (JZJL y KBLL). Se incluyeron pacientes con curvas de 40 ° o más. Una encuesta entrevistador-se llevó a cabo mediante entrevista telefónica para obtener información demográfica e identificar posibles factores de presentación tardía. La incidencia de diagnóstico tardío se encontró que era del 5,5% (65/1176). La tasa de respuesta fue del 73,8% (48/65).Veinticuatro (50,0%) los encuestados reconocieron retrasar la búsqueda de ayuda después de la sospecha inicial de la escoliosis. Las razones citadas mayoría eran que eran 'demasiado ocupado' y 'no sabían que era la escoliosis ". Trece (27,1%) los encuestados intentaron tratamiento "alternativo" antes de su primer nombramiento de especialistas, de los cuales 'masaje Sinseh chino' fue el más popular. Treinta y dos (66,7%) respondieron que no tenían conocimiento de AIS antes de su diagnóstico. En conclusión, la incidencia de la presentación a finales de AIS es de 5,5% en esta serie y significativamente superior a la cifra publicada de 0,1%. Un retraso de tiempo en la búsqueda de ayuda debido a una mala comprensión de la enfermedad y la incapacidad para apreciar la importancia de la crítica especializada temprana puede haber contribuido a esta incidencia relativamente alta. La educación del paciente y el énfasis en la revisión especializada oportuna puede mejorar y complementar la escuela de cribado para reducir la incidencia de la presentación tardía.
#scoliosis #escoliosisidiopatica #adolescente #escoliosis
- PMID:
- 24201070
- [PubMed - indexed for MEDLINE]
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