Costs of School Scoliosis Screening

Lee, C. F.; Fong, Daniel Yee Tak; Cheung, Kenneth M.C.; Cheng, Jack C. Y.; Ng, Bobby Kin Wah; Lam, TP; Mak, Kwok Hang; Yip, Paul S. F.

doi:10.1097/brs.0b013e3181cbcc10

Cited by 31 publications

(29 citation statements)

References 17 publications

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“…The cost of a scoliosis screening program for 1473697 adolescents in Minnesota in 1982 was low, averaging 6.6 cents per student screened 6. Among 115190 adolescents in Hong Kong in 2010, the costs of screening and diagnosing a child with a scoliosis were $17.94 and $2.08, respectively 28. Both studies concluded that their scoliosis screening program was cost effective 6,28.…”

Section: Discussionmentioning

confidence: 99%

“…Among 115190 adolescents in Hong Kong in 2010, the costs of screening and diagnosing a child with a scoliosis were $17.94 and $2.08, respectively 28. Both studies concluded that their scoliosis screening program was cost effective 6,28. However, the average cost of finding one child with a scoliosis of 5 degrees or more was $194 in the scoliosis screening program of 29195 adolescents in Quebec, Canada in 1985 18.…”

Section: Discussionmentioning

confidence: 99%

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The Prevalence of Idiopathic Scoliosis in Eleven Year-Old Korean Adolescents: A 3 Year Epidemiological Study

et al. 2014

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PurposeSchool screening allows for early detection and early treatment of scoliosis, with the purpose of reducing the number of patients requiring surgical treatment. Children between 10 and 14 years old are considered as good candidates for school screening tests of scoliosis. The purpose of the present study was to assess the epidemiological findings of idiopathic scoliosis in 11-year-old Korean adolescents.Materials and MethodsA total of 37856 11-year-old adolescents were screened for scoliosis. There were 17110 girls and 20746 boys. Adolescents who were abnormal by Moiré topography were subsequently assessed by standardized clinical and radiological examinations. A scoliotic curve was defined as 10° or more.ResultsThe prevalence of scoliosis was 0.19% and most of the curves were small (10° to 19°). The ratio of boys to girls was 1:5.5 overall. Sixty adolescents (84.5%) exhibited single curvature. Thoracolumbar curves were the most common type of curve identified, followed by thoracic and lumbar curves.ConclusionThe prevalence of idiopathic scoliosis among 11-year-old Korean adolescents was 0.19%.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Prevalence of Idiopathic Scoliosis in Eleven Year-Old Korean Adolescents: A 3 Year Epidemiological Study

et al. 2014

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“…Based on the available data [8-10,12,16,17], the estimated cost of school screening for scoliosis ranges from less than USD 1.00 to more than USD 30.00 per child screened. The lower estimates considered calculations for conducting screening program per se , borne by the screening centers or schools.…”

Section: Discussionmentioning

confidence: 99%

School screening for scoliosis: can surface topography replace examination with scoliometer?

et al. 2012

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BackgroundClinical examination with the use of scoliometer is a basic method for scoliosis detection in school screening programs. Surface topography (ST) enables three-dimensional back assessment, however it has not been adopted for the purpose of scoliosis screening yet. The purpose of this study was to assess the usefulness of ST for scoliosis screening.Methods996 girls aged 9 to 13 years were examined, with both scoliometer and surface topography. The Surface Trunk Rotation (STR) was introduced and defined as a parameter allowing comparison with scoliometer Angle of Trunk Rotation taken as reference.ResultsIntra-observer error for STR parameter was 1.9°, inter-observer error was 0.8°. Sensitivity and specificity of ST were not satisfactory, the screening cut-off value of the surface topography parameter could not be established.ConclusionsThe study did not reveal advantage of ST as a scoliosis screening method in comparison to clinical examination with the use of the scoliometer.

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“…Thus, observation and care are greatly important to prevent deformities from developing in the acceleration phase. Therefore, school screening for scoliosis is suggested in the growth period, especially during the age of bone development, which is 11 years for girls and 13 years for boys, to minimize economy loss13, 15 ) . The purpose of this research was to assess the actual conditions of the diagnosis and treatment of scoliosis by focusing on middle-school students in order to provide a basis for active education and treatment of scoliosis through school screening.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, efforts toward early detection and early optimal intervention are needed for mild AIS before it progresses and worsens the associated deformities in order to reduce the number of patients who require surgical treatment. Hence, several researchers and physicians recommend school screening for scoliosis, but this entails unnecessary excessive costs12,13,14,15 ) . In South Korea, the screening program has been subsidized by the government or hospitals; however, results are available only for some areas and suggest only prevalence16 ) .…”

Section: Introductionmentioning

confidence: 99%

Discrepancy between self-awareness and actual diagnosis and treatment of the conditions among adolescent with scoliosis in middle-school age

2017

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[Purpose] The purpose of this research was to determine the awareness of the actual conditions of the diagnosis and treatment of scoliosis by focusing on middle-school students in order to provide a basis for active education and treatment of scoliosis. [Subjects and Methods] The survey was conducted among 4,782 students. The students performed Adam’s forward bend test, and some of the students who showed predictive features of scoliosis were further examined for the spine structure with rasterstereography. [Results] The proportion of students with awareness about scoliosis appeared to be 71.47%. Among the students, 50.84% knew the definition of scoliosis and 4.37% were diagnosed as having scoliosis, of whom 46.37% underwent treatment. It was a significant difference between to get a diagnosis and the predictive scoliosis or the scoliosis. [Conclusion] The results showed that the students in the second grade of middle school had high awareness levels, but about 50% of them did not know the definition of scoliosis. More than 50% of them did not receive treatment after diagnosed as having scoliosis. Therefore, active education and school screening for scoliosis should be provided to adolescent students.

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Costs of School Scoliosis Screening

Cited by 31 publications

References 17 publications

The Prevalence of Idiopathic Scoliosis in Eleven Year-Old Korean Adolescents: A 3 Year Epidemiological Study

The Prevalence of Idiopathic Scoliosis in Eleven Year-Old Korean Adolescents: A 3 Year Epidemiological Study

School screening for scoliosis: can surface topography replace examination with scoliometer?

Discrepancy between self-awareness and actual diagnosis and treatment of the conditions among adolescent with scoliosis in middle-school age

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