A Dangerous Curve: Impact of the COVID-19 Pandemic on Brace Treatment in Adolescent Idiopathic Scoliosis.
A Dangerous Curve: Impact of the COVID-19 Pandemic on Brace Treatment in Adolescent Idiopathic Scoliosis.
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DOI：
10.1177/21925682221113487
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发表时间：
2024-03
影响因子：
2.4
通讯作者：
Labelle, Hubert
中科院分区：
文献类型：
--
作者：
Duarte, Matias Pereira;Joncas, Julie;Parent, Stefan;Duval, Mylene;Chemaly, Olivier;Brassard, Felix;Mac-Thiong, Jean-Marc;Barchi, Soraya;Labelle, Hubert
观察性队列研究。我们的目标是记录COVID-19大流行期间放弃和不规则的支具治疗依从率及其对AIS进展的影响。我们回顾了2020年3月至9月招募的AIS患者数据库。我们根据SRS标准纳入了接受支具治疗的AIS患者。将患者分为2个队列：自我报告治疗依从性良好（GC）的患者和依从性差（BC）的患者。数据分析包括首次访视和末次随访时的生物统计学和放射学数据以及进展百分比。使用非配对学生t检验和卡方2进行比较。152例患者符合入选标准。89例患者（年龄：12.1岁±1.4岁）报告了良好的治疗依从性，而63例患者（年龄：12.7岁±1.8岁）不依从。在BC组中，18名患者报告了不规则的支具佩戴，而45名患者完全放弃了治疗（放弃率为29%）。GC队列开始治疗时的平均主胸椎（MT）弯曲为26°，结束时为27°。测量值之间的平均差异为+0.65 °±7.5;平均进展率为-4.6%。然而，BC队列开始时的平均MT曲线为27°，结束时为32°，平均增加+5°±8，平均进展率为-13%。两个队列之间的差异具有统计学显著性（P = .0002）。BC组的6名患者进展并接受了手术。在COVID-19第一波大流行期间，AIS患者放弃支具治疗的比率显著增加。自愿停止治疗的患者的曲线进展率和手术指征率显著增加。III
Observational Cohort study. We aim to document the abandon and irregular compliance rate towards brace treatment during the COVID-19 pandemic and its impact on AIS progression. We reviewed a database of AIS patients recruited between March and September 2020. We included AIS patients under brace treatment according to SRS criteria. The patients were divided in 2 cohorts: those with self-reported Good-Compliance (GC) to treatment and those who had a Bad-Compliance (BC). Data analysis included biometric and radiographic data at first visit and last follow-up and percentage of progression. Unpaired student-t tests and Chi2 were used for comparison. 152 patients met inclusion criteria. 89 patients (age:12.1y.o.±1.4) reported good adherence to treatment, while 63 patients (age:12.7y.o.±1.8) were not compliant. Within the BC group, 18 patients reported irregular brace wear, while 45 had completely abandoned treatment (abandon rate of 29%). The GC cohort started treatment with a mean main thoracic (MT) curve of 26° and finished with 27°. The mean difference between measurements was +.65°±7.5; mean progression rate was -4.6%. However, the BC cohort started with a mean MT curve of 27° and finished with 32°, with a mean increase of +5°±8 and a mean progression rate of -13%. The differences between the 2 cohorts were statistically significant (P = .0002). Six patients from the BC group progressed and were offered surgery. The abandon rate of brace treatment in AIS significantly increased during the first wave of COVID-19 pandemic. Patients who voluntarily discontinued treatment had significant increases in curve progression and surgical indication rates. III
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DOI：
10.1056/nejmoa1307337
发表时间：
2013-10-17
期刊：
The New England journal of medicine
影响因子：
--
作者：
Weinstein SL;Dolan LA;Wright JG;Dobbs MB
通讯作者：
Dobbs MB
影响因子：
4.3
作者：
Zuo B;Yang K;Yao Y;Han S;Nie S;Wen F
通讯作者：
Wen F
影响因子：
3
作者：
Richards, BS;Bernstein, RM;Thompson, GH
通讯作者：
Thompson, GH
影响因子：
3
作者：
Guy, Aymeric;Labelle, Hubert;Aubin, Carl-Eric
通讯作者：
Aubin, Carl-Eric
影响因子：
7.6
作者：
Qi, Meng;Zhou, Shuang-Jiang;Chen, Jing-Xu
通讯作者：
Chen, Jing-Xu