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The surgical management of scoliosis: a scoping review of the literature.

Evaniew N, Devji T, Drew B, Peterson D, Ghert M, Bhandari M - Scoliosis (2015)

Bottom Line: Patient important outcomes including function, health-related quality of life, pain, and rates or re-operation were infrequently reported.Higher-quality studies are specifically needed to inform surgical indications, surgical approaches, surgical techniques, and implant selection.Engaging global partners may increase generalizability.

View Article: PubMed Central - PubMed

Affiliation: Division of Orthopaedics, Department of Surgery, McMaster University, 293 Wellington St N, Suite 110, Hamilton, ON L8L 8E7 Canada.

ABSTRACT

Background: Scoping reviews are innovative studies that can map a range of evidence to convey the breadth and depth of a large field. An evidence-based approach to the wide spectrum of surgical interventions for scoliosis is paramount to enhance clinical outcomes. The objectives of this scoping review were to identify critical knowledge gaps and direct future research.

Methods: This study was completed according to the methodology of Arksey and O'Malley. Two reviewers performed duplicate systematic screening of eligibility. Studies were classified according to patient age, scoliosis etiology, outcomes reported, study design, and overall research theme.

Results: There were 1763 eligible studies published between 1966 and 2013. The literature focused on adolescents (83% of studies) with idiopathic scoliosis (72%). There was a dominance of observational designs (88%), and a paucity of randomized trials (4%) or systematic reviews (1%). Fifty six percent of studies were conducted in North America, followed by 23% in Europe and 18% in Asia. Few high-level studies investigated surgical indications, surgical approaches, surgical techniques, or implant selection. Patient important outcomes including function, health-related quality of life, pain, and rates or re-operation were infrequently reported.

Conclusions: Current research priorities are to (1) undertake high-quality knowledge synthesis and knowledge translation activities; (2) conduct a series of planning meetings to engage clinicians, patients, and methodologists; and (3) clarify outcome reporting and strategies for methodological improvement. Higher-quality studies are specifically needed to inform surgical indications, surgical approaches, surgical techniques, and implant selection. Engaging global partners may increase generalizability.

No MeSH data available.


Related in: MedlinePlus

Global distribution of clinical research reporting on the surgical management of scoliosis. Percentages reflect raw proportions and are not adjusted for population or researcher density.
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Fig2: Global distribution of clinical research reporting on the surgical management of scoliosis. Percentages reflect raw proportions and are not adjusted for population or researcher density.

Mentions: Overall, 993 (56%) of the studies were conducted in North America, followed by 413 (23%) in Europe and 320 (18%) in Asia (Figure 2). Twenty-three studies were conducted by Australia and New Zealand together, and only seven each were conducted in each of South America and Africa. The total number of identified studies published globally per year rose from just one in 1966 to more than 130 in each of 2010, 2011, and 2012 (Figure 3a). Studies were most frequently published in Spine (711 studies), European Spine Journal (167), Journal of Pediatric Orthopaedics (142), Journal of Bone and Joint Surgery - American Volume (99), and Clinical Orthopaedics and Related Research (75).Figure 2


The surgical management of scoliosis: a scoping review of the literature.

Evaniew N, Devji T, Drew B, Peterson D, Ghert M, Bhandari M - Scoliosis (2015)

Global distribution of clinical research reporting on the surgical management of scoliosis. Percentages reflect raw proportions and are not adjusted for population or researcher density.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4307902&req=5

Fig2: Global distribution of clinical research reporting on the surgical management of scoliosis. Percentages reflect raw proportions and are not adjusted for population or researcher density.
Mentions: Overall, 993 (56%) of the studies were conducted in North America, followed by 413 (23%) in Europe and 320 (18%) in Asia (Figure 2). Twenty-three studies were conducted by Australia and New Zealand together, and only seven each were conducted in each of South America and Africa. The total number of identified studies published globally per year rose from just one in 1966 to more than 130 in each of 2010, 2011, and 2012 (Figure 3a). Studies were most frequently published in Spine (711 studies), European Spine Journal (167), Journal of Pediatric Orthopaedics (142), Journal of Bone and Joint Surgery - American Volume (99), and Clinical Orthopaedics and Related Research (75).Figure 2

Bottom Line: Patient important outcomes including function, health-related quality of life, pain, and rates or re-operation were infrequently reported.Higher-quality studies are specifically needed to inform surgical indications, surgical approaches, surgical techniques, and implant selection.Engaging global partners may increase generalizability.

View Article: PubMed Central - PubMed

Affiliation: Division of Orthopaedics, Department of Surgery, McMaster University, 293 Wellington St N, Suite 110, Hamilton, ON L8L 8E7 Canada.

ABSTRACT

Background: Scoping reviews are innovative studies that can map a range of evidence to convey the breadth and depth of a large field. An evidence-based approach to the wide spectrum of surgical interventions for scoliosis is paramount to enhance clinical outcomes. The objectives of this scoping review were to identify critical knowledge gaps and direct future research.

Methods: This study was completed according to the methodology of Arksey and O'Malley. Two reviewers performed duplicate systematic screening of eligibility. Studies were classified according to patient age, scoliosis etiology, outcomes reported, study design, and overall research theme.

Results: There were 1763 eligible studies published between 1966 and 2013. The literature focused on adolescents (83% of studies) with idiopathic scoliosis (72%). There was a dominance of observational designs (88%), and a paucity of randomized trials (4%) or systematic reviews (1%). Fifty six percent of studies were conducted in North America, followed by 23% in Europe and 18% in Asia. Few high-level studies investigated surgical indications, surgical approaches, surgical techniques, or implant selection. Patient important outcomes including function, health-related quality of life, pain, and rates or re-operation were infrequently reported.

Conclusions: Current research priorities are to (1) undertake high-quality knowledge synthesis and knowledge translation activities; (2) conduct a series of planning meetings to engage clinicians, patients, and methodologists; and (3) clarify outcome reporting and strategies for methodological improvement. Higher-quality studies are specifically needed to inform surgical indications, surgical approaches, surgical techniques, and implant selection. Engaging global partners may increase generalizability.

No MeSH data available.


Related in: MedlinePlus