{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T05:47:50Z","timestamp":1792216070232,"version":"4.4.0"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T00:00:00Z","timestamp":1721174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T00:00:00Z","timestamp":1721174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>The study aims to establish the diagnostic accuracy of community spine x-rays for brace candidates.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A review of adolescent idiopathic scoliosis patients seen for initial visit at a tertiary care pediatric hospital was conducted (<jats:italic>n<\/jats:italic>\u2009=\u2009170). The index test was the pre-referral community spine x-ray interpreted by a community radiologist. Measures of diagnostic accuracy for the index test were determined against the reference standard if images were obtained within 90 days (<jats:italic>n<\/jats:italic>\u2009=\u2009111). The reference standard was the 3-foot standing EOS spine x-ray evaluated by spine specialists. Diagnostic criterion for a brace candidate was dichotomized by Cobb angle range (25\u201340\u00b0) according to Scoliosis Research Society criteria. Risser stage was not included given significant missing data in index reports. To mitigate the uncertainty around true progression, sensitivity analyses were conducted on a sub-sample of data when index test was within 60 days of the reference standard (<jats:italic>n<\/jats:italic>\u2009=\u200967).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Accuracy of the community spine x-ray to detect a brace candidate was 65.8% (95% CI 56.2\u201374.5). Sensitivity of the index test was 65.4% with a false negative rate of 34.6%. Specificity was 66.1% with a false positive rate of 33.9%. Positive and negative predictive values were 63.0% and 68.4%, respectively. Of the total number of brace candidates (<jats:italic>n<\/jats:italic>\u2009=\u200952), 32.7% were missed because of underestimation in Cobb angle (95% CI 21.5\u201346.2). The proportion of missed brace candidates because of underestimation was unchanged with 60-day data (<jats:italic>p<\/jats:italic>\u2009=\u20090.37).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Inaccuracies in community spine radiology may lead to missed opportunities for non-operative treatment.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00586-024-08389-1","type":"journal-article","created":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T02:01:35Z","timestamp":1721181695000},"page":"3776-3783","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The diagnostic accuracy of community spine radiology for adolescent idiopathic scoliosis brace candidates"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4791-5489","authenticated-orcid":false,"given":"Dorothy J.","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9740-7197","authenticated-orcid":false,"given":"Jennifer A.","family":"Dermott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0373-5032","authenticated-orcid":false,"given":"Aya A.","family":"Mitani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3202-0447","authenticated-orcid":false,"given":"Andrea S.","family":"Doria","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew W.","family":"Howard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David E.","family":"Lebel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,17]]},"reference":[{"key":"8389_CR1","doi-asserted-by":"publisher","first-page":"1527","DOI":"10.1016\/S0140-6736(08)60658-3","volume":"371","author":"SL Weinstein","year":"2008","unstructured":"Weinstein SL, Dolan LA, Cheng JC, Danielsson A, Morcuende JA (2008) Adolescent idiopathic scoliosis. 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Dorothy Kim received graduate funding for this study from SickKids Clinician Scientist Training Program-Master\u2019s, Canadian Institutes of Health Research Canada Graduate Scholarships-Master\u2019s, and jointly funded Province of Ontario and University of Toronto Ontario Graduate Scholarship.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict interests"}}]}}