{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:08:46Z","timestamp":1788872926094,"version":"build-2803163510"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T00:00:00Z","timestamp":1775260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T00:00:00Z","timestamp":1775260800000},"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":["Spine Deform"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Adolescent idiopathic scoliosis (AIS) affects the appearance of the trunk and spine. The Spinal Appearance Questionnaire (SAQ) measures the AIS patients\u2019 perception of appearance, but may be challenging for patients, because parts of the trunk changes are not visible to themselves (e.g. posterior rib hump). Perceptions may therefore differ between patients, parents and physicians. The study aim is to investigate whether perceptions of physicians and parents align with the patient\u2019s perception of their appearance, as measured with the SAQ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The SAQ (Dutch) was administered to 108 AIS patients (15.3\u00a0years [SD 2.2], 77.8% girls), their parent and physician (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915). Parents completed it twice, based on their own perception (parent\u2019s perspective) and their conceived child\u2019s perception (parent-patient\u2019s perspective). For all four perspectives, the 10 individual items and total appearance domain scores were compared.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The appearance domain scores differed not between the four perspectives (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.248) and the ICCs compared with the patient\u2019s own scores were 0.63 (95%CI 0.47\u20130.75) for the parent\u2019s perspective, 0.60 (95%CI 0.45\u20130.71) for the parent-patient\u2019s perspective and 0.44 (95%CI 0.27\u20130.58) for the physician\u2019s perspective. The ICC per item varied from \u2212\u00a00.01 to 0.64.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>For the appearance domain score, moderate agreement was found between the patient\u2019s, and their parent\u2019s and parent-patient\u2019s perspectives. Poor agreement was found between the patient\u2019s and physician\u2019s perspectives. For the 10 items, poor to moderate agreement was found between the patient and their parents or physicians. During scoliosis treatment, physicians should be aware of differences in perceptions of appearance of patients, parents and themselves.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s43390-026-01346-6","type":"journal-article","created":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T08:09:47Z","timestamp":1775290187000},"page":"1571-1578","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["It is all about perspectives\u2014poor agreement between the patient, their parent and their physician in perception of spinal appearance in adolescent idiopathic scoliosis"],"prefix":"10.1007","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5020-6174","authenticated-orcid":false,"given":"Dineke G.","family":"van de Fliert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1517-5914","authenticated-orcid":false,"given":"Tom P. 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C. Schl\u00f6sser; Pepijn Bisseling; Marinus de Kleuver; Joost P. H. J. Rutges; Miranda L. van Hooff and Diederik H. R. Kempen: Received a grant from ZonMw (Dutch National institute of health research), paid to institution. Dineke G. van de Fliert: None related to this study.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study protocol was approved by the institution\u2019s internal investigational review board. Exemption for ethical approval was obtained by the medical ethical committee of the Radboud University Medical Center (file number: 2021\u201313280).","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Informed consent was obtained from all individual participants and\/or their parents or caregivers.Compliance with ethical standards.","order":3,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.","order":4,"name":"Ethics","label":"Research involving human and animal rights","group":{"name":"EthicsHeading","label":"Declarations"}}]}}