{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T04:00:48Z","timestamp":1793764848269,"version":"4.6.1"},"reference-count":55,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T00:00:00Z","timestamp":1629158400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Modified Delphi study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Adult spinal deformity (ASD) is an increasingly recognized condition, comprising a spectrum of pathologies considerably impacting patients\u2019 health and functional status. Patients present with a combination of pain, disability, comorbidities and radiological deformity. The study aims to propose a systematic approach of gathering information on the factors that drive decision-making by developing a patient profile.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The present study comprises of 3 parts. Part 1: Development of prototype of patient profile: The data from the Core Outcome Study on SCOlisis (COSSCO) by Scoliosis Research Society (SRS) was categorized into a conceptual framework. Part 2: Modified Delphi study: Items reaching &gt;70% agreement were included in a 4 round iterative process with 51 panellists across the globe. Part 3: Pilot testing\u2014feasibility: Content validity and usability were evaluated quantitatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The profile consisted of 4 domains. 1. General health with demographics and comorbidities, 2.Spine-specific health with spine related health and neurological status, 3. Imaging with radiographic and MRI parameters and 4. Deformity type. Each domain consisted of 1 or 2 components with various factors and their measuring instruments. Profile was found to have an excellent content validity (I-CVI\n                      <jats:sub>r<\/jats:sub>\n                      0.78-1.00; Ave-CVI 0.92) appropriateness, relevance and usefulness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The present study, is first to provide a universally applicable multimodal ASD patient profile to methodically describe patients. Physicians are encouraged to assess ASD patients holistically using this profile and not just based on radiographic findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682211037935","type":"journal-article","created":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T06:00:43Z","timestamp":1629180043000},"page":"1490-1501","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["AO Spine Adult Spinal Deformity Patient Profile: A Paradigm Shift in Comprehensive Patient Evaluation in Order to Optimize Treatment and Improve Patient Care"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6375-8888","authenticated-orcid":false,"given":"J","family":"Naresh-Babu","sequence":"first","affiliation":[{"name":"Department of Spine Surgery, Mallika Spine Centre, Guntur, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4034-8525","authenticated-orcid":false,"given":"Kenny Yat Hong","family":"Kwan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1836-7674","authenticated-orcid":false,"given":"Yabin","family":"Wu","sequence":"additional","affiliation":[{"name":"Research Department, AO Spine International, Davos, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caglar","family":"Yilgor","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Acibadem University School of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Alanay","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Acibadem University School of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth M. C.","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"David W.","family":"Polly","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Minnesota, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong-Beom","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Uijeongbu St. Mary\u2019s Hospital, The Catholic University of Korea, Gyeonggi-do, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manabu","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, National Hospital Organization Hokkaido Medical Center, Sapporo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence 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