{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T04:43:47Z","timestamp":1776746627050,"version":"3.51.2"},"reference-count":28,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>The need for scoliosis screening remains controversial. Nationwide school screening for scoliosis has not been performed in South Korea, and there are few studies on the referral patterns of patients suspected of having scoliosis. This study aimed to examine the referral patterns to the largest scoliosis center in South Korea in the absence of a school screening program and to analyze the factors that influence the appropriateness of referral.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>The medical records of patients who visited a single scoliosis center for a spinal deformity evaluation were reviewed. Among 1895 new patients who visited this scoliosis center between April 2014 and March 2016, 1211 with presumed adolescent idiopathic scoliosis were included in the study. Patients were classified into 4 groups according to the referral method: non\u2013health care provider, primary physician, hospital specialist, or school screening program. The appropriateness of referral was labeled as inappropriate, late, or appropriate. In total, 213 of 1211 patients were excluded because they had received treatment at another medical facility; 998 patients were evaluated to determine the appropriateness of referral.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Of the 998 referrals of new patients with presumed adolescent idiopathic scoliosis, 162 (16.2%) were classified as an inappropriate referral, 272 (27.3%) were classified as a late referral, and 564 (56.5%) were classified as an appropriate referral. Age, sex, Cobb angle of the major curve, and skeletal maturity were identified as statistically significant factors that correlated with the appropriateness of referral. The referral method did not correlate with the appropriateness of referral.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Under the current health care system in South Korea, a substantial number of patients with presumed adolescent idiopathic scoliosis are referred either late or inappropriately to a tertiary medical center. Although patients referred by school screening programs had a significantly lower late referral rate and higher appropriate referral rate than the other 3 groups, the referral method was not a significant factor in terms of the appropriateness of referral.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2017.10.peds17348","type":"journal-article","created":{"date-parts":[[2018,2,2]],"date-time":"2018-02-02T14:55:46Z","timestamp":1517583346000},"page":"414-420","source":"Crossref","is-referenced-by-count":6,"title":["Referral patterns and patient characteristics at the first visit to a scoliosis center: a 2-year experience in South Korea without a school scoliosis-screening program"],"prefix":"10.3171","volume":"21","author":[{"given":"Nam Ik","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Pyeong-Chon Woori Hospital, Anyang;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang Ju","family":"Hwang","sequence":"additional","affiliation":[{"name":"Scoliosis Center, Asan Medical Center, College of Medicine, University of Ulsan, Seoul;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho Yeon","family":"Kim","sequence":"additional","affiliation":[{"name":"Scoliosis Center, Asan Medical Center, College of Medicine, University of Ulsan, Seoul;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jong-Min","family":"Baik","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Gil Medical Center, College of Medicine, University of Gachon, Incheon; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youn Suk","family":"Joo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Nanoori Hospital, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Choon Sung","family":"Lee","sequence":"additional","affiliation":[{"name":"Scoliosis Center, Asan Medical Center, College of Medicine, University of Ulsan, Seoul;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mi Young","family":"Lee","sequence":"additional","affiliation":[{"name":"Scoliosis Center, Asan Medical Center, College of Medicine, University of Ulsan, Seoul;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"So Jeong","family":"Yoon","sequence":"additional","affiliation":[{"name":"Scoliosis Center, Asan Medical Center, College of Medicine, University of Ulsan, Seoul;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong-Ho","family":"Lee","sequence":"additional","affiliation":[{"name":"Scoliosis Center, Asan Medical Center, College of Medicine, University of Ulsan, Seoul;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Scoliosis","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1186\/1748-7161-7-18","article-title":"Scoliosis detection, patient characteristics, referral patterns and treatment in the absence of a screening program in Norway","volume":"7","author":"Adobor RD","year":"2012","unstructured":"Adobor RD, Riise RB, S\u00f8rensen R, Kibsg\u00e5rd TJ, Steen H, Brox JI: Scoliosis detection, patient characteristics, referral patterns and treatment in the absence of a screening program in Norway. 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