To screen or not to screen? An evidence-based review and proposal for a 4-tier model for scoliosis screening in the UK

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    Abstract

    Scoliosis school screening is either mandatory or recommended in 32 states in the USA. The remaining states having either got voluntary screening or no recommendations. The four primary care providers for adolescents with idiopathic scoliosis in the USA do not support any recommendation against scoliosis screening, given the available literature. In Australia a national self detection program is implemented but in the UK school screening has been abolished since the 1980's. Opponents to scoliosis screening have focused on concerns about a low predictive value of screening, the cost effectiveness of referral, the possibility of unnecessary brace treatment and the effect of exposure to radiation when radiographs are obtained. The purpose of this review was to evaluate the evidence for and against scoliosis screening.
    Original languageEnglish
    JournalJournal of Bone and Joint Surgery, British Volume
    Volume94-B
    Issue number(SUPP X)
    Publication statusPublished - 2010
    Event6th combined meeting of Britspine, British Scoliosis Society (BSS), Society for Back Pain Research (SBPR) and British Association of Spine Surgeons (BASS) - Liverpool, United Kingdom
    Duration: 27 Apr 201030 Apr 2010
    Conference number: 6
    http://www.bjjprocs.boneandjoint.org.uk/content/94-B/SUPP_X/034.abstract

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