Area Deprivation Index and Magnitude of Scoliosis at Presentation to a Tertiary Referral Scoliosis Clinic in Massachusetts
| Autor: | Mariano E. Menendez, Stuart V. Braun, Zabrina M. Shabin, Teron A. Nezwek, Emily D. Grussing |
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| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty Adolescent Referral Population Context (language use) Scoliosis Severity of Illness Index Body Mass Index medicine Humans Orthopedics and Sports Medicine Child education Referral and Consultation Socioeconomic status Retrospective Studies education.field_of_study business.industry Retrospective cohort study General Medicine medicine.disease Pediatrics Perinatology and Child Health Presentation (obstetrics) business Body mass index |
| Zdroj: | Journal of Pediatric Orthopaedics. |
| ISSN: | 0271-6798 |
| Popis: | BACKGROUND There is growing interest in identifying predictors of large scoliosis curves at initial presentation, but few data to guide such preventive efforts. The association of neighborhood socioeconomic deprivation with curve magnitude in this context has not been previously evaluated. The purpose of our study was to determine the correlation of socioeconomic deprivation with scoliosis curve magnitude at initial presentation. Secondarily, we assessed the correlation of body mass index (BMI) with curve severity. METHODS We retrospectively identified 202 patients presenting with adolescent idiopathic scoliosis to a single tertiary care center in Massachusetts from January 2015 to August 2018. The Area Deprivation Index (ADI), a validated composite measure of neighborhood socioeconomic deprivation, was calculated for each patient. Curve magnitude, age, sex, BMI, race, and insurance status were recorded. Pearson correlation was used to determine the association of the ADI and BMI with scoliosis severity. RESULTS There was no correlation between the ADI and the magnitude of scoliosis at presentation (r=0.055; P=0.43). Greater BMI was moderately correlated with increased scoliosis curve magnitude (r=0.28; P |
| Databáze: | OpenAIRE |
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