Empirically derived maximal acceptable wait time for surgery to treat adolescent idiopathic scoliosis.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
Henry AhnJames G Wright

Abstract

Prioritizing patients using empirically derived access targets can help to ensure high-quality care. Adolescent scoliosis can worsen while patients wait for treatment, increasing the risk of adverse events. Our objective was to determine an empirically derived access target for scoliosis surgery and to compare this with consensus-based targets. Two-hundred sixteen sequential patients receiving surgery for adolescent idiopathic scoliosis were included in the study. The main outcome was need for additional surgery. Logistic regression modeling was used to evaluate the relation between surgical wait times and adverse events and χ2 analysis was used as the primary analysis for the main outcome. Of the 88 patients who waited longer than six months for surgery, 13 (14.8%) needed additional surgery due to progression of curvature versus 1.6% (2 of 128 patients) who waited less than six months for surgery (χ2 analysis, p=0.0001). Patients who waited longer than six months for surgery had greater progression of curvature, longer surgeries and longer stays in hospital. These patients also had less surgical correction than patients who waited less than six months for surgery (Wilcoxon-Mann-Whitney test, p=0.011). All patients requiring ad...Continue Reading

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Citations

May 10, 2013·ANZ Journal of Surgery·Riana CalmanRobert Rowan
Jun 3, 2015·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Luis Eduardo Carelli Teixeira da SilvaGustavo Borges Laurindo de Azevedo
Jun 21, 2019·Clinical Spine Surgery : a Spine Publication·Alejandro Peiro-GarciaFabio Ferri-de-Barros
Jun 20, 2020·The Journal of Bone and Joint Surgery. American Volume·Jason B AnariPatrick J Cahill
Jun 26, 2020·Journal of Children's Orthopaedics·Alejandro Peiro-GarciaCesar G Fontecha
Jul 10, 2021·Revista Brasileira De Ortopedia·Mario Bressan-NetoHelton Luiz Aparecido Defino
Oct 2, 2021·Spine Deformity·Jennifer A DermottDavid E Lebel
Jul 9, 2014·Pediatrics·Mark SzynkarukJames G Wright

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