1. Toward the Development of a Comprehensive Clinically Oriented Patient Profile: A Systematic Review of the Purpose, Characteristic, and Methodological Quality of Classification Systems of Adult Spinal Deformity
- Author
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Kwan, Kenny Yat Hong, Naresh-Babu, J., Jacobs, Wilco, de Kleuver, Marinus, Polly, David W., Yilgor, Caglar, Wu, Yabin, Park, Jong-Beom, Ito, Manabu, van Hooff, Miranda L., Deformity, A.O. Spine Knowledge Forum, and Acibadem University Dspace
- Subjects
Adult ,Male ,medicine.medical_specialty ,media_common.quotation_subject ,MEDLINE ,Adult spinal deformity ,Scoliosis ,CINAHL ,Spinal Curvatures ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Patient profile ,Humans ,Quality (business) ,Medical physics ,030212 general & internal medicine ,Methodological quality ,media_common ,business.industry ,Reproducibility of Results ,medicine.disease ,Classification ,Spine ,Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] ,Radiography ,Treatment Outcome ,Characteristics ,Purpose ,Radiological weapon ,Practice Guidelines as Topic ,Spinal deformity ,Systematic review ,Surgery ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Abstract
Contains fulltext : 245123.pdf (Publisher’s version ) (Open Access) BACKGROUND: Existing adult spinal deformity (ASD) classification systems are based on radiological parameters but management of ASD patients requires a holistic approach. A comprehensive clinically oriented patient profile and classification of ASD that can guide decision-making and correlate with patient outcomes is lacking. OBJECTIVE: To perform a systematic review to determine the purpose, characteristic, and methodological quality of classification systems currently used in ASD. METHODS: A systematic literature search was conducted in MEDLINE, EMBASE, CINAHL, and Web of Science for literature published between January 2000 and October 2018. From the included studies, list of classification systems, their methodological measurement properties, and correlation with treatment outcomes were analyzed. RESULTS: Out of 4470 screened references, 163 were included, and 54 different classification systems for ASD were identified. The most commonly used was the Scoliosis Research Society-Schwab classification system. A total of 35 classifications were based on radiological parameters, and no correlation was found between any classification system levels with patient-related outcomes. Limited evidence of limited quality was available on methodological quality of the classification systems. For studies that reported the data, intraobserver and interobserver reliability were good (kappa = 0.8). CONCLUSION: This systematic literature search revealed that current classification systems in clinical use neither include a comprehensive set of dimensions relevant to decision-making nor did they correlate with outcomes. A classification system comprising a core set of patient-related, radiological, and etiological characteristics relevant to the management of ASD is needed.
- Published
- 2021