美国预防服务工作组的建议声明
, David C Grossman1, Susan J Curry2
1Kaiser Permanente Washington Health Research Institute, Seattle.
JAMA
|January 11, 2018
概括
在10至18岁的青少年中查异常脊椎病缺少关于益处和危害的证据. 美国预防服务工作组发现没有足够的数据来确定查是否能改善长期的健康结果.
科学领域:
- 儿童整形医学
- 预防医学
- 基于证据的医学
背景情况:
- 青少年特异性脊柱病 (AIS) 是一种影响10-18岁儿童的脊柱曲,可能导致长期健康问题.
- 早期发现和治疗AIS可以缓解骨成熟之前的进展.
- 目前对AIS查的建议需要更新证据.
研究的目的:
- 更新2004年美国预防服务工作组 (USPSTF) 关于无症状青少年本性脊椎病查的建议.
- 评估AIS查和治疗的好处和危害.
主要方法:
- 对AIS查和治疗的证据进行系统审查.
- 专注于对无症状青少年进行查的益处和危害.
- 评估了运动,支架和手术的证据.
主要成果:
- 没有直接证据将AIS查与改善的健康结果联系起来,也没有发现查的危害.
- 在轻度/中度AIS中,支可能会减缓曲线的进展,但长期成人健康结果的证据不足.
- 关于运动和手术治疗以及治疗的危害的证据是不够的.
结论:
- USPSTF发现没有足够的证据来确定青少年AIS查的益处和危害的平衡.
- 美国公共卫生检查委员会认为,10至18岁儿童和青少年的AIS查是"I"声明 (证据不足).
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