Adult spinal deformity surgical decision-making score. Part 2: development and validation of a scoring system to guide the selection of treatment modalities for patients above 40 years with adult spinal deformity
Purpose We aimed to develop and internally validate a scoring system, the adult spinal deformity surgical decision-making (ASD-SDM) score, to guide the decision-making process for ASD patients aged above 40 years. Methods A multicentre prospective ASD database was retrospectively reviewed. The scori...
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| Veröffentlicht in: | European spine journal 2020, Vol.29 (1), p.45-53 |
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| creator | Fujishiro, Takashi Boissière, Louis Cawley, Derek Thomas Larrieu, Daniel Gille, Olivier Vital, Jean-Marc Pellisé, Ferran Pérez-Grueso, Francisco Javier Sanchez Kleinstück, Frank Acaroglu, Emre Alanay, Ahmet Obeid, Ibrahim |
| description | Purpose
We aimed to develop and internally validate a scoring system, the adult spinal deformity surgical decision-making (ASD-SDM) score, to guide the decision-making process for ASD patients aged above 40 years.
Methods
A multicentre prospective ASD database was retrospectively reviewed. The scoring system was developed using data from a derivation set and was internally validated in a validation set. The performance of the ASD-SDM score for predicting surgical management was assessed using the area under the receiver operating characteristic curve (AUC).
Results
A total of 702 patients were included for analysis in the present study. The scoring system developed based on 562 patients, ranging from 0 to 12 points, included five parameters: leg pain scored by the numerical rating scale; pain and self-image domains in the Scoliosis Research Society-22 score; coronal Cobb angle; and relative spinopelvic alignment. Surgical indication was graded as low (score 0 to 4), moderate (score 5 to 7), and high (score 8 to 12) groups. In the validation set of 140 patients, the AUC for predicting surgical management according to the ASD-SDM score was 0.797 (standard error = 0.037,
P |
| doi_str_mv | 10.1007/s00586-019-06068-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2259926130</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2259112626</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-c4f36bdb0ff8f3aaf2f6888e6580f0fbae7fd2bcb157e24ee1a12e28d8d43f813</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhi0EokvhBTggS1y4pIztxHG4VRUFpEpwgHPkxOOtSxIH21m0b8Oz9B14H7zZFiSEOFkaf_PNL_2EPGdwxgDq1xGgUrIA1hQgQaoCHpANKwUvoBH8IdlAU0Iha9ackCcx3gCwqgH5mJwIJlgtQG3Iz3OzDInG2U16oAatD6NLexqXsHX9OupddH4qRv3VTVsaex_wjH7SIVH-Jn_vcPDziFOiejJ0pwdndMoL1FuqV3xd28eEI02ebhdnkKZrpBEH7O_RFFCnVTN6kyXJYaQ5DZ2zLY8j1Z3fIS3h9scedYj0u0vXVP8z_lPyyOoh4rO795R8uXz7-eJ9cfXx3YeL86uiF3WVir60QnamA2uVFVpbbqVSCmWlwILtNNbW8K7vWFUjLxGZZhy5MsqUwiomTsmro3cO_tuCMbWjiz0Og57QL7HlvGoaLpmAjL78C73xS8ipjxRjXHKZKX6k-uBjDGjbObhRh33LoD2U3h5Lb3Pp7Vp6e1C_uFMv3Yjm98p9yxkQRyDOhzIw_Ln9H-0vll29_w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2259112626</pqid></control><display><type>article</type><title>Adult spinal deformity surgical decision-making score. Part 2: development and validation of a scoring system to guide the selection of treatment modalities for patients above 40 years with adult spinal deformity</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Fujishiro, Takashi ; Boissière, Louis ; Cawley, Derek Thomas ; Larrieu, Daniel ; Gille, Olivier ; Vital, Jean-Marc ; Pellisé, Ferran ; Pérez-Grueso, Francisco Javier Sanchez ; Kleinstück, Frank ; Acaroglu, Emre ; Alanay, Ahmet ; Obeid, Ibrahim</creator><creatorcontrib>Fujishiro, Takashi ; Boissière, Louis ; Cawley, Derek Thomas ; Larrieu, Daniel ; Gille, Olivier ; Vital, Jean-Marc ; Pellisé, Ferran ; Pérez-Grueso, Francisco Javier Sanchez ; Kleinstück, Frank ; Acaroglu, Emre ; Alanay, Ahmet ; Obeid, Ibrahim ; European Spine Study Group, ESSG ; European Spine Study Group, ESSG</creatorcontrib><description>Purpose
We aimed to develop and internally validate a scoring system, the adult spinal deformity surgical decision-making (ASD-SDM) score, to guide the decision-making process for ASD patients aged above 40 years.
Methods
A multicentre prospective ASD database was retrospectively reviewed. The scoring system was developed using data from a derivation set and was internally validated in a validation set. The performance of the ASD-SDM score for predicting surgical management was assessed using the area under the receiver operating characteristic curve (AUC).
Results
A total of 702 patients were included for analysis in the present study. The scoring system developed based on 562 patients, ranging from 0 to 12 points, included five parameters: leg pain scored by the numerical rating scale; pain and self-image domains in the Scoliosis Research Society-22 score; coronal Cobb angle; and relative spinopelvic alignment. Surgical indication was graded as low (score 0 to 4), moderate (score 5 to 7), and high (score 8 to 12) groups. In the validation set of 140 patients, the AUC for predicting surgical management according to the ASD-SDM score was 0.797 (standard error = 0.037,
P
< 0.001, 95% confidence interval = 0.714 to 0.861), and in the low, moderate, and high surgical indication groups, 23.7%, 43.5%, and 80.4% of the patients, respectively, were treated surgically.
Conclusions
The ASD-SDM score demonstrated reliability, with higher scores indicating a higher probability of surgery. This index could aid in the selection of surgery for ASD patients in clinical settings.
Graphic abstract
These slides can be retrieved under Electronic Supplementary Material.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-019-06068-0</identifier><identifier>PMID: 31317308</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Clinical Decision Rules ; Clinical Decision-Making ; Decision making ; Humans ; Medicine ; Medicine & Public Health ; Neurosurgery ; Original Article ; Pain ; Patients ; Reproducibility of Results ; Retrospective Studies ; Scoliosis ; Spinal Curvatures - classification ; Spinal Curvatures - diagnosis ; Spinal Curvatures - surgery ; Surgery ; Surgical Orthopedics</subject><ispartof>European spine journal, 2020, Vol.29 (1), p.45-53</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>European Spine Journal is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-c4f36bdb0ff8f3aaf2f6888e6580f0fbae7fd2bcb157e24ee1a12e28d8d43f813</citedby><cites>FETCH-LOGICAL-c375t-c4f36bdb0ff8f3aaf2f6888e6580f0fbae7fd2bcb157e24ee1a12e28d8d43f813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-019-06068-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-019-06068-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31317308$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fujishiro, Takashi</creatorcontrib><creatorcontrib>Boissière, Louis</creatorcontrib><creatorcontrib>Cawley, Derek Thomas</creatorcontrib><creatorcontrib>Larrieu, Daniel</creatorcontrib><creatorcontrib>Gille, Olivier</creatorcontrib><creatorcontrib>Vital, Jean-Marc</creatorcontrib><creatorcontrib>Pellisé, Ferran</creatorcontrib><creatorcontrib>Pérez-Grueso, Francisco Javier Sanchez</creatorcontrib><creatorcontrib>Kleinstück, Frank</creatorcontrib><creatorcontrib>Acaroglu, Emre</creatorcontrib><creatorcontrib>Alanay, Ahmet</creatorcontrib><creatorcontrib>Obeid, Ibrahim</creatorcontrib><creatorcontrib>European Spine Study Group, ESSG</creatorcontrib><creatorcontrib>European Spine Study Group, ESSG</creatorcontrib><title>Adult spinal deformity surgical decision-making score. Part 2: development and validation of a scoring system to guide the selection of treatment modalities for patients above 40 years with adult spinal deformity</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
We aimed to develop and internally validate a scoring system, the adult spinal deformity surgical decision-making (ASD-SDM) score, to guide the decision-making process for ASD patients aged above 40 years.
Methods
A multicentre prospective ASD database was retrospectively reviewed. The scoring system was developed using data from a derivation set and was internally validated in a validation set. The performance of the ASD-SDM score for predicting surgical management was assessed using the area under the receiver operating characteristic curve (AUC).
Results
A total of 702 patients were included for analysis in the present study. The scoring system developed based on 562 patients, ranging from 0 to 12 points, included five parameters: leg pain scored by the numerical rating scale; pain and self-image domains in the Scoliosis Research Society-22 score; coronal Cobb angle; and relative spinopelvic alignment. Surgical indication was graded as low (score 0 to 4), moderate (score 5 to 7), and high (score 8 to 12) groups. In the validation set of 140 patients, the AUC for predicting surgical management according to the ASD-SDM score was 0.797 (standard error = 0.037,
P
< 0.001, 95% confidence interval = 0.714 to 0.861), and in the low, moderate, and high surgical indication groups, 23.7%, 43.5%, and 80.4% of the patients, respectively, were treated surgically.
Conclusions
The ASD-SDM score demonstrated reliability, with higher scores indicating a higher probability of surgery. This index could aid in the selection of surgery for ASD patients in clinical settings.
Graphic abstract
These slides can be retrieved under Electronic Supplementary Material.</description><subject>Adult</subject><subject>Clinical Decision Rules</subject><subject>Clinical Decision-Making</subject><subject>Decision making</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Pain</subject><subject>Patients</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Scoliosis</subject><subject>Spinal Curvatures - classification</subject><subject>Spinal Curvatures - diagnosis</subject><subject>Spinal Curvatures - surgery</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kcFu1DAQhi0EokvhBTggS1y4pIztxHG4VRUFpEpwgHPkxOOtSxIH21m0b8Oz9B14H7zZFiSEOFkaf_PNL_2EPGdwxgDq1xGgUrIA1hQgQaoCHpANKwUvoBH8IdlAU0Iha9ackCcx3gCwqgH5mJwIJlgtQG3Iz3OzDInG2U16oAatD6NLexqXsHX9OupddH4qRv3VTVsaex_wjH7SIVH-Jn_vcPDziFOiejJ0pwdndMoL1FuqV3xd28eEI02ebhdnkKZrpBEH7O_RFFCnVTN6kyXJYaQ5DZ2zLY8j1Z3fIS3h9scedYj0u0vXVP8z_lPyyOoh4rO795R8uXz7-eJ9cfXx3YeL86uiF3WVir60QnamA2uVFVpbbqVSCmWlwILtNNbW8K7vWFUjLxGZZhy5MsqUwiomTsmro3cO_tuCMbWjiz0Og57QL7HlvGoaLpmAjL78C73xS8ipjxRjXHKZKX6k-uBjDGjbObhRh33LoD2U3h5Lb3Pp7Vp6e1C_uFMv3Yjm98p9yxkQRyDOhzIw_Ln9H-0vll29_w</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Fujishiro, Takashi</creator><creator>Boissière, Louis</creator><creator>Cawley, Derek Thomas</creator><creator>Larrieu, Daniel</creator><creator>Gille, Olivier</creator><creator>Vital, Jean-Marc</creator><creator>Pellisé, Ferran</creator><creator>Pérez-Grueso, Francisco Javier Sanchez</creator><creator>Kleinstück, Frank</creator><creator>Acaroglu, Emre</creator><creator>Alanay, Ahmet</creator><creator>Obeid, Ibrahim</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2020</creationdate><title>Adult spinal deformity surgical decision-making score. 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Part 2: development and validation of a scoring system to guide the selection of treatment modalities for patients above 40 years with adult spinal deformity</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2020</date><risdate>2020</risdate><volume>29</volume><issue>1</issue><spage>45</spage><epage>53</epage><pages>45-53</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
We aimed to develop and internally validate a scoring system, the adult spinal deformity surgical decision-making (ASD-SDM) score, to guide the decision-making process for ASD patients aged above 40 years.
Methods
A multicentre prospective ASD database was retrospectively reviewed. The scoring system was developed using data from a derivation set and was internally validated in a validation set. The performance of the ASD-SDM score for predicting surgical management was assessed using the area under the receiver operating characteristic curve (AUC).
Results
A total of 702 patients were included for analysis in the present study. The scoring system developed based on 562 patients, ranging from 0 to 12 points, included five parameters: leg pain scored by the numerical rating scale; pain and self-image domains in the Scoliosis Research Society-22 score; coronal Cobb angle; and relative spinopelvic alignment. Surgical indication was graded as low (score 0 to 4), moderate (score 5 to 7), and high (score 8 to 12) groups. In the validation set of 140 patients, the AUC for predicting surgical management according to the ASD-SDM score was 0.797 (standard error = 0.037,
P
< 0.001, 95% confidence interval = 0.714 to 0.861), and in the low, moderate, and high surgical indication groups, 23.7%, 43.5%, and 80.4% of the patients, respectively, were treated surgically.
Conclusions
The ASD-SDM score demonstrated reliability, with higher scores indicating a higher probability of surgery. This index could aid in the selection of surgery for ASD patients in clinical settings.
Graphic abstract
These slides can be retrieved under Electronic Supplementary Material.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31317308</pmid><doi>10.1007/s00586-019-06068-0</doi><tpages>9</tpages></addata></record> |
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| ispartof | European spine journal, 2020, Vol.29 (1), p.45-53 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Clinical Decision Rules Clinical Decision-Making Decision making Humans Medicine Medicine & Public Health Neurosurgery Original Article Pain Patients Reproducibility of Results Retrospective Studies Scoliosis Spinal Curvatures - classification Spinal Curvatures - diagnosis Spinal Curvatures - surgery Surgery Surgical Orthopedics |
| title | Adult spinal deformity surgical decision-making score. Part 2: development and validation of a scoring system to guide the selection of treatment modalities for patients above 40 years with adult spinal deformity |
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