Current status of scoliosis school screening: targeted screening of underserved populations may be the solution
The growing body of evidence documenting the effectiveness of brace treatment for scoliosis has renewed interest in potential benefits of early detection through school screening. We aimed to assess the prevalence and identify barriers of screening. We hypothesized that school screening is more freq...
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| Veröffentlicht in: | Public health (London) 2020-01, Vol.178, p.72-77 |
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| creator | Kadhim, M. Lucak, T. Schexnayder, S. King, A. Terhoeve, C. Song, B. Heffernan, M.J. |
| description | The growing body of evidence documenting the effectiveness of brace treatment for scoliosis has renewed interest in potential benefits of early detection through school screening. We aimed to assess the prevalence and identify barriers of screening. We hypothesized that school screening is more frequent in schools that have a nurse on staff compared to schools without nurse on staff.
A questionnaire survey.
All schools located in four counties in Louisiana, United States of America comprising the New Orleans metropolitan area between September 2015 and January 2016 were contacted by phone to assess rates of scoliosis screening, report the availability of a school nurse, and specify barriers if screening was not performed.
Two hundred and ninety-one schools responded to the survey including 152 public, 30 charter, and 109 private schools (101 had religious affiliation). A staff nurse was available in 180 schools (61.8%). Only 21 schools (7.2%) performed scoliosis screening. The majority were charter schools (11 schools), while six were private and four were public (P |
| doi_str_mv | 10.1016/j.puhe.2019.08.020 |
| format | Article |
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A questionnaire survey.
All schools located in four counties in Louisiana, United States of America comprising the New Orleans metropolitan area between September 2015 and January 2016 were contacted by phone to assess rates of scoliosis screening, report the availability of a school nurse, and specify barriers if screening was not performed.
Two hundred and ninety-one schools responded to the survey including 152 public, 30 charter, and 109 private schools (101 had religious affiliation). A staff nurse was available in 180 schools (61.8%). Only 21 schools (7.2%) performed scoliosis screening. The majority were charter schools (11 schools), while six were private and four were public (P < 0.0001). Of these 21 schools, 16 (76.2%) had a nurse on staff while five schools did not (P = 0.16). Lack of a referral pathway in the event of a positive screen was the most common barrier to performing scoliosis screening.
Scoliosis screening is infrequent in the examined school districts. Efforts to support school screening can facilitate clear referral pathways for schools in the event of a positive screen. These findings suggest a potential need for different pathway of scoliosis screening. Pediatricians and family physicians can assist with scoliosis screening during the annual visit. While universal screening is overburdensome and likely unnecessary, targeted screening of underserved populations may prove to be beneficial. Further investigation should include assessment of the economic viability of targeted screening programs.
IV
•Recent level 1 evidence documenting the effectiveness of brace treatment for scoliosis, especially when initiated at early stages, has renewed interest in the potential benefit of early detection of scoliosis through school screening.•In this survey study, only 7.2% of schools surveyed conducted scoliosis screening.•The presence of a nurse had no correlation to scoliosis school screening performance, and lack of referral source was the most commonly cited barrier.•Targeted scoliosis screening for schools in underserved areas may prove to be beneficial and require further investigation including assessment of the economic viability of such programs.</description><identifier>ISSN: 0033-3506</identifier><identifier>EISSN: 1476-5616</identifier><identifier>DOI: 10.1016/j.puhe.2019.08.020</identifier><identifier>PMID: 31627054</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adolescent ; Barriers ; Charter schools ; Child ; Counties ; Evaluation ; Family physicians ; Female ; Health Care Surveys ; Humans ; Male ; Mass Screening - methods ; Mass Screening - statistics & numerical data ; Medical diagnosis ; Medical personnel ; Medical referrals ; Medical screening ; Metropolitan areas ; New Orleans - epidemiology ; Pediatricians ; Physicians ; Polls & surveys ; Populations ; Prevalence ; Private schools ; Public schools ; Questionnaires ; Referral and Consultation - organization & administration ; Referrals ; Religious identity ; Research design ; School districts ; School Health Services - statistics & numerical data ; Schools ; Scoliosis ; Scoliosis - diagnosis ; Scoliosis - epidemiology ; Scoliosis brace ; Scoliosis school screening ; Targeted screening ; Tests ; Treatment outcomes ; Underserved populations ; Viability ; Vulnerable Populations - statistics & numerical data</subject><ispartof>Public health (London), 2020-01, Vol.178, p.72-77</ispartof><rights>2019 The Royal Society for Public Health</rights><rights>Copyright © 2019 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jan 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-4036af1e7336c045976b5abbef614239796616a00fc5b2b482892be396e9cb643</citedby><cites>FETCH-LOGICAL-c384t-4036af1e7336c045976b5abbef614239796616a00fc5b2b482892be396e9cb643</cites><orcidid>0000-0002-3256-9221</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.puhe.2019.08.020$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,30980,33755,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31627054$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kadhim, M.</creatorcontrib><creatorcontrib>Lucak, T.</creatorcontrib><creatorcontrib>Schexnayder, S.</creatorcontrib><creatorcontrib>King, A.</creatorcontrib><creatorcontrib>Terhoeve, C.</creatorcontrib><creatorcontrib>Song, B.</creatorcontrib><creatorcontrib>Heffernan, M.J.</creatorcontrib><title>Current status of scoliosis school screening: targeted screening of underserved populations may be the solution</title><title>Public health (London)</title><addtitle>Public Health</addtitle><description>The growing body of evidence documenting the effectiveness of brace treatment for scoliosis has renewed interest in potential benefits of early detection through school screening. We aimed to assess the prevalence and identify barriers of screening. We hypothesized that school screening is more frequent in schools that have a nurse on staff compared to schools without nurse on staff.
A questionnaire survey.
All schools located in four counties in Louisiana, United States of America comprising the New Orleans metropolitan area between September 2015 and January 2016 were contacted by phone to assess rates of scoliosis screening, report the availability of a school nurse, and specify barriers if screening was not performed.
Two hundred and ninety-one schools responded to the survey including 152 public, 30 charter, and 109 private schools (101 had religious affiliation). A staff nurse was available in 180 schools (61.8%). Only 21 schools (7.2%) performed scoliosis screening. The majority were charter schools (11 schools), while six were private and four were public (P < 0.0001). Of these 21 schools, 16 (76.2%) had a nurse on staff while five schools did not (P = 0.16). Lack of a referral pathway in the event of a positive screen was the most common barrier to performing scoliosis screening.
Scoliosis screening is infrequent in the examined school districts. Efforts to support school screening can facilitate clear referral pathways for schools in the event of a positive screen. These findings suggest a potential need for different pathway of scoliosis screening. Pediatricians and family physicians can assist with scoliosis screening during the annual visit. While universal screening is overburdensome and likely unnecessary, targeted screening of underserved populations may prove to be beneficial. Further investigation should include assessment of the economic viability of targeted screening programs.
IV
•Recent level 1 evidence documenting the effectiveness of brace treatment for scoliosis, especially when initiated at early stages, has renewed interest in the potential benefit of early detection of scoliosis through school screening.•In this survey study, only 7.2% of schools surveyed conducted scoliosis screening.•The presence of a nurse had no correlation to scoliosis school screening performance, and lack of referral source was the most commonly cited barrier.•Targeted scoliosis screening for schools in underserved areas may prove to be beneficial and require further investigation including assessment of the economic viability of such programs.</description><subject>Adolescent</subject><subject>Barriers</subject><subject>Charter schools</subject><subject>Child</subject><subject>Counties</subject><subject>Evaluation</subject><subject>Family physicians</subject><subject>Female</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>Male</subject><subject>Mass Screening - methods</subject><subject>Mass Screening - statistics & numerical data</subject><subject>Medical diagnosis</subject><subject>Medical personnel</subject><subject>Medical referrals</subject><subject>Medical screening</subject><subject>Metropolitan areas</subject><subject>New Orleans - epidemiology</subject><subject>Pediatricians</subject><subject>Physicians</subject><subject>Polls & surveys</subject><subject>Populations</subject><subject>Prevalence</subject><subject>Private schools</subject><subject>Public schools</subject><subject>Questionnaires</subject><subject>Referral and Consultation - organization & administration</subject><subject>Referrals</subject><subject>Religious identity</subject><subject>Research design</subject><subject>School districts</subject><subject>School Health Services - statistics & numerical data</subject><subject>Schools</subject><subject>Scoliosis</subject><subject>Scoliosis - diagnosis</subject><subject>Scoliosis - epidemiology</subject><subject>Scoliosis brace</subject><subject>Scoliosis school screening</subject><subject>Targeted screening</subject><subject>Tests</subject><subject>Treatment outcomes</subject><subject>Underserved populations</subject><subject>Viability</subject><subject>Vulnerable Populations - statistics & numerical data</subject><issn>0033-3506</issn><issn>1476-5616</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kUtv1DAUhS0EokPhD7BAkdiwSXptJ06M2KARj0qV2LRry3ZuOh5l4uBHpf57HE0BiQWra11_58g-h5C3FBoKVFwdmzUfsGFAZQNDAwyekR1te1F3gornZAfAec07EBfkVYxHAGA9716SC04F66Frd8Tvcwi4pComnXKs_FRF62fno4vldPB-LiMgLm65_1glHe4x4fh3tynyMmKIGB7KxerXPOvk_BKrk36sDFbpgFX0c96Wr8mLSc8R3zzNS3L39cvt_nt98-Pb9f7zTW350Ka6BS70RLHnXFhoO9kL02ljcBK0ZVz2UpQvaoDJdoaZdmCDZAa5FCitES2_JB_OvmvwPzPGpE4uWpxnvaDPUTEOPS0ZCFnQ9_-gR5_DUl5XqH6QcmAdFIqdKRt8jAEntQZ30uFRUVBbHeqotjrUVoeCQZU6iujdk3U2Jxz_SH7nX4BPZwBLFg8Og4rW4WJxdAFtUqN3__P_BTYCnGg</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Kadhim, M.</creator><creator>Lucak, T.</creator><creator>Schexnayder, S.</creator><creator>King, A.</creator><creator>Terhoeve, C.</creator><creator>Song, B.</creator><creator>Heffernan, M.J.</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</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>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U4</scope><scope>7U9</scope><scope>ASE</scope><scope>BHHNA</scope><scope>C1K</scope><scope>DWI</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3256-9221</orcidid></search><sort><creationdate>202001</creationdate><title>Current status of scoliosis school screening: targeted screening of underserved populations may be the solution</title><author>Kadhim, M. ; Lucak, T. ; Schexnayder, S. ; King, A. ; Terhoeve, C. ; Song, B. ; Heffernan, M.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-4036af1e7336c045976b5abbef614239796616a00fc5b2b482892be396e9cb643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Barriers</topic><topic>Charter schools</topic><topic>Child</topic><topic>Counties</topic><topic>Evaluation</topic><topic>Family physicians</topic><topic>Female</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>Male</topic><topic>Mass Screening - methods</topic><topic>Mass Screening - statistics & numerical data</topic><topic>Medical diagnosis</topic><topic>Medical personnel</topic><topic>Medical referrals</topic><topic>Medical screening</topic><topic>Metropolitan areas</topic><topic>New Orleans - epidemiology</topic><topic>Pediatricians</topic><topic>Physicians</topic><topic>Polls & surveys</topic><topic>Populations</topic><topic>Prevalence</topic><topic>Private schools</topic><topic>Public schools</topic><topic>Questionnaires</topic><topic>Referral and Consultation - organization & administration</topic><topic>Referrals</topic><topic>Religious identity</topic><topic>Research design</topic><topic>School districts</topic><topic>School Health Services - statistics & numerical data</topic><topic>Schools</topic><topic>Scoliosis</topic><topic>Scoliosis - diagnosis</topic><topic>Scoliosis - epidemiology</topic><topic>Scoliosis brace</topic><topic>Scoliosis school screening</topic><topic>Targeted screening</topic><topic>Tests</topic><topic>Treatment outcomes</topic><topic>Underserved populations</topic><topic>Viability</topic><topic>Vulnerable Populations - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kadhim, M.</creatorcontrib><creatorcontrib>Lucak, T.</creatorcontrib><creatorcontrib>Schexnayder, S.</creatorcontrib><creatorcontrib>King, A.</creatorcontrib><creatorcontrib>Terhoeve, C.</creatorcontrib><creatorcontrib>Song, B.</creatorcontrib><creatorcontrib>Heffernan, M.J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Public health (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kadhim, M.</au><au>Lucak, T.</au><au>Schexnayder, S.</au><au>King, A.</au><au>Terhoeve, C.</au><au>Song, B.</au><au>Heffernan, M.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Current status of scoliosis school screening: targeted screening of underserved populations may be the solution</atitle><jtitle>Public health (London)</jtitle><addtitle>Public Health</addtitle><date>2020-01</date><risdate>2020</risdate><volume>178</volume><spage>72</spage><epage>77</epage><pages>72-77</pages><issn>0033-3506</issn><eissn>1476-5616</eissn><abstract>The growing body of evidence documenting the effectiveness of brace treatment for scoliosis has renewed interest in potential benefits of early detection through school screening. We aimed to assess the prevalence and identify barriers of screening. We hypothesized that school screening is more frequent in schools that have a nurse on staff compared to schools without nurse on staff.
A questionnaire survey.
All schools located in four counties in Louisiana, United States of America comprising the New Orleans metropolitan area between September 2015 and January 2016 were contacted by phone to assess rates of scoliosis screening, report the availability of a school nurse, and specify barriers if screening was not performed.
Two hundred and ninety-one schools responded to the survey including 152 public, 30 charter, and 109 private schools (101 had religious affiliation). A staff nurse was available in 180 schools (61.8%). Only 21 schools (7.2%) performed scoliosis screening. The majority were charter schools (11 schools), while six were private and four were public (P < 0.0001). Of these 21 schools, 16 (76.2%) had a nurse on staff while five schools did not (P = 0.16). Lack of a referral pathway in the event of a positive screen was the most common barrier to performing scoliosis screening.
Scoliosis screening is infrequent in the examined school districts. Efforts to support school screening can facilitate clear referral pathways for schools in the event of a positive screen. These findings suggest a potential need for different pathway of scoliosis screening. Pediatricians and family physicians can assist with scoliosis screening during the annual visit. While universal screening is overburdensome and likely unnecessary, targeted screening of underserved populations may prove to be beneficial. Further investigation should include assessment of the economic viability of targeted screening programs.
IV
•Recent level 1 evidence documenting the effectiveness of brace treatment for scoliosis, especially when initiated at early stages, has renewed interest in the potential benefit of early detection of scoliosis through school screening.•In this survey study, only 7.2% of schools surveyed conducted scoliosis screening.•The presence of a nurse had no correlation to scoliosis school screening performance, and lack of referral source was the most commonly cited barrier.•Targeted scoliosis screening for schools in underserved areas may prove to be beneficial and require further investigation including assessment of the economic viability of such programs.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>31627054</pmid><doi>10.1016/j.puhe.2019.08.020</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-3256-9221</orcidid></addata></record> |
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| ispartof | Public health (London), 2020-01, Vol.178, p.72-77 |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adolescent Barriers Charter schools Child Counties Evaluation Family physicians Female Health Care Surveys Humans Male Mass Screening - methods Mass Screening - statistics & numerical data Medical diagnosis Medical personnel Medical referrals Medical screening Metropolitan areas New Orleans - epidemiology Pediatricians Physicians Polls & surveys Populations Prevalence Private schools Public schools Questionnaires Referral and Consultation - organization & administration Referrals Religious identity Research design School districts School Health Services - statistics & numerical data Schools Scoliosis Scoliosis - diagnosis Scoliosis - epidemiology Scoliosis brace Scoliosis school screening Targeted screening Tests Treatment outcomes Underserved populations Viability Vulnerable Populations - statistics & numerical data |
| title | Current status of scoliosis school screening: targeted screening of underserved populations may be the solution |
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