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Screening for scoliosis-New recommendations,old dilemmas,no straight solutions
Screening for scoliosis-New recommendations,old dilemmas,no straight solutions
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摘要：
This opinion review considers the prevailing question of whether to screen or notto screen for adolescent idiopathic scoliosis. New and improved standards ofpeople-oriented care and person-centredness, as well as improved principles ofpreventive screening and guideline development, have been postulated andimplemented in health care systems and cultures. Recommendations addressingscreening for scoliosis differ substantially, in terms of their content, standards ofdevelopment and screening principles. Some countries have discontinued issuingrecommendations. In the last decade, a number of updated and newrecommendations and statements have been released. Systematically developedguidelines and recommendations are confronted by consensus and opinion-basedstatements. The dilemmas and discrepancies prevail. The arguments concentrateon the issues of the need for early detection through screening in terms of theeffectiveness of early treatment, on costs and cost-effectiveness issues, scientificand epidemiologic value of screenings, and the credibility of the sources ofevidence. The problem matter is of global scale and applies to millions of people.It regards clinical and methodological dilemmas, but also the matter of vulnerableand fragile time of adolescence and, more generally, children’s rights. Thedecisions need to integrate people’s values and preferences – screening tests needto be acceptable to the population, and treatments need to be acceptable forpatients. Therefore we present one more crucial, but underrepresented in thediscussion, issue of understanding and implementation of the contemporaryprinciples of person-centred care, standards of preventive screening, andguideline development, in the context of screening for scoliosis.
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| 篇名 | Screening for scoliosis-New recommendations,old dilemmas,no straight solutions | ||
| 来源期刊 | 世界骨科杂志:英文版 | 学科 | 医学 |
| 关键词 | SCOLIOSIS SCREENING Tests Programs RECOMMENDATIONS Guidelines Principles BENEFITS HARMS Trustworthiness | ||
| 年，卷（期） | 2020,（9） | 所属期刊栏目 | |
| 研究方向 | 页码范围 | 364-379 | |
| 页数 | 16页 | 分类号 | R73 |
| 字数 | 语种 | ||
| DOI | |||
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SCOLIOSIS
SCREENING
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世界骨科杂志：英文版
主办单位：
百世登出版集团有限公司
出版周期：
月刊
ISSN：
2218-5836
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开本：
出版地：
北京市朝阳区东四环中路62号楼远洋国际中
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404
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