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

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dc.contributor.authorKwan, Kenny Yat Hong
dc.contributor.authorNaresh-Babu, J.
dc.contributor.authorJacobs, Wilco
dc.contributor.authorde Kleuver, Marinus
dc.contributor.authorPolly, David W.
dc.contributor.authorYilgor, Caglar
dc.contributor.authorWu, Yabin
dc.contributor.authorPark, Jong-Beom
dc.contributor.authorIto, Manabu
dc.contributor.authorvan Hooff, Miranda L.
dc.contributor.authorDeformity, A.O. Spine Knowledge Forum
dc.date.accessioned2023-02-21T12:40:17Z
dc.date.available2023-02-21T12:40:17Z
dc.date.issued2021-01-01
dc.description.abstractBACKGROUND: 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.
dc.description.issue6
dc.description.issueJUN
dc.description.pages1065-1073
dc.description.volume88
dc.identifier.doi10.1093/neuros/nyab023
dc.identifier.urihttps://hdl.handle.net/11443/2600
dc.identifier.urihttp://dx.doi.org/10.1093/neuros/nyab023
dc.identifier.wosWOS:000661532300033
dc.publisherOXFORD UNIV PRESS INC
dc.relation.ispartofNEUROSURGERY
dc.subjectClassification
dc.subjectPurpose
dc.subjectCharacteristics
dc.subjectAdult spinal deformity
dc.subjectSystematic review
dc.titleToward 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
dc.typeArticle
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