土耳其学校中脊柱侧弯的患病率及筛查的成本效益

Prevalence of scoliosis and cost-effectiveness of screening in schools in Turkey.

作者信息

Ugras Ali Akin, Yilmaz Murat, Sungur Ibrahim, Kaya Ibrahim, Koyuncu Yasin, Cetinus Mahmut Ercan

机构信息

Department of Orthopedics of Haseki Training and Research Hospital, 34093 Fatih, Istanbul, Turkey.

出版信息

J Back Musculoskelet Rehabil. 2010;23(1):45-8. doi: 10.3233/BMR-2010-0247.

DOI:10.3233/BMR-2010-0247

PMID:20231789

Abstract

The study was intended determine the prevalence of scoliosis and to assess the cost-effectiveness of a school screening program for scoliosis in Turkey. A total of 4259 children (2057 females and 2022 males aged 10-14 years old) were screened. Thirty-nine children had a positive forward bending test. The prevalence of scoliosis was 25 per 1000 in the screened population. The ratio of girls to boys with scoliosis was 2.5:1. A minor curve was detected in 72.7% of children with scoliosis (Cobb angle of 10-20 degrees), and a major curve was found in 27.3% (Cobb angle >20 degrees). The cost of screening was found to be 47 cents per child, but the cost per case of scoliosis was determined to be $236.81. School screening for scoliosis seems to be cost-effective in Turkey.

摘要

该研究旨在确定脊柱侧弯的患病率，并评估土耳其学校脊柱侧弯筛查项目的成本效益。总共对4259名儿童（2057名女性和2022名年龄在10至14岁的男性）进行了筛查。39名儿童前屈试验呈阳性。筛查人群中脊柱侧弯的患病率为每1000人中有25人。脊柱侧弯女孩与男孩的比例为2.5:1。在72.7%的脊柱侧弯儿童中检测到轻度曲线（Cobb角为10至20度），在27.3%的儿童中发现重度曲线（Cobb角>20度）。筛查成本为每名儿童47美分，但每例脊柱侧弯的成本确定为236.81美元。在土耳其，学校脊柱侧弯筛查似乎具有成本效益。