Paradkar Ria, Regan Christina, Nolte Charles P, Stans Anthony, Shaughnessy William, Mulford Kellen, Milbrandt Todd A, Larson A Noelle
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
J Clin Med. 2024 Dec 23;13(24):7859. doi: 10.3390/jcm13247859.
: The burden of scoliosis care extends beyond treatment costs and includes missed school for patients and lost income for parents. Chronic absenteeism, defined as more than 18 days of missed school, can have a significant impact on a child's educational progression, but missed school and work due to scoliosis treatment are not well quantified in the literature. This study investigates absenteeism among scoliosis patients and their caregivers. : We conducted a retrospective comparative study of survey results based on surgery timing and surgery type. Patients and caregivers presenting for clinic visits for scoliosis treatment at a single large tertiary care center from 2014 to 2022 were queried. We collected 2772 surveys from 1104 unique patients. Of these, 223 surveys from 132 patients were within one year of surgery: 140 post-fusion surveys, 71 post-nonfusion surveys, and 11 post-halo/multistage surgery surveys. A total of 2280 surveys were from 1022 nonoperatively treated patients. School absenteeism was significantly higher for surgeries during the school year compared to summer in both the fusion and nonfusion groups, though work absenteeism showed no significant differences. Halo/multistage surgery patients had the highest rates of absenteeism. : This study highlights the impacts of scoliosis surgery timing and type on absenteeism among patients and their caregivers. Surgery during summer breaks reduces school absenteeism and academic disruption. Halo/multistage surgery patients face the greatest risk of chronic absenteeism from school, indicating a need for targeted interventions. Optimized surgical timing and planning can help families navigate the educational and financial challenges of scoliosis treatment.
脊柱侧弯护理的负担不仅限于治疗费用，还包括患者缺课以及家长收入损失。长期缺勤定义为缺课超过18天，这可能会对孩子的学业进展产生重大影响，但脊柱侧弯治疗导致的缺课和误工情况在文献中并未得到充分量化。本研究调查了脊柱侧弯患者及其照料者的缺勤情况。我们基于手术时间和手术类型对调查结果进行了一项回顾性比较研究。对2014年至2022年期间在一家大型三级医疗中心就诊接受脊柱侧弯治疗的患者及其照料者进行了询问。我们从1104名不同患者中收集了2772份调查问卷。其中，132名患者的223份调查问卷是在术后一年内：140份融合手术后调查问卷，71份非融合手术后调查问卷，以及11份 Halo/多阶段手术后调查问卷。共有2280份调查问卷来自1022名非手术治疗患者。在融合组和非融合组中，学年期间手术的患者缺课率均显著高于夏季手术的患者，不过误工率没有显著差异。Halo/多阶段手术患者的缺勤率最高。本研究强调了脊柱侧弯手术时间和类型对患者及其照料者缺勤情况的影响。暑假期间进行手术可减少缺课和学业中断。Halo/多阶段手术患者面临长期缺课的风险最大，这表明需要采取针对性干预措施。优化手术时间和规划有助于家庭应对脊柱侧弯治疗带来的教育和经济挑战。
