Grivas, Theodoros B

Hresko, Timothy

Kotwicki, Tomasz

Labelle, Hubert

Maruyama, Toru

OBrien, Joseph

Scoliosis

Harvard University - DASH 

 The BrAIST study and the implications for scoliosis screening:our duty for raising awareness and advocacy  (Article begins on next page)The Harvard community has made this article openly available.Please share how this access benefits you. Your story matters.Citation Grivas, Theodoros B, Tomasz Kotwicki, Toru Maruyama,Joseph OBrien, Hubert Labelle, and Timothy Hresko. 2014.“The BrAIST study and the implications for scoliosis screening:our duty for raising awareness and advocacy.” Scoliosis 9 (Suppl1): O42. doi:10.1186/1748-7161-9-S1-O42.http://dx.doi.org/10.1186/1748-7161-9-S1-O42.Published Version doi:10.1186/1748-7161-9-S1-O42Accessed February 17, 2015 11:19:29 AM ESTCitable Link http://nrs.harvard.edu/urn-3:HUL.InstRepos:13890696Terms of Use This article was downloaded from Harvard University's DASHrepository, and is made available under the terms and conditionsapplicable to Other Posted Material, as set forth athttp://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAAORAL PRESENTATION Open AccessThe BrAIST study and the implications forscoliosis screening: our duty for raising awarenessand advocacyTheodoros B Grivas1*, Tomasz Kotwicki2, Toru Maruyama3, Joseph OBrien4, Hubert Labelle5, Timothy Hresko6From 11th International Conference on Conservative Management of Spinal Deformities - SOSORT 2014Annual MeetingWiesbaden, Germany. 8-10 May 2014BackgroundA recently published NIH-funded study named “Bracing inAdolescent Idiopathic Scoliosis Trial” (BrAIST) affirmedthe efficacy of bracing for moderate adolescent idiopathicscoliosis (AIS) and reduced surgical recommendations inbraced patients. The implications of this study are numer-ous. BrAIST affirms the value of bracing, but also confirmsthe importance of wear time, and points to the need toassess compliance with compulsory utilization of bracemonitors. Additionally, one of the key implications of thestudy relates to early detection, possibly heralding a newera for scoliosis screening policy adoption.AimTo engage and enlist the feedback and potential advo-cacy, on behalf AIS patients, of all persons involved inrelevant state agencies, scientific organizations andhealth care professions.MethodsAfter a short presentation of BrAIST results, its implica-tions will be highlighted on a) brace treatment, b) theimportance of compliance, c) the value of screening pro-grams. Subsequently the current concepts and recom-mendations on screening will be analyzed.DesignOther (Advocacy/Awareness raising report).ResultsThis established bracing effectiveness, reducing the num-ber of patients who progress to surgery, resulting in costsavings and great benefit for scoliotics, also calls for raisingawareness and advocacy of all the involved related profes-sionals. Awareness will be increased by familiarizing peo-ple with the a) history and geography of screening policies,b) current evidence about screening, c) impact of screen-ing on frequency of surgical treatment and its negative dis-continuation effects on patients, d) the analysis of evolvingaim of screening, e) the encouragement for policy state-ment publications from professional organizations andgovernmental agencies regarding scoliosis screening, f) bylegislating national program and g) by presentations inpertinent scientific meetings. The advocacy will be bene-fited by a) providing guidelines on setting up these pro-grams, b) recommendations for improvement of ascreening program and c) popularizing its additional bene-fits on its contribution to clinical research on IS aetiology.ConclusionsDue to the fact that the implementation of screening pro-grams is inextricably bonded to non-operative IS treat-ment, it is believed that this reported “BrAiST” trial willhave further impact on IS management swinging thependulum.Authors’ details1Department of Orthopedics and Traumatology Tzanio General HospitalTzani and Afendouli 1, Piraeus, Greece.2Department of PaediatricOrthopaedics University of Medical Sciences, Poznan, Poland.3Departmentof Orthopedic Surgery Saitama Medical Center at Saitama Medical University,Tokyo, Japan.4National Scoliosis Foundation, Boston, USA.5University ofMontreal Ste-Justine Mother and Child University Hospital, Montreal, Canada.6Harvard Medical School, Boston Children Hospital, USA.1Department of Orthopedics and Traumatology Tzanio General HospitalTzani and Afendouli 1, Piraeus, GreeceFull list of author information is available at the end of the articleGrivas et al. Scoliosis 2014, 9(Suppl 1):O42http://www.scoliosisjournal.com/supplements/9/S1/O42© 2014 Grivas et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction inany medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.Published: 4 December 2014doi:10.1186/1748-7161-9-S1-O42Cite this article as: Grivas et al.: The BrAIST study and the implicationsfor scoliosis screening: our duty for raising awareness and advocacy.Scoliosis 2014 9(Suppl 1):O42.Submit your next manuscript to BioMed Centraland take full advantage of: • Convenient online submission• Thorough peer review• No space constraints or color ﬁgure charges• Immediate publication on acceptance• Inclusion in PubMed, CAS, Scopus and Google Scholar• Research which is freely available for redistributionSubmit your manuscript at www.biomedcentral.com/submitGrivas et al. Scoliosis 2014, 9(Suppl 1):O42http://www.scoliosisjournal.com/supplements/9/S1/O42Page 2 of 2

The BrAIST study and the implications for scoliosis screening: our duty for raising awareness and advocacy

Theodoros B Grivas

Tomasz Kotwicki

Toru Maruyama

Joseph OBrien

Hubert Labelle

Timothy Hresko

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The BrAIST study and the implications for scoliosis screening: our duty for raising awareness and advocacy

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