STEP Outreach Program:
According to the Pediatric Orthopaedic Society of North America (POSNA), Scoliosis Research Society (SRS), American Academy of Orthopaedic Surgeons (AAOS), and American Academy of Pediatrics (AAP) Adolescent Idiopathic Scoliosis (AIS) is found in girls from ages 10-12 and boys 13-14 and screening should be performed during this crucial time when growth spurts can progressively make spinal deformities worse.
Left unchecked, scoliosis can progress to the point where major surgery is required. With early detection and management, scoliosis screenings allows health care professionals to effectively treat this disease, often preventing surgery. However, the cost-effectiveness of screening remains unclear on a systematic level. One critical determinant of screening cost-effectiveness may be its impact on post-screening care in populations with poor access/significant barriers to medical care.
We aim to leverage the STEP outreach program (run by a nurse doing school screenings across the Bay Area) to conduct a study that intends to elaborate the outcomes and barriers to care following scoliosis screening in various populations, in order to better define the cost-effectiveness of these programs.
Led by: Dr. John Vorhies and Joanna Langner.