U Ramadasa, S Silva, U Udumulla, S Perera, S Lekamwasam
Caregiver strain among patients of palliative care in Sri Lanka: validation of modified caregiver strain index - Sinhala version
BMC palliative care
obese overweight oow patients adolescent idiopathic scoliosis ais shown initially present advanced risser score compared normal weight nw patients sanders maturity scale sms commonly used surgeons assist treatment decisions reliably predicts skeletal maturity however relationship sms obesity described hypothesize patients ais oow patients higher sms score initial presentation compared nw patients billing data 2 different institutions used identify patients ais presenting pediatric orthopaedic spine surgeon initial visit july 2012 march 2020 excluded without heightweight data spine radiographs lefthand radiographs measuring sms stage body mass indexforage percentiles calculated used group patients nw 85th percentile oow 85th percentile per centers disease control guidelines collecting preliminary data power analysis performed using average sms scores nw oow patients alpha 05 determining needed sample size approximately 300 male 300 female subjects five hundred ninety patients 296 female 294 male identified sms stage presentation significantly greater oow compared nw patients females 5918 vs 5217 p 0003 males 4919 vs 4118 p 0002 major curve magnitude oow females significantly different nw females 3616 degrees vs 3016 degrees p 0004 major curve magnitude different oow nw males p 03 initial presentation oow patients present greater skeletal maturity measured sms compared nw patients oow female patients present greater major curve magnitudes nw female patients results highlight negative implications pediatric obesity epidemic relates ais population findings used counsel families provide anticipatory guidance ais treatment plan level iiicrosssectional study