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Thread: How Kids Feel About their Braces

  1. #1
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    How Kids Feel About their Braces

    Spine (Phila Pa 1976). 2010 Jan 1;35(1):57-63.
    Patients' preferences for scoliosis brace treatment: a discrete choice experiment.

    Bunge EM, de Bekker-Grob EW, van Biezen FC, Essink-Bot ML, de Koning HJ.

    Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.

    STUDY DESIGN: Discrete choice experiment. OBJECTIVE: To investigate the reduction in the risk of surgery that scoliosis patients would require in order to consider brace treatment as acceptable, and to elicit the trade-offs individuals make between characteristics of brace treatment. SUMMARY OF BACKGROUND DATA: The effectiveness of brace treatment in idiopathic scoliosis patients has not been established in randomized controlled trials (RCTs). Treatment with a brace can be quite bothersome. Patients' preferences for brace treatment are unknown. Insight into patients' preferences for (characteristics of) brace treatment will be useful for future trials and for the development of braces that may optimize compliance with brace treatment. METHODS: A total of 197 patients who had completed treatment (brace and/or surgery) for scoliosis were approached for the study, of which 135 gave informed consent. A discrete choice experiment was designed in which patients had to choose between hypothetical brace treatment profiles that differed in following 4 treatment attributes: effectiveness, visibility, discomfort, and treatment duration. A multinomial logit model was used to analyze the relative importance of these attributes. Subgroup analyses were conducted for brace-only, brace-surgery, and surgery-only patients. RESULTS: The response rate was 86% (116/135). All treatment attributes proved to be important for patients' choices. All subgroups were prepared to initiate treatment with a Boston brace if the brace would reduce the need for surgery by 53%. Risk reductions in a range of 32% to 74% were required for acceptance of a treatment duration of 3 years. CONCLUSION: Scoliosis patients stated to be prepared to undergo brace treatment only if it provides sizeable reduction of the risk of surgery. Effectiveness and discomfort in wearing a brace were the most important determinants of the choices. These results are important if RCTs would conclusively establish that bracing is effective, and show directions for the further technical development of braces to increase the compliance with brace treatment.

  2. #2
    Join Date
    Jan 2008
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    Good article

    I actually posted that article on 23 Jan 2010...

    http://www.scoliosis.org/forum/showthread.php?t=9941
    Sharon, mother of identical twin girls with scoliosis

    No island of sanity.

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