Demographic Factors Affect Scoliosis Research Society-22 Performance in Healthy Adolescents

Verma, Kushagra; Lonner, Baron S.; Hoashi, Jane S.; Lafage, Virginie; Dean, Laura; Engel, Itzhak; Goldstein, Yael

doi:10.1097/brs.0b013e3181cb474f

Cited by 57 publications

(37 citation statements)

References 17 publications

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“…7 The largest series evaluating normative scores in adolescents consisted of 450 patients aged 10 to 21 years. 6 Although there was a mix of race and ethnicities included in the study, there were no normative scores reported for varying ages, nor was there an indication of a power analysis being performed to adequately determine differences between subjects. The study noted differences in SRS-22 scores, with higher scores being reported in Caucasian males from dual, higher income households.…”

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confidence: 99%

Scoliosis Research Society-22 Results in 3052 Healthy Adolescents Aged 10 to 19 Years

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Neese

et al. 2014

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Scoliosis Research Society-22 Results in 3052 Healthy Adolescents Aged 10 to 19 Years

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Neese

et al. 2014

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“…Race and gender have been associated with significant differences in SRS-22 scores in patients with AIS; however, these differences have not been established in the SK population [17].…”

Section: Discussionmentioning

confidence: 93%

“…Data on these controls, ages 10e21 years, were gathered anonymously from New York public high schools, a major municipal hospital adolescent health clinic and three locally referring pediatrician offices in 2009. Data on this cohort have previously been published; however, only patients with height and weight data from the original study were included in this analysis, resulting in 380 patients in the Control group [17].…”

Section: Methodsmentioning

confidence: 99%

Body Mass Index in Adolescent Spinal Deformity: Comparison of Scheuermann's Kyphosis, Adolescent Idiopathic Scoliosis, and Normal Controls

et al. 2015

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“…18 years), Verma et al [15] reported mean SRS-22 scores of 4.0 in function, 4.3 in pain, 4.2 in image, 3.8 in mental health, and 82 for the subtotal. A comparison between these values and the means obtained in our Un-S group shows that with the exception of the image scale, the preoperative scores of these patients were higher or equal to those reported in healthy individuals.…”

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confidence: 99%

How do idiopathic scoliosis patients who improve after surgery differ from those who do not exceed a minimum detectable change?

et al. 2011

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Introduction The minimum detectable change (MDC) of the SRS-22 subtotal score is 6.8 points. With the use of this value, patients who have undergone surgery for idiopathic scoliosis can be dichotomized into two groups: the successful (S) group (those who have reached or exceeded this limit) and the unsuccessful (Un-S) group (those in whom the change was smaller). The aim of this study was to analyze the clinical and radiological differences between these patient groups, as well as those related to the surgical technique. Material and MethodsThe study included 91 patients (77 women and 14 men, mean age 18.1 years). All patients completed the SRS-22 questionnaire preoperatively and at follow-up (mean 45.6 months). In addition, radiological and surgical data were collected: levels instrumented, number of fused vertebrae, and use of thoracoplasty. Results Based on the MDC of the SRS-22 subtotal score, patients were assigned to the Un-S group (44 cases, 48.4%) or S group (47 cases). Groups were similar in age, sex, number of fused vertebrae, percentage of patients who underwent thoracoplasty, and the upper and lower instrumented levels. The magnitude of the major curve and percentage of correction after surgery were also similar (Un-S group 62.38, 53.2%; S group 64.38, 49.9%). As compared to Un-S group, S patients had a poorer preop score in all the SRS-22 domains, and a clinically significant postop improvement in pain, perceived body image, mental health, and subtotal score. In contrast, the Un-S group showed a worsening of pain, function, mental health, and subtotal score, and a clinically nonsignificant improvement in perceived body image on the follow-up questionnaire. There were no significant differences in the satisfaction domain score between groups (4.36 vs. 4.62). On ROC curve analysis, a preop subtotal score of 74 points predicted allocation to the S or Un-S group at follow-up with 79% sensitivity and 76% specificity. Conclusion The preop subtotal score of the SRS-22 is a good predictor of the clinical response to surgery.Keywords Idiopathic scoliosis Á Health-related quality of life Á Minimal important difference Á Outcome

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Demographic Factors Affect Scoliosis Research Society-22 Performance in Healthy Adolescents

Abstract: We report that male gender, dual parent household, white race and increased household income were predictive of higher SRS-22 scores in healthy adolescents without scoliosis. The impact of these factors represents a meaningful clinical difference in SRS-22 performance.

Cited by 57 publications

References 17 publications

Scoliosis Research Society-22 Results in 3052 Healthy Adolescents Aged 10 to 19 Years

Scoliosis Research Society-22 Results in 3052 Healthy Adolescents Aged 10 to 19 Years

Body Mass Index in Adolescent Spinal Deformity: Comparison of Scheuermann's Kyphosis, Adolescent Idiopathic Scoliosis, and Normal Controls

How do idiopathic scoliosis patients who improve after surgery differ from those who do not exceed a minimum detectable change?

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