Do the SRS-22 self-image and mental health domain scores reflect the degree of asymmetry of the back in adolescent idiopathic scoliosis?

Cheshire, James; Gardner, Adrian; Berryman, Fiona; Pynsent, Paul

doi:10.1186/s13013-017-0144-9

Cited by 32 publications

(17 citation statements)

References 42 publications

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“…In light of increasing emphasis and recognition of patient-reported outcomes, quantitative HRQoL measures that explore the psychosocial impacts of AIS have become mainstay in evaluating treatment success amongst clinicians [177]. Our analysis corroborates this, showing approximately equal radiographic and quantitative HRQoL measures amongst the different schools of treatment (Table 3).…”

Section: Evaluating the Clinical Utility Of Quantitative Hrqol Outcom...supporting

confidence: 76%

Defining “successful” treatment outcomes in adolescent idiopathic scoliosis: a scoping review

Joarder

Taniguchi

Mendoza³

et al. 2023

Eur Spine J

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Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis that affects children aged 10 to 18 years old, manifesting in a three dimensional spinal deformity. This study aimed to explore outcome measures used in de ning AIS treatment success. Particularly, analyzing the extent of radiographic and quality of life domains used and whether AIS treatment approaches (surgical, bracing, physiotherapy etc.) in uences outcomes used as proxies of treatment success. MethodsEMBASE and MEDLINE databases were used to conduct a systematic scoping review with 158 papers screened for data extraction. Extractable variables included: study characteristics, study participant characteristics, type of study, type of intervention approach and outcome measures. ResultsAll 158 studies measured quantitative outcomes. 61.38% of papers used radiographic outcomes whilst 38.62% of papers used quantitative quality of life outcomes to evaluate treatment success. Irrespective of treatment intervention utilized, the type of quantitative outcome measure recorded did not differ signi cantly. Moreover, of the radiographic outcome measures, the subcategory Cobb angle was predominantly used across all intervention approaches. For quantitative quality of life measures, questionnaires investigating multiple domains such as SRS were primarily used as proxies of AIS treatment success across all intervention approaches. ConclusionThis study identi ed that no articles employed qualitative measures of describing the psychosocial implications of AIS in de ning treatment success. Although quantitative measures have merit in clinical diagnoses and management, there is increasing value in using qualitative methods such as thematic analysis in guiding clinicians to develop a biopsychosocial approach for patient care.

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Section: Evaluating the Clinical Utility Of Quantitative Hrqol Outcom...supporting

confidence: 76%

Defining “successful” treatment outcomes in adolescent idiopathic scoliosis: a scoping review

Joarder

Taniguchi

Mendoza³

et al. 2023

Eur Spine J

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“…The impact of posterior spinal instrumented fusion on quality of life has been extensively studied. Moreover, the correlation between domain scores and variables such as sex and follow-up years after surgery is also reported in the literature [16][17][18][19]. In our study, we also looked at the correlation between mean scores of each domain and age at the time of surgery.…”

Section: Discussionmentioning

confidence: 60%

Young Patients’ Satisfaction Following the Correction of Adolescent Idiopathic Scoliosis in Saudi Arabia: A Cross‐Sectional Study

Al-Zayed¹,

Majid²,

Alqahtani³

et al. 2022

Cureus

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Introduction: Posterior spinal instrumented fusion remains the mainstay treatment for adolescent idiopathic scoliosis (AIS) with acceptable post-operative patient satisfaction. However, in Saudi Arabia, patient satisfaction after surgical management for AIS has not been thoroughly studied. The purpose of this study was to determine patient satisfaction and quality of life using the Scoliosis Research Society-22r (SRS-22r, the most recent version) questionnaire after surgical correction of AIS in Saudi Arabia.Methods: A retrospective study was conducted that included patients who underwent posterior spinal instrumented fusion for AIS from January 1995 through December 2015. We included 115 patients (both males and females) in our study. We used the Arabic version of the SRS-22r questionnaire that was completed through telephonic interviews. Data collected were then analyzed using SPSS Statistics, version 23.Results: The mean age of our patients at the time of surgery was 15.0 ± 2.6 years and the average time from surgery to interview was 9.4 ± 4.7 years. A positive response was recorded in all domains including pain, function, mental health, and self-image. Furthermore, 76.5% of the patients were satisfied with their management outcome and 81.7% of the patients reported no complications. Conclusion: Surgical correction of AIS improved the quality of life of our patients that was assessed using the Arabic version of the SRS-22r questionnaire. Apart from overall patient satisfaction, positive responses were recorded in all four domains of the SRS-22r questionnaire.

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“…Wong et al [ 38 ] suggested an association between back pain and depressive mood in patients with AIS. Several studies indicated that the degree of curve was related to self-image [ 2 , 25 ]; however, studies showing the opposite result also exist [ 5 , 34 ]. In many studies, surgery was related to improvement of self-image and quality of life [ 7 , 10 , 19 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

Is There an Association Between Psychiatric Disorders and Adolescent Idiopathic Scoliosis? A Large-database Study

Lee

Chae

Kwon

et al. 2021

Clin Orthop Relat Res

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Background Children with adolescent idiopathic scoliosis (AIS) have reduced quality of life related to poor self-image, perhaps because of cosmetic concerns. However, there has not been a large-database epidemiologic study on the association between psychiatric disorders and scoliosis. Questions/purposes Using the Korean National Health Insurance database, we asked: (1) How common are psychiatric disorders among children with AIS? (2) After controlling for gender, age, insurance type, and residential district, are psychiatric disorders more common among children with AIS than among age-matched controls? Methods A retrospective analysis was conducted using sample datasets from the Health Insurance Review and Assessment Service from 2012 to 2016, which is a 10% randomly extracted sample of total inpatients and outpatients each year. The mean number of total patients in each dataset was 1,047,603 ± 34,534. The mean number of children with AIS was 7409 ± 158 for each year. The age criteria was 10 to 19 years for the matching. Mood disorders, anxiety disorders, and behavioral disorders were selected as disorders possibly associated with AIS. We identified children with AIS who had any of the disorders above, and we obtained the prevalence of these disorders based on diagnostic codes. As an exploratory analysis, clinically meaningful variables were selected among the available codes in the dataset, and a univariable logistic regression test was performed for each variable. A multivariable logistic regression test with advanced variables was performed to identify the adjusted odds ratios of psychiatric disorders in children with AIS. Results The median (range) prevalence of psychiatric disorders in children with AIS from 2012 to 2016 was 7% (6% to 7%). Compared with children who did not have AIS, and after controlling for gender, age, insurance type, and residential district, children with AIS were more likely to have psychiatric disorders in all 5 years. The adjusted ORs of psychiatric disorders in children with AIS compared with children who did not have AIS ranged from 1.47 to 1.74 (2012: OR 1.60 [95% CI 1.46 to 1.75]; p < 0.001; 2013: OR 1.73 [95% CI 1.58 to 1.89]; p < 0.001; 2014: OR 1.74 [95% CI 1.59 to 1.91]; p < 0.001; 2015: OR 1.71 [95% CI 1.56 to 1.88]; p < 0.001; 2016: OR 1.47 [95% CI 1.33 to 1.62]; p < 0.001). Conclusion Considering the higher prevalence of psychiatric disorders in children with AIS compared with children who did not have AIS, children with AIS and their parents should be counseled about the increased risk of deteriorating mental health of the patients, and surgeons should provide early referral to pediatric psychiatrists. Further studies should investigate the effect of the factors related to AIS, such as curve type, Cobb angle, and treatment modality. Level of Evidence Level III, prognostic study.

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Do the SRS-22 self-image and mental health domain scores reflect the degree of asymmetry of the back in adolescent idiopathic scoliosis?

Cited by 32 publications

References 42 publications

Defining “successful” treatment outcomes in adolescent idiopathic scoliosis: a scoping review

Defining “successful” treatment outcomes in adolescent idiopathic scoliosis: a scoping review

Young Patients’ Satisfaction Following the Correction of Adolescent Idiopathic Scoliosis in Saudi Arabia: A Cross‐Sectional Study

Is There an Association Between Psychiatric Disorders and Adolescent Idiopathic Scoliosis? A Large-database Study

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