HRQoL assessment by SRS-30 for Chinese patients with surgery for Adolescent Idiopathic Scoliosis (AIS)

Abstract

IntroductionHealth-related quality of life (HRQoL) outcome questionnaire, Scoliosis Research Society (SRS)-30, had been well received since its establishment in 2003. Literatures from Asia on the use of SRS-30 mainly focused on the translation process and validation process, but not on measuring outcomes, particularly in the Chinese community. We carried out a prospective cohort study to evaluate the HRQoL of Chinese AIS adolescents with severe scoliosis after surgery.MethodsOne hundred and four Chinese AIS patients with severe scoliosis undergoing posterior spinal fusion between 2009 and 2013 were recruited in this study. They completed SRS-30 questions before surgery, before hospital discharge, and at follow-up. Mean scores and percentages of individual scores in different domains, and composite scores in terms of subtotal and total scores were calculated referring to the scoring system. Gender-specific and period-specific descriptive analyses were described. Correlation of mean domain scores at the three time points were explored to look for any time-specific relationship. Linear regression analysis looking for potential risk factors on domain scores at different time points by gender were also carried out.ResultsMean age was 16.28 at surgery, and 83.6% were female. Significant correlations between pre-op scores and scores after surgery were observed in function/activity domain (p=0.05) in males, and pain (p=0.04) and satisfaction with management (p=0.04) domains in females. No gender difference in all 5 domain scores at the 3 time points was found. Pre-op maximum Cobb angle and corrected angle were found to be risk factors on self-image, as well as satisfaction with management, in male and female patients.ConclusionsThis is the first report on the evaluation of the clinical HRQoL outcomes of Chinese AIS patients with severe scoliosis after surgery. Medical professionals should pay attention to take care of the difference in personal perceptions of feelings between boys and girls. Special care should also be allocated to AIS patients, and try to arrange earlier surgical intervention.

Quality of Life Evaluation Using SRS-30 Score for Operated Children and Adolescent Idiopathic Scoliosis

“…Statistically significant correlations were highlighted in female patients for the domains assessing pain and satisfaction with management after the surgery and male patients for the function/activity domain. It was also noted that high preoperative values of Cobb angle and high correction rates were two significant factors that influenced “Self-image” and “Satisfaction with management”, especially in male patients [ 19 ].…”

“…Special care should also be allocated to A.I.S. patients and arrange earlier surgical intervention [ 19 ].…”

Adolescent idiopathic scoliosis: surgical treatment and quality of life

“… 13 The degree of curve correction after surgery was a significant predictor of function/activity scores, self-image/appearance and satisfaction in 104 Chinese AIS patients. 19 …”

What Kinds of Cosmetic Appearances were Improved after Scoliosis Surgery in Adolescent Idiopathic Patients? A Longitudinal Long-term Postoperative 7-year Study Using Spinal Appearance Questionnaire

“…10 Degree of curve correction after surgery and preoperative highest Cobb angle were significant predictors of "Function," "Self-image," and "Satisfaction with management." 11 Self-image was persistently and significantly lower than other domain scores in surgical AIS patients after 30 years of follow-up. 12 The HRQOL of a specific group of AIS patients who came across both bracing and surgery were also discussed.…”