A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic Scoliosis using the Scoliosis Research Society (SRS) outcome instrument
A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic scoliosis using the Scoliosis Research Society Questionnaire (SRS 24). To evaluate the patient based outcome of the surgical treatment of adolescent idiopathic scoliosis. A paucity of information exists with respe...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2002-09, Vol.27 (18), p.2046-2051 |
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| creator | MEROLA, Andrew A HAHER, Thomas R CLEMENTS, David H BETZ, Randal R BRKARIC, Mario PANAGOPOULOS, Georgia MATHUR, Samir KOHANI, Omid LOWE, Thomas G LENKE, Larry G WENGER, Dennis R NEWTON, Peter O |
| description | A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic scoliosis using the Scoliosis Research Society Questionnaire (SRS 24).
To evaluate the patient based outcome of the surgical treatment of adolescent idiopathic scoliosis.
A paucity of information exists with respect to patient measures of outcome regarding the surgical treatment of adolescent idiopathic scoliosis. To our knowledge, no prospective outcome study on this topic thus far exists.
Using the SRS 24 questionnaire, seven scoliosis centers agreed to prospectively assess outcome for surgically treated patients with adolescent idiopathic scoliosis. Data were collected before surgery and at 24 months after surgery. Data were analyzed using paired and independent samples t test for all seven SRS 24 questionnaire domains (Pain, General Self-Image, Postoperative Self-Image, Postoperative Function, Function From Back Condition, General Level of Activity, and Satisfaction) using Statistical Package for Social Science. The domains were analyzed with respect to the total cohort, gender, curve magnitude, and type of surgery using independent-samples t tests.
A total of 242 patients were included in our analysis. A baseline preoperative pain level of 3.68 of 5 was found. This improved to 4.63 after surgery, representing an improvement of 0.95 points. Surgical intervention was associated with improving outcome when compared with preoperative status. Pain, General Self-Image, Function From Back Condition, and Level of Activity all demonstrated statistically significant improvement as compared with preoperative status (P < 0. 001). Overall, patients were highly satisfied with the results of surgery.
Preoperative pain exists in our adolescent scoliosis population. Pain scores were improved in our study population at the 2-year postsurgical follow-up. Statistically significant improvements were likewise seen in the General Self-Image, Function From Back Condition, and Level of Activity domains. The present study demonstrates the ability of surgery to improve the outcome of patients afflicted with adolescent idiopathic scoliosis. |
| doi_str_mv | 10.1097/00007632-200209150-00015 |
| format | Article |
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To evaluate the patient based outcome of the surgical treatment of adolescent idiopathic scoliosis.
A paucity of information exists with respect to patient measures of outcome regarding the surgical treatment of adolescent idiopathic scoliosis. To our knowledge, no prospective outcome study on this topic thus far exists.
Using the SRS 24 questionnaire, seven scoliosis centers agreed to prospectively assess outcome for surgically treated patients with adolescent idiopathic scoliosis. Data were collected before surgery and at 24 months after surgery. Data were analyzed using paired and independent samples t test for all seven SRS 24 questionnaire domains (Pain, General Self-Image, Postoperative Self-Image, Postoperative Function, Function From Back Condition, General Level of Activity, and Satisfaction) using Statistical Package for Social Science. The domains were analyzed with respect to the total cohort, gender, curve magnitude, and type of surgery using independent-samples t tests.
A total of 242 patients were included in our analysis. A baseline preoperative pain level of 3.68 of 5 was found. This improved to 4.63 after surgery, representing an improvement of 0.95 points. Surgical intervention was associated with improving outcome when compared with preoperative status. Pain, General Self-Image, Function From Back Condition, and Level of Activity all demonstrated statistically significant improvement as compared with preoperative status (P < 0. 001). Overall, patients were highly satisfied with the results of surgery.
Preoperative pain exists in our adolescent scoliosis population. Pain scores were improved in our study population at the 2-year postsurgical follow-up. Statistically significant improvements were likewise seen in the General Self-Image, Function From Back Condition, and Level of Activity domains. The present study demonstrates the ability of surgery to improve the outcome of patients afflicted with adolescent idiopathic scoliosis.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/00007632-200209150-00015</identifier><identifier>PMID: 12634567</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott</publisher><subject>Adolescent ; Biological and medical sciences ; Cohort Studies ; Diseases of the osteoarticular system ; Diseases of the spine ; Female ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Outcome Assessment (Health Care) ; Pain - diagnosis ; Pain - etiology ; Pain Measurement ; Patient Satisfaction - statistics & numerical data ; Prospective Studies ; Scoliosis - complications ; Scoliosis - surgery ; Sex Distribution ; Surveys and Questionnaires - standards ; Treatment Outcome ; United States</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2002-09, Vol.27 (18), p.2046-2051</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-ee63df46d5120fa033907062cf0b23255ffbbff7b4473af4ed4663dc40051ef13</citedby><cites>FETCH-LOGICAL-c420t-ee63df46d5120fa033907062cf0b23255ffbbff7b4473af4ed4663dc40051ef13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13925751$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12634567$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MEROLA, Andrew A</creatorcontrib><creatorcontrib>HAHER, Thomas R</creatorcontrib><creatorcontrib>CLEMENTS, David H</creatorcontrib><creatorcontrib>BETZ, Randal R</creatorcontrib><creatorcontrib>BRKARIC, Mario</creatorcontrib><creatorcontrib>PANAGOPOULOS, Georgia</creatorcontrib><creatorcontrib>MATHUR, Samir</creatorcontrib><creatorcontrib>KOHANI, Omid</creatorcontrib><creatorcontrib>LOWE, Thomas G</creatorcontrib><creatorcontrib>LENKE, Larry G</creatorcontrib><creatorcontrib>WENGER, Dennis R</creatorcontrib><creatorcontrib>NEWTON, Peter O</creatorcontrib><title>A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic Scoliosis using the Scoliosis Research Society (SRS) outcome instrument</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic scoliosis using the Scoliosis Research Society Questionnaire (SRS 24).
To evaluate the patient based outcome of the surgical treatment of adolescent idiopathic scoliosis.
A paucity of information exists with respect to patient measures of outcome regarding the surgical treatment of adolescent idiopathic scoliosis. To our knowledge, no prospective outcome study on this topic thus far exists.
Using the SRS 24 questionnaire, seven scoliosis centers agreed to prospectively assess outcome for surgically treated patients with adolescent idiopathic scoliosis. Data were collected before surgery and at 24 months after surgery. Data were analyzed using paired and independent samples t test for all seven SRS 24 questionnaire domains (Pain, General Self-Image, Postoperative Self-Image, Postoperative Function, Function From Back Condition, General Level of Activity, and Satisfaction) using Statistical Package for Social Science. The domains were analyzed with respect to the total cohort, gender, curve magnitude, and type of surgery using independent-samples t tests.
A total of 242 patients were included in our analysis. A baseline preoperative pain level of 3.68 of 5 was found. This improved to 4.63 after surgery, representing an improvement of 0.95 points. Surgical intervention was associated with improving outcome when compared with preoperative status. Pain, General Self-Image, Function From Back Condition, and Level of Activity all demonstrated statistically significant improvement as compared with preoperative status (P < 0. 001). Overall, patients were highly satisfied with the results of surgery.
Preoperative pain exists in our adolescent scoliosis population. Pain scores were improved in our study population at the 2-year postsurgical follow-up. Statistically significant improvements were likewise seen in the General Self-Image, Function From Back Condition, and Level of Activity domains. The present study demonstrates the ability of surgery to improve the outcome of patients afflicted with adolescent idiopathic scoliosis.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the spine</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Outcome Assessment (Health Care)</subject><subject>Pain - diagnosis</subject><subject>Pain - etiology</subject><subject>Pain Measurement</subject><subject>Patient Satisfaction - statistics & numerical data</subject><subject>Prospective Studies</subject><subject>Scoliosis - complications</subject><subject>Scoliosis - surgery</subject><subject>Sex Distribution</subject><subject>Surveys and Questionnaires - standards</subject><subject>Treatment Outcome</subject><subject>United States</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkc9uEzEQhy0EomnhFZAvIDgs-P9mj1VVKFIlpAbOK6933BjtroPHPuRleFacNiG-WB5_34zsHyGUs8-cde0XVldrpGgEY4J1XLOmVrh-QVZci3XDue5ekhWTpiJKmgtyifi7Ikby7jW54MJIpU27In-v6VymHBwsGRLFXMY9jZ7mLdBYsosz4OmMJT0GZyeaE9g8V-NwY8c4AR58GsYQdzZvg6MbF6cQMSAtGJbHJ_9cewAEm9yWbqILkPf04-Zh8-k0kIYFcyqHAW_IK28nhLfH_Yr8-nr78-auuf_x7fvN9X3jlGC5ATBy9MqMmgvmLZOyYy0zwnk2CCm09n4YvG8HpVppvYJRmWo4xZjm4Lm8Ih-e--5S_FMAcz-H-qZpsgvEgn0r1kaZVlRw_Qy6FBET-H6XwmzTvuesP2TTn7Lp_2fTP2VT1XfHGWWYYTyLxzAq8P4IWKzf7JNdXMAzJzuhW83lP8Mimhw</recordid><startdate>20020915</startdate><enddate>20020915</enddate><creator>MEROLA, Andrew A</creator><creator>HAHER, Thomas R</creator><creator>CLEMENTS, David H</creator><creator>BETZ, Randal R</creator><creator>BRKARIC, Mario</creator><creator>PANAGOPOULOS, Georgia</creator><creator>MATHUR, Samir</creator><creator>KOHANI, Omid</creator><creator>LOWE, Thomas G</creator><creator>LENKE, Larry G</creator><creator>WENGER, Dennis R</creator><creator>NEWTON, Peter O</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020915</creationdate><title>A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic Scoliosis using the Scoliosis Research Society (SRS) outcome instrument</title><author>MEROLA, Andrew A ; HAHER, Thomas R ; CLEMENTS, David H ; BETZ, Randal R ; BRKARIC, Mario ; PANAGOPOULOS, Georgia ; MATHUR, Samir ; KOHANI, Omid ; LOWE, Thomas G ; LENKE, Larry G ; WENGER, Dennis R ; NEWTON, Peter O</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-ee63df46d5120fa033907062cf0b23255ffbbff7b4473af4ed4663dc40051ef13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Diseases of the spine</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Outcome Assessment (Health Care)</topic><topic>Pain - diagnosis</topic><topic>Pain - etiology</topic><topic>Pain Measurement</topic><topic>Patient Satisfaction - statistics & numerical data</topic><topic>Prospective Studies</topic><topic>Scoliosis - complications</topic><topic>Scoliosis - surgery</topic><topic>Sex Distribution</topic><topic>Surveys and Questionnaires - standards</topic><topic>Treatment Outcome</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MEROLA, Andrew A</creatorcontrib><creatorcontrib>HAHER, Thomas R</creatorcontrib><creatorcontrib>CLEMENTS, David H</creatorcontrib><creatorcontrib>BETZ, Randal R</creatorcontrib><creatorcontrib>BRKARIC, Mario</creatorcontrib><creatorcontrib>PANAGOPOULOS, Georgia</creatorcontrib><creatorcontrib>MATHUR, Samir</creatorcontrib><creatorcontrib>KOHANI, Omid</creatorcontrib><creatorcontrib>LOWE, Thomas G</creatorcontrib><creatorcontrib>LENKE, Larry G</creatorcontrib><creatorcontrib>WENGER, Dennis R</creatorcontrib><creatorcontrib>NEWTON, Peter O</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MEROLA, Andrew A</au><au>HAHER, Thomas R</au><au>CLEMENTS, David H</au><au>BETZ, Randal R</au><au>BRKARIC, Mario</au><au>PANAGOPOULOS, Georgia</au><au>MATHUR, Samir</au><au>KOHANI, Omid</au><au>LOWE, Thomas G</au><au>LENKE, Larry G</au><au>WENGER, Dennis R</au><au>NEWTON, Peter O</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic Scoliosis using the Scoliosis Research Society (SRS) outcome instrument</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2002-09-15</date><risdate>2002</risdate><volume>27</volume><issue>18</issue><spage>2046</spage><epage>2051</epage><pages>2046-2051</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic scoliosis using the Scoliosis Research Society Questionnaire (SRS 24).
To evaluate the patient based outcome of the surgical treatment of adolescent idiopathic scoliosis.
A paucity of information exists with respect to patient measures of outcome regarding the surgical treatment of adolescent idiopathic scoliosis. To our knowledge, no prospective outcome study on this topic thus far exists.
Using the SRS 24 questionnaire, seven scoliosis centers agreed to prospectively assess outcome for surgically treated patients with adolescent idiopathic scoliosis. Data were collected before surgery and at 24 months after surgery. Data were analyzed using paired and independent samples t test for all seven SRS 24 questionnaire domains (Pain, General Self-Image, Postoperative Self-Image, Postoperative Function, Function From Back Condition, General Level of Activity, and Satisfaction) using Statistical Package for Social Science. The domains were analyzed with respect to the total cohort, gender, curve magnitude, and type of surgery using independent-samples t tests.
A total of 242 patients were included in our analysis. A baseline preoperative pain level of 3.68 of 5 was found. This improved to 4.63 after surgery, representing an improvement of 0.95 points. Surgical intervention was associated with improving outcome when compared with preoperative status. Pain, General Self-Image, Function From Back Condition, and Level of Activity all demonstrated statistically significant improvement as compared with preoperative status (P < 0. 001). Overall, patients were highly satisfied with the results of surgery.
Preoperative pain exists in our adolescent scoliosis population. Pain scores were improved in our study population at the 2-year postsurgical follow-up. Statistically significant improvements were likewise seen in the General Self-Image, Function From Back Condition, and Level of Activity domains. The present study demonstrates the ability of surgery to improve the outcome of patients afflicted with adolescent idiopathic scoliosis.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>12634567</pmid><doi>10.1097/00007632-200209150-00015</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Spine (Philadelphia, Pa. 1976), 2002-09, Vol.27 (18), p.2046-2051 |
| issn | 0362-2436 1528-1159 |
| language | eng |
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| subjects | Adolescent Biological and medical sciences Cohort Studies Diseases of the osteoarticular system Diseases of the spine Female Follow-Up Studies Humans Male Medical sciences Outcome Assessment (Health Care) Pain - diagnosis Pain - etiology Pain Measurement Patient Satisfaction - statistics & numerical data Prospective Studies Scoliosis - complications Scoliosis - surgery Sex Distribution Surveys and Questionnaires - standards Treatment Outcome United States |
| title | A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic Scoliosis using the Scoliosis Research Society (SRS) outcome instrument |
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