Comparison of EOSQ-24 and SRS-22 Scores in Congenital Scoliosis: A Preliminary Study
Comparison of EOSQ-24 and SRS-22 Scores in Congenital Scoliosis: A Preliminary Study
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DOI：
10.1097/bpo.0000000000001412
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发表时间：
2020-03-01
影响因子：
1.7
通讯作者：
Farley, Frances A.
中科院分区：
文献类型：
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作者：
Li, Ying;Burke, Michelle C.;Farley, Frances A.
背景资料：24项早发性脊柱侧凸问卷（EOSQ-24）和22项脊柱侧凸研究协会（SRS-22）问卷测量了脊柱侧凸患者的健康相关生活质量。EOSQ-24最近已在早发性脊柱侧凸（EOS）（包括先天性脊柱侧凸（CS））中得到验证。SRS-22已在特发性脊柱侧凸中得到确认。EOSQ-24由护理人员填写，SRS-22由患者填写。本研究的主要目的是比较CS患者的EOSQ-24和SRS-22。次要目的是比较不同年龄和发育迟缓患者的评分。我们假设SRS-22适用于未诊断为发育迟缓的CS EOS儿童。方法：前瞻性对比研究。查询了前瞻性机构CS数据库，以确定在同一时间点完成EOSQ-24和SRS-22的患者。没有被诊断为发育迟缓的儿童，如果他们理解了问题，无论年龄大小，都完成了两份问卷。否则，护理者完成两份问卷。在分析中，匹配了相似的问题，以便EOSQ-24问题符合SRS-22功能、疼痛、心理健康和满意度领域。Pearson相关系数（r）用于比较领域得分，r >= 0.70表示强相关性。结果：最终研究组包括98例患者。完成问卷调查的平均年龄为9.5岁。当患者或护理人员完成两份问卷时，除满意度外，所有领域都存在很强的相关性。亚组分析表明，在0至5岁的年龄组的领域之间的关系最强。在发育迟缓患者中，除疼痛外的所有领域评分均显示出弱相关性，疼痛显示出强相关性。在所有亚组中，疼痛领域存在强相关性，满意度领域存在弱相关性。结论：SRS-22可能适用于没有诊断为发育迟缓的CS EOS儿童。我们的研究结果表明，收集SRS-22的先前研究和收集EOSQ-24的未来研究的结果可以相关。目前尚不清楚哪种问卷更适合发育迟缓患者。
Background: The 24-item Early-Onset Scoliosis Questionnaire (EOSQ-24) and 22-item Scoliosis Research Society (SRS-22) questionnaire measure health-related quality of life in patients with scoliosis. The EOSQ-24 has been recently validated in early-onset scoliosis (EOS), including congenital scoliosis (CS). The SRS-22 has been validated in idiopathic scoliosis. The EOSQ-24 is completed by the caregiver and the SRS-22 is completed by the patient. The primary purpose of this study was to compare the EOSQ-24 and SRS-22 in patients with CS. The secondary purpose was to compare scores by age and also in developmentally delayed patients. We hypothesized that the SRS-22 is appropriate for children with EOS from CS who do not have a diagnosis of developmental delay. Methods: This was a prospective comparative study. A prospective institutional CS database was queried to identify patients who had the EOSQ-24 and SRS-22 completed at the same time point. Children without a diagnosis of developmental delay completed both questionnaires if they understood the questions, regardless of age. Otherwise, the caregiver completed both questionnaires. For the analysis, similar questions were matched so that the EOSQ-24 questions fit into the SRS-22 domains of Function, Pain, Mental Health, and Satisfaction. Pearson correlation coefficients (r) were used to compare domain scores, with r >= 0.70 indicating a strong relationship. Results: The final study group included 98 patients. The average age at completion of the questionnaires was 9.5 years. A strong correlation was found for all domains except Satisfaction when the patient or caregiver completed both questionnaires. Subanalysis demonstrated the strongest relationship between domains in the age group 0 to 5 years. In developmentally delayed patients, a weak correlation was noted for all domain scores except Pain, which showed a strong correlation. There was a strong correlation for Pain and a weak correlation for Satisfaction domains across all subgroups. Conclusions: The SRS-22 may be appropriate for children with EOS from CS who do not have a diagnosis of developmental delay. Our findings suggest that the results of previous studies that collected the SRS-22 and future studies that collect the EOSQ-24 can be correlated. It remains unclear which questionnaire is more suitable for developmentally delayed patients.