Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, CA 94143, USA.
Spine (Phila Pa 1976). 2012 May 20;37(12):1072-6. doi: 10.1097/BRS.0b013e31823ed962.
Retrospective comparative study.
To report preoperative differences in the Scoliosis Research Society Outcomes Instrument (SRS-30) between multiple US ethnicities and native Japanese and Korean children with adolescent idiopathic scoliosis (AIS).
The SRS-24 was developed in a US cohort with AIS. Comparative studies using the SRS-24 between US and Japanese patients showed differences, suggesting that culture might affect functional outcome.
Preoperative SRS-30 outcomes were collected from 1853 children with AIS from 6 different ethnic groups: US white (1234), black (213), Hispanic (78), and Asian (29), as well as native Japanese (192) and Koreans (107). Analysis of covariance of 4 SRS-30 domains (pain, appearance, activity, and mental) was compared between groups adjusting for differences in age, sex, major curve magnitude, and body mass index. Pairwise comparisons of the 4 SRS-30 domains were adjusted for multiple comparisons, using Bonferroni correction. A P value of less than 0.05 was considered significant.
Significant differences between ethnicities were found in all domains (P < 0.001). Whites reported more pain than Japanese or Koreans (Japanese = 4.52, Korean = 4.47, white = 4.04). Korean and Japanese patients had the lowest appearance scores (Japanese = 2.89, Korean = 2.73, US Asian = 3.55, Hispanic = 3.11, black = 3.47, white = 3.29). Koreans also had the lowest activity (Korean = 3.64, Japanese = 4.24, US Asian = 4.07, Hispanic = 4.02, black = 4.06, white = 4.16), mental (Korean = 3.70, Japanese = 4.23, US Asian = 4.05, Hispanic = 3.75, black = 4.03, white = 3.94), and total scores (Korean = 3.63, Japanese = 3.92, US Asian = 4.02, Hispanic = 3.75, black = 3.92, and white = 3.84).
Culture and ethnicity influence SRS-30 outcomes in AIS. Whites reported more pain than Japanese and Koreans. Japanese and Koreans had the lowest appearance scores. Koreans additionally were distinguished by the lowest activity, mental, and total scores. These cultural and ethnic differences must be taken into account when counseling patients with AIS and studying functional outcomes.
回顾性比较研究。
报告在患有青少年特发性脊柱侧凸（AIS）的多个美国族裔和本土日本及韩国儿童中，术前使用 Scoliosis Research Society 结果工具（SRS-30）的差异。
SRS-24 在美国 AIS 队列中开发。使用 SRS-24 对美国和日本患者进行的比较研究显示出差异，表明文化可能会影响功能结果。
从来自 6 个不同族裔的 1853 名 AIS 儿童中收集术前 SRS-30 结果：美国白人（1234 名）、黑人（213 名）、西班牙裔（78 名）和亚洲裔（29 名），以及本土日本（192 名）和韩国人（107 名）。对 4 个 SRS-30 领域（疼痛、外观、活动和心理）进行协方差分析，在调整年龄、性别、主曲线幅度和体重指数差异的情况下进行比较。使用 Bonferroni 校正对 4 个 SRS-30 领域进行两两比较的多重比较调整。P 值小于 0.05 被认为具有统计学意义。
在所有领域均发现族裔之间存在显著差异（P<0.001）。白人报告的疼痛比日本人和韩国人更严重（日本人=4.52，韩国人=4.47，白人=4.04）。韩国人和日本人的外观评分最低（日本人=2.89，韩国人=2.73，美国亚洲裔=3.55，西班牙裔=3.11，黑人=3.47，白人=3.29）。韩国人活动评分也最低（韩国人=3.64，日本人=4.24，美国亚洲裔=4.07，西班牙裔=4.02，黑人=4.06，白人=4.16）、心理评分（韩国人=3.70，日本人=4.23，美国亚洲裔=4.05，西班牙裔=3.75，黑人=4.03，白人=3.94）和总分（韩国人=3.63，日本人=3.92，美国亚洲裔=4.02，西班牙裔=3.75，黑人=3.92，白人=3.84）。
文化和族裔影响 AIS 的 SRS-30 结果。白人报告的疼痛比日本人和韩国人更严重。日本人和韩国人的外观评分最低。韩国人还表现出活动、心理和总分最低。在 AIS 患者咨询和研究功能结果时，必须考虑这些文化和族裔差异。
