Verma Kushagra, Nathan Senthil T, Comer Carly D, Lonner Baron, Shah Suken A
Department of Orthopaedic Surgery, University of Washington, Seattle, Washington.
Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania.
Spine (Phila Pa 1976). 2017 Jul 1;42(13):1011-1016. doi: 10.1097/BRS.0000000000001966.
A prospective analysis.
This study aims to 1) establish a baseline for the SRS-22 in South East Asia and 2) evaluate the influence of patient demographics on the SRS-22.
Previous studies have established a baseline for the SRS-22 in the US and described the impact of patient demographics. While the SRS-22 is used internationally, limited normative data are available.
After approval from the local hospital and school board, 1200 adolescents (age 10-18 years) were asked to anonymously complete the SRS-22 in English. The following demographic factors were assessed: height, weight, age, gender, household income (range <$30K to >$200K), and household status (single/dual parent income). Participants with a prior spine history or active medical problems were excluded. Statistical analysis was done with a Pearson correlation followed by an analysis of variance (ANOVA).
One thousand nineteen unaffected adolescents completed the SRS-22 (mean age 14.4 ± 1.6 years). Demographics were as follows: gender (42%F, 58%M), household status (640 single/379 dual), height (157 ± 12 cm), weight (46 ± 11.2 kg), body mass index (BMI; 18.5 ± 3.6). SRS-22 score for all patients and by gender: Mean [4.0 ± 0.4, (F)4.0 ± 0.4, (M)3.9 ± 0.4, P < 0.0001], Activity [3.9 ± 0.4, (F)4.0 ± 0.5, (M)3.9 ± 0.6], Pain [4.3 ± 0.6; (F)4.4 ± 0.6, (M)4.2 ± 0.7, P < 0.001], Image [3.9 ± 0.6, (F)3.9 ± 0.6, (M)3.9 ± 0.6], and Mental [3.7 ± 0.6, (F)3.8 ± 0.6, (M)3.7 ± 0.6, P < 0.001]. Male gender was associated with worse pain (-0.15), mental health (-0.11), and overall SRS-22 score (-0.11). Age was correlated with a worse image (r = -0.17, P = < 0.000), while higher BMI was associated with less pain (0.07/0.02).
Younger age, female gender, and higher BMI correlated with a better SRS-22 score. Income and household status did not affect SRS-22. These findings contrast data gathered in the US but should be considered in conjunction with the minimal clinically important difference (MCID). This study establishes the first normative baseline for the SRS-22 in SE Asia and analyzed the effect of demographics on the outcome score.
前瞻性分析。
本研究旨在1）建立东南亚地区SRS - 22的基线数据，以及2）评估患者人口统计学因素对SRS - 22的影响。
以往研究已在美国建立了SRS - 22的基线数据，并描述了患者人口统计学因素的影响。虽然SRS - 22在国际上被广泛使用，但可用的规范数据有限。
经当地医院和学校董事会批准，邀请1200名青少年（年龄10 - 18岁）用英文匿名完成SRS - 22问卷。评估了以下人口统计学因素：身高、体重、年龄、性别、家庭收入（范围<$30K至>$200K）和家庭状况（单亲/双亲收入）。排除有脊柱病史或当前存在医疗问题的参与者。采用Pearson相关性分析，随后进行方差分析（ANOVA）。
1019名未受影响的青少年完成了SRS - 22问卷（平均年龄14.4±1.6岁）。人口统计学特征如下：性别（女性42%，男性58%）、家庭状况（单亲640人/双亲379人）、身高（157±12厘米）、体重（46±11.2千克）、体重指数（BMI；18.5±3.6）。所有患者及按性别划分的SRS - 22得分：平均值[4.0±0.4，（女性）4.0±0.4，（男性）3.9±0.4，P<0.0001]，活动[3.9±0.4，（女性）4.0±0.5，（男性）3.9±0.6]，疼痛[4.3±0.6；（女性）4.4±0.6，（男性）4.2±0.7，P<0.001]影像[3.9±0.6，（女性）3.9±0.6，（男性）3.9±0.6]，以及心理[3.7±0.6，（女性）3.8±0.6，（男性）3.7±0.6，P<0.001]。男性与更严重的疼痛（-0.15）、心理健康问题（-0.11）以及总体SRS - 22得分（-0.11）相关。年龄与较差的影像相关（r = -0.17，P = <0.000），而较高的BMI与较轻的疼痛相关（0.07/0.02）。
年龄较小、女性以及较高的BMI与较好的SRS - 22得分相关。收入和家庭状况不影响SRS - 22得分。这些发现与在美国收集的数据不同，但应结合最小临床重要差异（MCID）来考虑。本研究建立了东南亚地区首个SRS - 22的规范基线，并分析了人口统计学因素对结果得分的影响。
2级。
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