使用EOSQ-24和CHQ-PF50问卷对巴西早发性脊柱侧弯儿童的健康相关预测因素

Health-Related Predictive Factors of Brazilian Children With Early Onset Scoliosis Using the EOSQ-24 and CHQ-PF50 Questionnaires.

作者信息

De Mendonça Rodrigo Góes Medéa, Costa Martins Wesley Wilian, Moraes Barros Fucs Patricia Maria de, Gotfryd Alberto Ofenhejm, Silber Caffaro Maria Fernanda, Letaif Olavo Biraghi, Marcon Raphael, Cristante Alexandre Fogaça, Kiyomoto Henry Dan, Cardoso da Silva Tânia Fernanda, Matsumoto Hiroko, Vitale Michael G, Meves Robert

机构信息

Department of Orthopedics and Traumatology, Santa Casa de São Paulo, São Paulo, Brazil

Department of Orthopedics and Traumatology, Santa Casa de São Paulo, São Paulo, Brazil.

出版信息

Int J Spine Surg. 2023 Oct;17(5):638-644. doi: 10.14444/8529. Epub 2023 Sep 8.

DOI:10.14444/8529

PMID:37684053

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10623678/

Abstract

BACKGROUND

Assessing the quality of life (QOL) of children with early onset scoliosis (EOS) has been discussed recently. Therefore, the study aimed to apply and correlate the 24-item Early Onset Scoliosis Questionnaire (EOSQ-24) with the 50-item Childhood Health Questionnaire (CHQ-PF50) to find predictive factors impacting QOL.

METHODS

Cross-sectional study involving a population of caregivers of patients with EOS. The sample consisted of 72 patients. Two research assistants applied the Portuguese version of the EOSQ-24 and CHQ-PF50 in 3 treatment centers. The EOSQ-24 assesses the subjective response of children with EOS from the parent's point of view. The CHQ is a self-administered questionnaire or parental proxy assessment of the psychological and social status of children aged 5 to 18 years.

RESULTS

Of 72 patients, 41 (56.9%) were females, mean age of 11.9 ± 4.2 years. The most common scoliosis was of neuromuscular origin (32%). The CHQ-PF50 showed that family-related items had significant scores. The most affected subcategory was physical function (45.5), and the least affected was mental health (90.8). Thus, the CHQ-PF50 PhS summary index was 27, and the CHQ-PF50 PsS was 71.7. Moreover, the critical categories for the EOSQ-24 questionnaire were daily life and physical function (45.1 and 47.8, respectively), and the least affected categories were transfer and pulmonary function (70.8 and 68.9, respectively). Four subcategories showed a strong correlation between both questionnaires: general health ( = 0.749, < 0.001), physical function ( = 0.645, < 0.001), bodily pain ( = 0.714, < 0.001), and mental health ( = 0.424, < 0.001). Using CHQ-PF50 as a dependent variable in multiple regression analysis ( = 0.028), the only variable affecting the scores was syndromic scoliosis ( = 0.019; 95% CI -27.4 to -2.5).

CONCLUSION

A strong correlation between both questionnaires was seen for general health, physical function, bodily pain, and mental health. Syndromic scoliosis was a predictor of worse QOL according to the CHQ-PF50.

摘要

背景

近期已对评估早发性脊柱侧弯（EOS）患儿的生活质量（QOL）展开了讨论。因此，本研究旨在应用24项早发性脊柱侧弯问卷（EOSQ - 24）并将其与50项儿童健康问卷（CHQ - PF50）进行关联，以找出影响生活质量的预测因素。

方法

一项横断面研究，涉及早发性脊柱侧弯患者的照护者群体。样本包括72名患者。两名研究助手在3个治疗中心应用了葡萄牙语版的EOSQ - 24和CHQ - PF50。EOSQ - 24从家长的角度评估早发性脊柱侧弯患儿的主观反应。CHQ是一份针对5至18岁儿童心理和社会状况的自填式问卷或家长代理评估问卷。

结果

72名患者中，41名（56.9%）为女性，平均年龄11.9±4.2岁。最常见的脊柱侧弯为神经肌肉源性（32%）。CHQ - PF50显示与家庭相关的项目得分显著。受影响最严重的亚类别是身体功能（45.5），受影响最小的是心理健康（90.8）。因此，CHQ - PF50的身体总结指数为27，CHQ - PF50的心理总结指数为71.7。此外，EOSQ - 24问卷中关键的类别是日常生活和身体功能（分别为45.1和47.8），受影响最小的类别是转移和肺功能（分别为70.8和68.9）。两份问卷的四个亚类别之间显示出强相关性：总体健康（=0.749，<0.001）、身体功能（=0.645，<0.001）、身体疼痛（=0.714，<0.001）和心理健康（=0.424，<0.001）。在多元回归分析（=0.028）中以CHQ - PF50作为因变量，唯一影响得分的变量是综合征性脊柱侧弯（=0.019；95%CI - 27.4至 - 2.5）。