Patient-reported outcomes following surgery for adolescent idiopathic scoliosis performed in adolescence versus adulthood.

IF 1.1 4区 医学 Q3 SURGERY Annals of the Royal College of Surgeons of England Pub Date : 2024-09-03 DOI:10.1308/rcsann.2024.0067
A Lloyd, I Harding, A Cole, A Gardner
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Abstract

Introduction: The Scoliosis Research Society 22r (SRS-22r) questionnaire is a proven tool in assessing healthcare-related quality of life (HRQoL) in idiopathic scoliosis and is the adopted patient-reported outcome measure for the deformity pathway recorded into the British Spinal Registry (BSR). Surgery for adolescent idiopathic scoliosis (AIS) is performed frequently in teenagers; however, patients also present with curves in the surgical range into adulthood. This work aimed to assess HRQoL differences between patients following surgery for AIS performed in adolescence and adulthood using SRS-22r data collected from the BSR.

Methods: An anonymised BSR search of pre- and postoperative SRS-22r scores for patients with diagnoses of AIS and adult idiopathic scoliosis was conducted. Data from all subdomains were compared preoperatively and at the two-year postoperative timepoint.

Results: Preoperative SRS-22r scores were analysed for 1,912 patients with AIS and 65 with adult idiopathic scoliosis. Patients with adult idiopathic scoliosis had significantly lower preoperative SRS-22r scores in all subdomains (p<0.05). By two years postoperatively, both groups of patients had improved SRS-22r scores significantly compared with baseline in all subdomains (p<0.001). A cross-group analysis revealed patients with AIS had significantly better function scores years postoperatively than their adult counterparts (p=0.005).

Conclusions: This work confirms there are benefits following surgery for AIS in improving HRQoL, but has also provided HRQoL data in adult patients, who again show similar improvements following surgery from baseline. This is of value when counselling patients regarding anticipated benefits of surgery performed in childhood and adulthood.

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青少年特发性脊柱侧凸手术在青少年时期与成年期进行比较后的患者报告结果。
简介:脊柱侧弯研究学会22r(SRS-22r)问卷是评估特发性脊柱侧弯症患者医疗相关生活质量(HRQoL)的行之有效的工具,也是英国脊柱登记处(BSR)记录的畸形路径中采用的患者报告结果测量方法。青少年特发性脊柱侧凸(AIS)手术经常在青少年中进行,但也有患者在成年后出现手术范围内的脊柱弯曲。这项研究旨在利用 BSR 收集的 SRS-22r 数据,评估青少年和成年期接受 AIS 手术的患者在 HRQoL 方面的差异:方法:对诊断为AIS和成人特发性脊柱侧凸的患者术前和术后的SRS-22r评分进行匿名BSR检索。对所有子域的数据进行术前和术后两年时间点的比较:对1912名AIS患者和65名成人特发性脊柱侧凸患者的术前SRS-22r评分进行了分析。成人特发性脊柱侧凸患者术前在所有子域的SRS-22r评分都明显较低(ppp=0.005):这项研究证实了特发性脊柱侧弯症手术后在改善患者生活质量方面的益处,同时也提供了成年患者的生活质量数据。这对于指导患者了解儿童期和成年期手术的预期益处很有价值。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
316
期刊介绍: The Annals of The Royal College of Surgeons of England is the official scholarly research journal of the Royal College of Surgeons and is published eight times a year in January, February, March, April, May, July, September and November. The main aim of the journal is to publish high-quality, peer-reviewed papers that relate to all branches of surgery. The Annals also includes letters and comments, a regular technical section, controversial topics, CORESS feedback and book reviews. The editorial board is composed of experts from all the surgical specialties.
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