PMID- 27779601
OWN - NLM
STAT- MEDLINE
DCOM- 20180403
LR  - 20210114
IS  - 1528-1159 (Electronic)
IS  - 0362-2436 (Linking)
VI  - 42
IP  - 13
DP  - 2017 Jul 1
TI  - A Normative Baseline for the Srs-22 From Over 1000 Healthy Adolescents in India: 
      Which Demographic Factors Affect Outcome?
PG  - 1011-1016
LID - 10.1097/BRS.0000000000001966 [doi]
AB  - STUDY DESIGN: A prospective analysis. OBJECTIVE: 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. SUMMARY OF BACKGROUND DATA: 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. METHODS: 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). RESULTS: 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). CONCLUSION: 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. LEVEL OF 
      EVIDENCE: 2.
FAU - Verma, Kushagra
AU  - Verma K
AD  - Department of Orthopaedic Surgery, University of Washington, Seattle, Washington.
AD  - Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, 
      Pennsylvania.
FAU - Nathan, Senthil T
AU  - Nathan ST
AD  - Department of Orthopaedic Surgery, Nemours/A.I. DuPont Hospital for Children, 
      Wilmington, Delaware.
FAU - Comer, Carly D
AU  - Comer CD
AD  - Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, 
      Pennsylvania.
FAU - Lonner, Baron
AU  - Lonner B
AD  - Department of Orthopaedic Surgery, Mount Sinai Beth Israel Hospital, New York, 
      New York.
FAU - Shah, Suken A
AU  - Shah SA
AD  - Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, 
      Pennsylvania.
AD  - Department of Orthopaedic Surgery, Nemours/A.I. DuPont Hospital for Children, 
      Wilmington, Delaware.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Spine (Phila Pa 1976)
JT  - Spine
JID - 7610646
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Cohort Studies
MH  - Cross-Cultural Comparison
MH  - Demography/*standards/trends
MH  - Female
MH  - Humans
MH  - India/epidemiology
MH  - Male
MH  - Prospective Studies
MH  - Scoliosis/*diagnosis/*epidemiology
MH  - Surveys and Questionnaires/*standards
MH  - Treatment Outcome
EDAT- 2016/10/26 06:00
MHDA- 2018/04/04 06:00
CRDT- 2016/10/26 06:00
PHST- 2016/10/26 06:00 [pubmed]
PHST- 2018/04/04 06:00 [medline]
PHST- 2016/10/26 06:00 [entrez]
AID - 00007632-201707010-00016 [pii]
AID - 10.1097/BRS.0000000000001966 [doi]
PST - ppublish
SO  - Spine (Phila Pa 1976). 2017 Jul 1;42(13):1011-1016. doi: 
      10.1097/BRS.0000000000001966.