PMID- 31495474
OWN - NLM
STAT- MEDLINE
DCOM- 20200427
LR  - 20200522
IS  - 2212-1358 (Electronic)
IS  - 2212-134X (Linking)
VI  - 7
IP  - 5
DP  - 2019 Sep
TI  - Body Image Disturbance Improvement After Operative Correction of Adolescent 
      Idiopathic Scoliosis.
PG  - 741-745
LID - S2212-134X(19)30002-4 [pii]
LID - 10.1016/j.jspd.2018.12.005 [doi]
AB  - HYPOTHESIS: Body Image Disturbance Questionnaire-Scoliosis version (BIDQ-S) is a 
      sensitive outcomes instrument to evaluate improvements in body image-related 
      psychosocial effects with surgical correction. DESIGN: Prospective observational 
      study. INTRODUCTION: The BIDQ-S was previously validated (convergent validity, 
      internal consistency) as a tool to assess body image-related distress and 
      psychosocial impairment in adolescent idiopathic scoliosis (AIS). This study was 
      conducted to evaluate responsiveness to change in the BIDQ-S associated with 
      surgical treatment of AIS two years postoperatively to complete the validation of 
      this questionnaire. METHODS: Seventy-five consecutive operative AIS patients were 
      enrolled and completed BIDQ-S and Scoliosis Research Society-22 (SRS-22) at 
      preoperative and two-year postoperative visits. Demographic and radiographic data 
      were collected. Preoperative and two-year postoperative BIDQ-S (1 = best, 5 = 
      worst) and SRS-22 scores (1 = worst, 5 = best) were compared using paired t test. 
      Correlations between BIDQ-S and SRS-22 scores were evaluated by linear 
      regression. RESULTS: Eighty-four percent of the subjects were females, with 
      average age at surgery of 14.4 +/- 1.6 years. The mean follow-up was 2.26 years 
      (range 2.0-4.5). The major Cobb was corrected from 50.0 degrees  +/- 7.2 degrees  to 14.2 degrees  +/- 5.8 degrees  
      (Delta = 71.3% +/- 12.1%; p < .0001). There was a significant improvement in BIDQ-S 
      scores after surgery (1.64 +/- 0.51 to 1.21 +/- 0.38, p < .0001). BIDQ-S improvements 
      were correlated with change in SRS self-image (p = .0055), activity (p = .0057), 
      mental (p = .0018), and overall mean (p = .0007) domains. Preoperative, two-year 
      postoperative, and Delta BIDQ-S score were not associated with major Cobb magnitude, 
      truncal rotation, or Lenke curve type. Patients who reached SRS-22r minimal 
      clinically important difference (MCID) in activity and self-image domains had 
      worse preoperative BIDQ scores than those who did not reach MCID (activity 1.91 
      vs. 1.54 [1 = best, 5 = worst], p = .0099; self-image 2.08 vs. 1.51, p < .0001). 
      Greater improvement in BIDQ-S was noted in patients who reached MCID in SRS-22 
      self-image than those who did not (Delta = 0.77 vs. 0.38, p = .0052). CONCLUSION: 
      BIDQ-S is responsive to surgical correction of AIS. The BIDQ-S is a valuable 
      clinical outcome tool to assess the psychosocial effects of scoliosis in 
      adolescents augmenting existing outcome instruments.
CI  - Copyright (c) 2019 Scoliosis Research Society. Published by Elsevier Inc. All 
      rights reserved.
FAU - Lonner, Baron S
AU  - Lonner BS
AD  - Mount Sinai Hospital, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA. 
      Electronic address: blonner@scoliosisassociates.com.
FAU - Brochin, Robert
AU  - Brochin R
AD  - Mount Sinai Hospital, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA.
FAU - Lewis, Roxanne
AU  - Lewis R
AD  - New York University, New York, NY 10003, USA.
FAU - Vig, Khushdeep S
AU  - Vig KS
AD  - Mount Sinai Hospital, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA.
FAU - Kassin, Gabrielle
AU  - Kassin G
AD  - Mount Sinai Hospital, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA.
FAU - Castillo, Andrea
AU  - Castillo A
AD  - Mount Sinai Hospital, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA.
FAU - Ren, Yuan
AU  - Ren Y
AD  - Mount Sinai Hospital, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - England
TA  - Spine Deform
JT  - Spine deformity
JID - 101603979
SB  - IM
MH  - Adolescent
MH  - Body Dissatisfaction/*psychology
MH  - Female
MH  - Humans
MH  - Male
MH  - Orthopedic Procedures
MH  - Prospective Studies
MH  - *Scoliosis/epidemiology/psychology/surgery
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Adolescent idiopathic scoliosis
OT  - BIDQ-S
OT  - Body image disturbance
OT  - Body image-related psychosocial effects
OT  - Operative correction
EDAT- 2019/09/10 06:00
MHDA- 2020/04/28 06:00
CRDT- 2019/09/10 06:00
PHST- 2017/11/07 00:00 [received]
PHST- 2018/11/06 00:00 [revised]
PHST- 2018/12/30 00:00 [accepted]
PHST- 2019/09/10 06:00 [entrez]
PHST- 2019/09/10 06:00 [pubmed]
PHST- 2020/04/28 06:00 [medline]
AID - S2212-134X(19)30002-4 [pii]
AID - 10.1016/j.jspd.2018.12.005 [doi]
PST - ppublish
SO  - Spine Deform. 2019 Sep;7(5):741-745. doi: 10.1016/j.jspd.2018.12.005.