Patient satisfaction after surgical correction of adolescent idiopathic scoliosis

Leah Yacat Carreon, James O. Sanders, Mohammad Diab, Peter F. Sturm, Daniel J. Sucato

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

Study Design.: Longitudinal cohort. Objective.: The purpose of this study is to evaluate the relationship between change in SRS-22 domain scores and satisfaction with management in patients who underwent surgical correction for adolescent idiopathic scoliosis (AIS). Summary of Background Data.: The Scoliosis Research Society-22 (SRS-22) is a widely used instrument to measure clinical outcomes in patients with scoliosis. The relationship between patient satisfaction and changes in domain scores in the SRS-22 has not been previously reported. Methods.: This is a longitudinal cohort of 745 patients with AIS who underwent surgical correction and had completed SRS-22 preoperative and 2 years postoperative. Patients who had a previous spine surgery were excluded. Wilcoxon tests were used to compare preop and 2-year postop scores. Spearman correlations were used to evaluate associations between change in SRS-22 domain scores from preoperative to 2 years postoperative and the 2-year SRS Satisfaction score. Results.: There were 622 females and 123 males with a mean age of 14.2 years and a mean Cobb angle of 54°. There was a statistically significant difference between paired preoperative and 2-year postoperative SRS domain scores. Spearman correlations between the change in SRS domain scores and the SRS Satisfaction score at 2 years postoperative were statistically significant but were low to moderate: Appearance = 0.284, Activity = 0.172, Pain = 0.260, Mental = 0.202, and Total = 0.398. Conclusion.: Although there is a statistically significant change in all the SRS domain scores from preoperative to 2 years postsurgical correction of AIS, there was low to moderate associations between the change in any of the domain scores and patient satisfaction with treatment. This may be attributable to the prominent ceiling effect in the Satisfaction domain, or the lack of responsiveness of the SRS-22 to measure clinically relevant changes in activity, pain and mental health 2 years after correction of scoliosis in the adolescent population.

Original languageEnglish (US)
Pages (from-to)965-968
Number of pages4
JournalSpine
Volume36
Issue number12
DOIs
StatePublished - May 20 2011

Fingerprint

Scoliosis
Patient Satisfaction
Research
Pain
Mental Health
Spine
Outcome Assessment (Health Care)

Keywords

  • adolescent idiopathic scoliosis
  • patient satisfaction
  • pediatric
  • spine deformity
  • spine fusion
  • SRS-22

ASJC Scopus subject areas

  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Patient satisfaction after surgical correction of adolescent idiopathic scoliosis. / Carreon, Leah Yacat; Sanders, James O.; Diab, Mohammad; Sturm, Peter F.; Sucato, Daniel J.

In: Spine, Vol. 36, No. 12, 20.05.2011, p. 965-968.

Research output: Contribution to journalArticle

Carreon, Leah Yacat ; Sanders, James O. ; Diab, Mohammad ; Sturm, Peter F. ; Sucato, Daniel J. / Patient satisfaction after surgical correction of adolescent idiopathic scoliosis. In: Spine. 2011 ; Vol. 36, No. 12. pp. 965-968.
@article{54cdb502461e4646a15f12b237ab84e6,
title = "Patient satisfaction after surgical correction of adolescent idiopathic scoliosis",
abstract = "Study Design.: Longitudinal cohort. Objective.: The purpose of this study is to evaluate the relationship between change in SRS-22 domain scores and satisfaction with management in patients who underwent surgical correction for adolescent idiopathic scoliosis (AIS). Summary of Background Data.: The Scoliosis Research Society-22 (SRS-22) is a widely used instrument to measure clinical outcomes in patients with scoliosis. The relationship between patient satisfaction and changes in domain scores in the SRS-22 has not been previously reported. Methods.: This is a longitudinal cohort of 745 patients with AIS who underwent surgical correction and had completed SRS-22 preoperative and 2 years postoperative. Patients who had a previous spine surgery were excluded. Wilcoxon tests were used to compare preop and 2-year postop scores. Spearman correlations were used to evaluate associations between change in SRS-22 domain scores from preoperative to 2 years postoperative and the 2-year SRS Satisfaction score. Results.: There were 622 females and 123 males with a mean age of 14.2 years and a mean Cobb angle of 54°. There was a statistically significant difference between paired preoperative and 2-year postoperative SRS domain scores. Spearman correlations between the change in SRS domain scores and the SRS Satisfaction score at 2 years postoperative were statistically significant but were low to moderate: Appearance = 0.284, Activity = 0.172, Pain = 0.260, Mental = 0.202, and Total = 0.398. Conclusion.: Although there is a statistically significant change in all the SRS domain scores from preoperative to 2 years postsurgical correction of AIS, there was low to moderate associations between the change in any of the domain scores and patient satisfaction with treatment. This may be attributable to the prominent ceiling effect in the Satisfaction domain, or the lack of responsiveness of the SRS-22 to measure clinically relevant changes in activity, pain and mental health 2 years after correction of scoliosis in the adolescent population.",
keywords = "adolescent idiopathic scoliosis, patient satisfaction, pediatric, spine deformity, spine fusion, SRS-22",
author = "Carreon, {Leah Yacat} and Sanders, {James O.} and Mohammad Diab and Sturm, {Peter F.} and Sucato, {Daniel J.}",
year = "2011",
month = "5",
day = "20",
doi = "10.1097/BRS.0b013e3181e92b1d",
language = "English (US)",
volume = "36",
pages = "965--968",
journal = "Spine",
issn = "0362-2436",
publisher = "Lippincott Williams and Wilkins",
number = "12",

}

TY - JOUR

T1 - Patient satisfaction after surgical correction of adolescent idiopathic scoliosis

AU - Carreon, Leah Yacat

AU - Sanders, James O.

AU - Diab, Mohammad

AU - Sturm, Peter F.

AU - Sucato, Daniel J.

PY - 2011/5/20

Y1 - 2011/5/20

N2 - Study Design.: Longitudinal cohort. Objective.: The purpose of this study is to evaluate the relationship between change in SRS-22 domain scores and satisfaction with management in patients who underwent surgical correction for adolescent idiopathic scoliosis (AIS). Summary of Background Data.: The Scoliosis Research Society-22 (SRS-22) is a widely used instrument to measure clinical outcomes in patients with scoliosis. The relationship between patient satisfaction and changes in domain scores in the SRS-22 has not been previously reported. Methods.: This is a longitudinal cohort of 745 patients with AIS who underwent surgical correction and had completed SRS-22 preoperative and 2 years postoperative. Patients who had a previous spine surgery were excluded. Wilcoxon tests were used to compare preop and 2-year postop scores. Spearman correlations were used to evaluate associations between change in SRS-22 domain scores from preoperative to 2 years postoperative and the 2-year SRS Satisfaction score. Results.: There were 622 females and 123 males with a mean age of 14.2 years and a mean Cobb angle of 54°. There was a statistically significant difference between paired preoperative and 2-year postoperative SRS domain scores. Spearman correlations between the change in SRS domain scores and the SRS Satisfaction score at 2 years postoperative were statistically significant but were low to moderate: Appearance = 0.284, Activity = 0.172, Pain = 0.260, Mental = 0.202, and Total = 0.398. Conclusion.: Although there is a statistically significant change in all the SRS domain scores from preoperative to 2 years postsurgical correction of AIS, there was low to moderate associations between the change in any of the domain scores and patient satisfaction with treatment. This may be attributable to the prominent ceiling effect in the Satisfaction domain, or the lack of responsiveness of the SRS-22 to measure clinically relevant changes in activity, pain and mental health 2 years after correction of scoliosis in the adolescent population.

AB - Study Design.: Longitudinal cohort. Objective.: The purpose of this study is to evaluate the relationship between change in SRS-22 domain scores and satisfaction with management in patients who underwent surgical correction for adolescent idiopathic scoliosis (AIS). Summary of Background Data.: The Scoliosis Research Society-22 (SRS-22) is a widely used instrument to measure clinical outcomes in patients with scoliosis. The relationship between patient satisfaction and changes in domain scores in the SRS-22 has not been previously reported. Methods.: This is a longitudinal cohort of 745 patients with AIS who underwent surgical correction and had completed SRS-22 preoperative and 2 years postoperative. Patients who had a previous spine surgery were excluded. Wilcoxon tests were used to compare preop and 2-year postop scores. Spearman correlations were used to evaluate associations between change in SRS-22 domain scores from preoperative to 2 years postoperative and the 2-year SRS Satisfaction score. Results.: There were 622 females and 123 males with a mean age of 14.2 years and a mean Cobb angle of 54°. There was a statistically significant difference between paired preoperative and 2-year postoperative SRS domain scores. Spearman correlations between the change in SRS domain scores and the SRS Satisfaction score at 2 years postoperative were statistically significant but were low to moderate: Appearance = 0.284, Activity = 0.172, Pain = 0.260, Mental = 0.202, and Total = 0.398. Conclusion.: Although there is a statistically significant change in all the SRS domain scores from preoperative to 2 years postsurgical correction of AIS, there was low to moderate associations between the change in any of the domain scores and patient satisfaction with treatment. This may be attributable to the prominent ceiling effect in the Satisfaction domain, or the lack of responsiveness of the SRS-22 to measure clinically relevant changes in activity, pain and mental health 2 years after correction of scoliosis in the adolescent population.

KW - adolescent idiopathic scoliosis

KW - patient satisfaction

KW - pediatric

KW - spine deformity

KW - spine fusion

KW - SRS-22

UR - http://www.scopus.com/inward/record.url?scp=79957754106&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79957754106&partnerID=8YFLogxK

U2 - 10.1097/BRS.0b013e3181e92b1d

DO - 10.1097/BRS.0b013e3181e92b1d

M3 - Article

C2 - 21224771

AN - SCOPUS:79957754106

VL - 36

SP - 965

EP - 968

JO - Spine

JF - Spine

SN - 0362-2436

IS - 12

ER -