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首页> 外文期刊>Scoliosis >HRQoL assessment by SRS-30 for Chinese patients with surgery for Adolescent Idiopathic Scoliosis (AIS)
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HRQoL assessment by SRS-30 for Chinese patients with surgery for Adolescent Idiopathic Scoliosis (AIS)

机译：通过SRS-30对中国青少年特发性脊柱侧弯（AIS）手术患者的HRQoL评估

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Introduction Health-related quality of life (HRQoL) outcome questionnaire, Scoliosis Research Society (SRS)-30, had been well received since its establishment in 2003. Literatures from Asia on the use of SRS-30 mainly focused on the translation process and validation process, but not on measuring outcomes, particularly in the Chinese community. We carried out a prospective cohort study to evaluate the HRQoL of Chinese AIS adolescents with severe scoliosis after surgery. Methods One hundred and four Chinese AIS patients with severe scoliosis undergoing posterior spinal fusion between 2009 and 2013 were recruited in this study. They completed SRS-30 questions before surgery, before hospital discharge, and at follow-up. Mean scores and percentages of individual scores in different domains, and composite scores in terms of subtotal and total scores were calculated referring to the scoring system. Gender-specific and period-specific descriptive analyses were described. Correlation of mean domain scores at the three time points were explored to look for any time-specific relationship. Linear regression analysis looking for potential risk factors on domain scores at different time points by gender were also carried out. Results Mean age was 16.28 at surgery, and 83.6% were female. Significant correlations between pre-op scores and scores after surgery were observed in function/activity domain (p=0.05) in males, and pain (p=0.04) and satisfaction with management (p=0.04) domains in females. No gender difference in all 5 domain scores at the 3 time points was found. Pre-op maximum Cobb angle and corrected angle were found to be risk factors on self-image, as well as satisfaction with management, in male and female patients. Conclusions This is the first report on the evaluation of the clinical HRQoL outcomes of Chinese AIS patients with severe scoliosis after surgery. Medical professionals should pay attention to take care of the difference in personal perceptions of feelings between boys and girls. Special care should also be allocated to AIS patients, and try to arrange earlier surgical intervention.
机译：简介自2003年成立以来，与健康相关的生活质量（HRQoL）结果问卷，脊柱侧弯研究学会（SRS）-30受到了广泛好评。来自亚洲的有关SRS-30使用的文献主要集中在翻译过程和验证上。过程，而不是衡量结果，特别是在华人社区。我们进行了一项前瞻性队列研究，以评估中国AIS严重脊柱侧弯术后青少年的HRQoL。方法招募2009年至2013年间接受脊柱后路融合术的中国重度脊柱侧凸患者104例。他们在手术前，出院前和随访中完成了SRS-30问题。参照计分系统，计算出不同领域中的平均分数和单个分数的百分比，以及小计和总分数的综合分数。描述了针对性别和针对特定时期的描述性分析。探索了三个时间点的平均领域得分的相关性，以寻找任何特定时间的关系。还进行了线性回归分析，以按性别在不同时间点寻找域得分的潜在风险因素。结果手术时平均年龄为16.28岁，女性为83.6％。在男性的功能/活动域（p = 0.05）和女性的疼痛（p = 0.04）和对管理的满意度（p = 0.04）域中，观察到术前评分与术后得分之间的显着相关性。在3个时间点的所有5个领域得分中均未发现性别差异。男性和女性患者，术前最大Cobb角和矫正角是影响自我形象以及管理满意度的危险因素。结论这是评估中国严重脊柱侧弯术后AIS患者临床HRQoL结果的第一份报告。医学专业人员应注意照顾男孩和女孩之间在个人感受上的差异。还应为AIS患者分配特殊护理，并尽早安排手术干预。

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