Tags

Type your tag names separated by a space and hit enter

Pediatric PROMIS is Equivalent to SRS-22 in Assessing Health Status in Adolescent Idiopathic Scoliosis.

Abstract

STUDY DESIGN

This was a correlational study.

OBJECTIVE

Determine the range of pediatric PROMIS scores for patients treated for adolescent idiopathic scoliosis (AIS) and assess correlation with SRS-22 domain scores.

SUMMARY OF BACKGROUND DATA

Patient reported outcome (PRO) measures are important metrics for measuring health status in diverse patient populations. The Patient-Reported Outcomes Measurement Information System (PROMIS) is increasingly being used in orthopaedic practice. Existing literature compares PROMIS measures favorably to legacy measures in numerous adult orthopaedic conditions. This study sought to define the range of PROMIS Mobility, Pain Interference and Peer Relationships scores for adolescents treated for AIS. Furthermore, correlations between these domains and equivalent domains in the legacy PRO, SRS-22, were determined.

METHODS

Pediatric PROMIS and SRS-22 were obtained at routine clinical visits for AIS at a tertiary care children's hospital from January 2017 to October 2017. Spearman correlations were performed to examine the associations between three pediatric PROMIS domains and the SRS-22 domains. Only patients who completed both PRO measures were included in the analyses. Radiographic measurements were performed at each visit assessing sagittal and coronal deformity and overall spinal balance.

RESULTS

113 patients with a mean age of 14.4 (SD = 2.1) years completed the assessments. The mean pediatric PROMIS domain scores included: Mobility 50.9 (IQR 36.2-65.6); Pain Interference 45.9 (IQR 28.9-62.9); Peer Relations 52.6 (IQR 38.3-64.9).PROMIS Mobility was strongly correlated with SRS-22 Function (r = 0.65; p < 0.001). PROMIS Pain Interference was strongly correlated with SRS-22 Pain (r = 0.70; p < 0.001). PROMIS Peer Relations was moderately correlated with SRS-22 Mental Health (r = 0.41; p < 0.001) and Self-Image (r = 0.34; p < 0.001).

CONCLUSIONS

In AIS patients pediatric PROMIS Pain Interference and Mobility correlate strongly with SRS-22 Pain and Function domains, while PROMIS Peer Relationships demonstrates moderate correlations with SRS-22 mental health and self-image.

LEVEL OF EVIDENCE

2.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    University of Utah, Department of Orthopaedic Surgery.

    ,

    University of Arizona, College of Medicine - Tuscon, Department of Orthopaedic Surgery.

    ,

    University of Utah, Department of Orthopaedic Surgery.

    ,

    University of Utah, Department of Orthopaedic Surgery, Operations.

    University of Utah Department of Orthopaedic Surgery Operations, Roseman University of Health Sciences College of Dental Medicine.

    Source

    Spine : 2019 Jun 12 pg

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    31205184

    Citation

    Fedorak, Graham T., et al. "Pediatric PROMIS Is Equivalent to SRS-22 in Assessing Health Status in Adolescent Idiopathic Scoliosis." Spine, 2019.
    Fedorak GT, Larkin K, Heflin JA, et al. Pediatric PROMIS is Equivalent to SRS-22 in Assessing Health Status in Adolescent Idiopathic Scoliosis. Spine. 2019.
    Fedorak, G. T., Larkin, K., Heflin, J. A., Xu, J., & Hung, M. (2019). Pediatric PROMIS is Equivalent to SRS-22 in Assessing Health Status in Adolescent Idiopathic Scoliosis. Spine, doi:10.1097/BRS.0000000000003112.
    Fedorak GT, et al. Pediatric PROMIS Is Equivalent to SRS-22 in Assessing Health Status in Adolescent Idiopathic Scoliosis. Spine. 2019 Jun 12; PubMed PMID: 31205184.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Pediatric PROMIS is Equivalent to SRS-22 in Assessing Health Status in Adolescent Idiopathic Scoliosis. AU - Fedorak,Graham T, AU - Larkin,Kevin, AU - Heflin,John A, AU - Xu,Julie, AU - Hung,Man, Y1 - 2019/06/12/ PY - 2019/6/18/entrez JF - Spine JO - Spine N2 - STUDY DESIGN: This was a correlational study. OBJECTIVE: Determine the range of pediatric PROMIS scores for patients treated for adolescent idiopathic scoliosis (AIS) and assess correlation with SRS-22 domain scores. SUMMARY OF BACKGROUND DATA: Patient reported outcome (PRO) measures are important metrics for measuring health status in diverse patient populations. The Patient-Reported Outcomes Measurement Information System (PROMIS) is increasingly being used in orthopaedic practice. Existing literature compares PROMIS measures favorably to legacy measures in numerous adult orthopaedic conditions. This study sought to define the range of PROMIS Mobility, Pain Interference and Peer Relationships scores for adolescents treated for AIS. Furthermore, correlations between these domains and equivalent domains in the legacy PRO, SRS-22, were determined. METHODS: Pediatric PROMIS and SRS-22 were obtained at routine clinical visits for AIS at a tertiary care children's hospital from January 2017 to October 2017. Spearman correlations were performed to examine the associations between three pediatric PROMIS domains and the SRS-22 domains. Only patients who completed both PRO measures were included in the analyses. Radiographic measurements were performed at each visit assessing sagittal and coronal deformity and overall spinal balance. RESULTS: 113 patients with a mean age of 14.4 (SD = 2.1) years completed the assessments. The mean pediatric PROMIS domain scores included: Mobility 50.9 (IQR 36.2-65.6); Pain Interference 45.9 (IQR 28.9-62.9); Peer Relations 52.6 (IQR 38.3-64.9).PROMIS Mobility was strongly correlated with SRS-22 Function (r = 0.65; p < 0.001). PROMIS Pain Interference was strongly correlated with SRS-22 Pain (r = 0.70; p < 0.001). PROMIS Peer Relations was moderately correlated with SRS-22 Mental Health (r = 0.41; p < 0.001) and Self-Image (r = 0.34; p < 0.001). CONCLUSIONS: In AIS patients pediatric PROMIS Pain Interference and Mobility correlate strongly with SRS-22 Pain and Function domains, while PROMIS Peer Relationships demonstrates moderate correlations with SRS-22 mental health and self-image. LEVEL OF EVIDENCE: 2. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/31205184/Pediatric_PROMIS_is_Equivalent_to_SRS-22_in_Assessing_Health_Status_in_Adolescent_Idiopathic_Scoliosis L2 - http://dx.doi.org/10.1097/BRS.0000000000003112 DB - PRIME DP - Unbound Medicine ER -