Skip to main content
Top
Published in: European Spine Journal 6/2017

Open Access 01-06-2017 | Original Article

Population-based normative data for the Scoliosis Research Society 22r questionnaire in adolescents and adults, including a comparison with EQ-5D

Authors: Elias Diarbakerli, Anna Grauers, Paul Gerdhem

Published in: European Spine Journal | Issue 6/2017

Login to get access

Abstract

Purpose

The Scoliosis Research Society (SRS) 22r questionnaire is a widely used instrument. To estimate the disorder´s impact on quality of life and to gain knowledge about treatment effects, normative values are needed.

Methods

Individuals were randomly invited from the general population. 272 individuals (145 females) answered the SRS-22r and EuroQol 5-dimensions (EQ-5D) questionnaires and stratified according to sex and age; 19 years (n = 61), 20–39 years (n = 66), 40–59 years (n = 84) and ≥60 years (n = 61). The correlation between SRS-22r and EQ-5D were analyzed.

Results

There were modest variations in mean SRS-22r scores (ranging between 4.3 and 4.7). EQ-5D followed the same pattern. The correlation between the SRS-22r was 0.62 (p = 0.001) and 0.61 (p < 0.001) for the EQ-5D UK tariff and EQ-5D Swedish tariff, respectively.

Conclusion

We provide the first SRS-22r normative data for adolescents and adults overall. We found a good correlation between SRS-22r and EQ-5D in individuals without spinal deformity.
Appendix
Available only for authorised users
Literature
1.
go back to reference Weinstein SL, Dolan LA, Spratt KF, Peterson KK, Spoonamore MJ, Ponseti IV (2003) Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study. JAMA 289(5):559–567CrossRefPubMed Weinstein SL, Dolan LA, Spratt KF, Peterson KK, Spoonamore MJ, Ponseti IV (2003) Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study. JAMA 289(5):559–567CrossRefPubMed
2.
go back to reference Grauers A, Topalis C, Moller H, Normelli H, Karlsson M, Danielsson A, et al (2014) Prevalence of Back Problems in 1069 Adults With Idiopathic Scoliosis and 158 Adults Without Scoliosis. Spine Grauers A, Topalis C, Moller H, Normelli H, Karlsson M, Danielsson A, et al (2014) Prevalence of Back Problems in 1069 Adults With Idiopathic Scoliosis and 158 Adults Without Scoliosis. Spine
3.
go back to reference Danielsson AJ, Wiklund I, Pehrsson K, Nachemson AL (2001) Health-related quality of life in patients with adolescent idiopathic scoliosis: a matched follow-up at least 20 years after treatment with brace or surgery. Eur Spine J 10(4):278–288CrossRefPubMedPubMedCentral Danielsson AJ, Wiklund I, Pehrsson K, Nachemson AL (2001) Health-related quality of life in patients with adolescent idiopathic scoliosis: a matched follow-up at least 20 years after treatment with brace or surgery. Eur Spine J 10(4):278–288CrossRefPubMedPubMedCentral
4.
go back to reference Haher TR, Gorup JM, Shin TM, Homel P, Merola AA, Grogan DP et al (1999) Results of the Scoliosis Research Society instrument for evaluation of surgical outcome in adolescent idiopathic scoliosis. A multicenter study of 244 patients. Spine. 24(14):1435–1440CrossRefPubMed Haher TR, Gorup JM, Shin TM, Homel P, Merola AA, Grogan DP et al (1999) Results of the Scoliosis Research Society instrument for evaluation of surgical outcome in adolescent idiopathic scoliosis. A multicenter study of 244 patients. Spine. 24(14):1435–1440CrossRefPubMed
5.
go back to reference Daubs MD, Hung M, Neese A, Hon SD, Lawrence BD, Patel AA et al (2014) Scoliosis research society-22 results in 3052 healthy adolescents aged 10 to 19 years. Spine 39(10):826–832CrossRefPubMed Daubs MD, Hung M, Neese A, Hon SD, Lawrence BD, Patel AA et al (2014) Scoliosis research society-22 results in 3052 healthy adolescents aged 10 to 19 years. Spine 39(10):826–832CrossRefPubMed
6.
go back to reference Verma K, Lonner B, Hoashi JS, Lafage V, Dean L, Engel I et al (2010) Demographic factors affect Scoliosis Research Society-22 performance in healthy adolescents: a comparative baseline for adolescents with idiopathic scoliosis. Spine 35(24):2134–2139CrossRefPubMed Verma K, Lonner B, Hoashi JS, Lafage V, Dean L, Engel I et al (2010) Demographic factors affect Scoliosis Research Society-22 performance in healthy adolescents: a comparative baseline for adolescents with idiopathic scoliosis. Spine 35(24):2134–2139CrossRefPubMed
7.
go back to reference Berven S, Deviren V, Demir-Deviren S, Hu SS, Bradford DS (2003) Studies in the modified Scoliosis Research Society Outcomes Instrument in adults: validation, reliability, and discriminatory capacity. Spine 28(18):2164–2169 (discussion 9) CrossRefPubMed Berven S, Deviren V, Demir-Deviren S, Hu SS, Bradford DS (2003) Studies in the modified Scoliosis Research Society Outcomes Instrument in adults: validation, reliability, and discriminatory capacity. Spine 28(18):2164–2169 (discussion 9) CrossRefPubMed
8.
go back to reference Baldus C, Bridwell K, Harrast J, Shaffrey C, Ondra S, Lenke L et al (2011) The Scoliosis Research Society Health-Related Quality of Life (SRS-30) age-gender normative data: an analysis of 1346 adult subjects unaffected by scoliosis. Spine. 36(14):1154–1162CrossRefPubMed Baldus C, Bridwell K, Harrast J, Shaffrey C, Ondra S, Lenke L et al (2011) The Scoliosis Research Society Health-Related Quality of Life (SRS-30) age-gender normative data: an analysis of 1346 adult subjects unaffected by scoliosis. Spine. 36(14):1154–1162CrossRefPubMed
9.
go back to reference Verma K, Lonner B, Toombs CS, Ferrise P, Wright B, King AB et al (2014) International utilization of the SRS-22 instrument to assess outcomes in adolescent idiopathic scoliosis: what can we learn from a medical outreach group in Ghana? J Pediatr Orthop 34(5):503–508CrossRefPubMed Verma K, Lonner B, Toombs CS, Ferrise P, Wright B, King AB et al (2014) International utilization of the SRS-22 instrument to assess outcomes in adolescent idiopathic scoliosis: what can we learn from a medical outreach group in Ghana? J Pediatr Orthop 34(5):503–508CrossRefPubMed
10.
go back to reference Burstrom K, Johannesson M, Diderichsen F (2001) Swedish population health-related quality of life results using the EQ-5D. Qual Life Res 10(7):621–635CrossRefPubMed Burstrom K, Johannesson M, Diderichsen F (2001) Swedish population health-related quality of life results using the EQ-5D. Qual Life Res 10(7):621–635CrossRefPubMed
12.
go back to reference Danielsson AJ, Romberg K (2013) Reliability and validity of the Swedish version of the Scoliosis Research Society-22 (SRS-22r) patient questionnaire for idiopathic scoliosis. Spine. 38(21):1875–1884CrossRefPubMed Danielsson AJ, Romberg K (2013) Reliability and validity of the Swedish version of the Scoliosis Research Society-22 (SRS-22r) patient questionnaire for idiopathic scoliosis. Spine. 38(21):1875–1884CrossRefPubMed
13.
go back to reference EuroQol Group (1990) EuroQol–a new facility for the measurement of health-related quality of life. Health Policy 16(3):199–208CrossRef EuroQol Group (1990) EuroQol–a new facility for the measurement of health-related quality of life. Health Policy 16(3):199–208CrossRef
14.
go back to reference Rabin R, de Charro F (2001) EQ-5D: a measure of health status from the EuroQol Group. Ann Med 33(5):337–343CrossRefPubMed Rabin R, de Charro F (2001) EQ-5D: a measure of health status from the EuroQol Group. Ann Med 33(5):337–343CrossRefPubMed
15.
16.
go back to reference Burstrom K, Sun S, Gerdtham UG, Henriksson M, Johannesson M, Levin LA et al (2014) Swedish experience-based value sets for EQ-5D health states. Qual Life Res 23(2):431–442CrossRefPubMed Burstrom K, Sun S, Gerdtham UG, Henriksson M, Johannesson M, Levin LA et al (2014) Swedish experience-based value sets for EQ-5D health states. Qual Life Res 23(2):431–442CrossRefPubMed
17.
go back to reference Lai SM, Burton DC, Asher MA, Carlson BB (2011) Converting SRS-24, SRS-23, and SRS-22 to SRS-22r: establishing conversion equations using regression modeling. Spine 36(23):E1525–E1533CrossRefPubMed Lai SM, Burton DC, Asher MA, Carlson BB (2011) Converting SRS-24, SRS-23, and SRS-22 to SRS-22r: establishing conversion equations using regression modeling. Spine 36(23):E1525–E1533CrossRefPubMed
18.
go back to reference Watanabe K, Lenke LG, Bridwell KH, Hasegawa K, Hirano T, Endo N et al (2007) Cross-cultural comparison of the Scoliosis Research Society Outcomes Instrument between American and Japanese idiopathic scoliosis patients: are there differences? Spine 32(24):2711–2714CrossRefPubMed Watanabe K, Lenke LG, Bridwell KH, Hasegawa K, Hirano T, Endo N et al (2007) Cross-cultural comparison of the Scoliosis Research Society Outcomes Instrument between American and Japanese idiopathic scoliosis patients: are there differences? Spine 32(24):2711–2714CrossRefPubMed
19.
go back to reference Helseth S, Haraldstad K, Christophersen KA (2015) A cross-sectional study of Health Related Quality of Life and body mass index in a Norwegian school sample (8-18 years): a comparison of child and parent perspectives. Health and Qual Life Outcomes 13:47CrossRef Helseth S, Haraldstad K, Christophersen KA (2015) A cross-sectional study of Health Related Quality of Life and body mass index in a Norwegian school sample (8-18 years): a comparison of child and parent perspectives. Health and Qual Life Outcomes 13:47CrossRef
20.
go back to reference Vavken P, Ganal-Antonio AK, Quidde J, Shen FH, Chapman JR, Samartzis D (2015) Fundamentals of clinical outcomes assessment for spinal disorders: clinical outcome instruments and applications. Global Spine J 5(4):329–338CrossRefPubMedPubMedCentral Vavken P, Ganal-Antonio AK, Quidde J, Shen FH, Chapman JR, Samartzis D (2015) Fundamentals of clinical outcomes assessment for spinal disorders: clinical outcome instruments and applications. Global Spine J 5(4):329–338CrossRefPubMedPubMedCentral
21.
go back to reference Noyes J, Edwards RT (2011) EQ-5D for the assessment of health-related quality of life and resource allocation in children: a systematic methodological review. Val Health 14(8):1117–1129CrossRef Noyes J, Edwards RT (2011) EQ-5D for the assessment of health-related quality of life and resource allocation in children: a systematic methodological review. Val Health 14(8):1117–1129CrossRef
22.
go back to reference Protudjer JL, Jansson SA, Ostblom E, Arnlind MH, Bengtsson U, Dahlen SE et al (2015) Health-related quality of life in children with objectively diagnosed staple food allergy assessed with a disease-specific questionnaire. Acta Paediatr 104(10):1047–1054CrossRefPubMed Protudjer JL, Jansson SA, Ostblom E, Arnlind MH, Bengtsson U, Dahlen SE et al (2015) Health-related quality of life in children with objectively diagnosed staple food allergy assessed with a disease-specific questionnaire. Acta Paediatr 104(10):1047–1054CrossRefPubMed
24.
go back to reference Burstrom K, Bartonek A, Brostrom EW, Sun S, Egmar AC (2014) EQ-5D-Y as a health-related quality of life measure in children and adolescents with functional disability in Sweden: testing feasibility and validity. Acta Paediatr 103(4):426–435CrossRefPubMed Burstrom K, Bartonek A, Brostrom EW, Sun S, Egmar AC (2014) EQ-5D-Y as a health-related quality of life measure in children and adolescents with functional disability in Sweden: testing feasibility and validity. Acta Paediatr 103(4):426–435CrossRefPubMed
25.
go back to reference Crawford C. H, 3rd, Glassman S. D, Bridwell K. H, Berven S. H, Carreon L. Y. The minimum clinically important difference in SRS-22R total score, appearance, activity and pain domains after surgical treatment of adult spinal deformity. Spine. 2015;40(6):377–81 Crawford C. H, 3rd, Glassman S. D, Bridwell K. H, Berven S. H, Carreon L. Y. The minimum clinically important difference in SRS-22R total score, appearance, activity and pain domains after surgical treatment of adult spinal deformity. Spine. 2015;40(6):377–81
Metadata
Title
Population-based normative data for the Scoliosis Research Society 22r questionnaire in adolescents and adults, including a comparison with EQ-5D
Authors
Elias Diarbakerli
Anna Grauers
Paul Gerdhem
Publication date
01-06-2017
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue 6/2017
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-016-4854-0

Other articles of this Issue 6/2017

European Spine Journal 6/2017 Go to the issue