脊柱畸形的自我形象:最新综述。

IF 1.6 Q3 CLINICAL NEUROLOGY
Spine deformity Pub Date : 2024-09-01 Epub Date: 2024-05-02 DOI:10.1007/s43390-024-00875-2
Lauren E Stone, Ryan Sindewald, Michael P Kelly
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引用次数: 0

摘要

目的:回顾目前有关评估儿童和成人脊柱畸形患者自我形象的文献:方法:查阅文献,了解有关儿童和成人脊柱畸形患者报告结果测量(PROM)和自我形象的研究。收集并描述了 PROM 的性能指标。描述了自我形象 PROM 与患者结果(包括满意度)之间的关系:结果:现有几种自我形象 PROM,包括脊柱侧凸研究学会-22r(SRS-22r)自我形象域、身体形象紊乱问卷(BIDQ)和脊柱外观问卷(SAQ)。最常用的是 SRS-22r 的自我形象领域。它已在成人和儿童脊柱畸形中得到验证,并与患者的手术愿望和术后满意度相关。该领域受到最低和最高效应的限制:结论:自我形象评估对儿童和成人脊柱畸形手术都至关重要。SRS-22r自我形象领域是该健康领域报告最多的PROM。虽然该PROM在两个手术队列中都有效,但它受到底线效应和上限效应的影响,从而限制了区分不同健康状况的能力。鉴于该领域对脊柱畸形患者的整体重要性,我们需要进一步努力提高辨别能力,同时又不增加 PROM 问题的负担,因为这可能会限制其被广泛接受和使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Self-image in spinal deformity: a state-of-the-art review.

Purpose: To review the current literature surrounding the assessment of self-image in pediatric and adult spinal deformity.

Methods: The literature were reviewed for studies examining patient-reported outcome measurements (PROM) and self-image in pediatric and adult spinal deformity. PROM performance metrics were collected and described. The relationships between self-image PROM and patient outcomes, including satisfaction, were described.

Results: Several self-image PROM exist, including the Scoliosis Research Society-22r (SRS-22r) self-image domain, the Body Image Disturbance Questionnaire (BIDQ), and the Spinal Appearance Questionnaire (SAQ). The most commonly used is the self-image domain of the SRS-22r. It is validated in adult and pediatric spinal deformity and is correlated with patient desire for surgery and satisfaction after surgery. This domain is limited by floor and ceiling effects.

Conclusion: Self-image assessment is critical to both pediatric and adult spinal deformity surgeries. The SRS-22r self-image domain is the most frequently reported PROM for this health domain. While valid in both surgical cohorts, this PROM is affected by floor and ceiling effects which limits the ability to discriminate between health states. Given the overall importance of this domain to patients with spinal deformity further efforts are needed to improve discrimination without gross increases in PROM question burden, which may limit broad acceptance and use.

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来源期刊
CiteScore
3.20
自引率
18.80%
发文量
167
期刊介绍: Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.
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