Pediatric Patient-Reported Outcomes Measurement Information System is Equivalent to Scoliosis Research Society-22 in Assessing Health Status in Adolescent Idiopathic Scoliosis

Abstract

Study Design. This was a correlational study. Objective. Determine the range of pediatric Patient-Reported Outcomes Measurement Information System (PROMIS) scores for patients treated for adolescent idiopathic scoliosis (AIS) and assess correlation with Scoliosis Research Society-22 (SRS-22) domain scores. Summary of Background Data. Patient reported outcome (PRO) measures are important metrics for measuring health status in diverse patient populations. PROMIS is increasingly being used in orthopedic practice. Existing literature compares PROMIS measures favorably to legacy measures in numerous adult orthopedic 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. One hundred thirteen patients with a mean age of 14.4 (standard deviation [SD] = 2.1) years completed the assessments. The mean pediatric PROMIS domain scores included: mobility 50.9 (interquartile range [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). Conclusion. 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

Pediatric PROMIS Computer Adaptive Tests Are Highly Correlated With Adult PROMIS Computer Adaptive Tests in Pediatric Sports Medicine Patients

“…In pediatric and adult spine surgery, researchers found that many PROMIS domains demonstrated high-moderate to high correlation with similar legacy PROM domains, including those of the Scoliosis Research Society questionnaires. 5,9 Thus, these results suggest that PROMIS domains may be acceptable PROM alternatives for spine patients. In the present study, we did not compare the PROMIS with legacy instruments; instead, we compared 2 different PROMIS sets—adult and pediatric—in a similar way.…”

“…2 Consistent with the literature, a true floor or ceiling effect was considered present if ≥15% of patients were at either of these 2 score extremes. 9…”

“…2 Consistent with the literature, a true floor or ceiling effect was considered present if 15% of patients were at either of these 2 score extremes. 9 For all analyses, significance was set a priori at P \ .05. Statistical analyses were conducted using Stata/SE 14.2 for Mac (StataCorp).…”

Correlation Between the PROMIS Pediatric Mobility Instrument and the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS)

“…In an effort to perform a novel investigation and avoid scales whose use is not validated in children and adolescents, we performed a literature search and identified studies that showed correlations between pediatric PROMIS measures and other questionnaires. For example, Fedorak et al found a strong correlation between pediatric PROMIS pain interference, mobility, and peer relationship with the SRS (Scoliosis Research Society)-22 questionnaire in patients with adolescent idiopathic scoliosis [10]. Similarly, Waljee et al found a correlation between PROMIS Pediatric Upper Extremity with the MHQ (Michigan Hand Outcomes Questionnaire), the DASH (Disabilities of the Arm, Shoulder, and Hand) questionnaire, and the PODCI (Pediatric Outcomes Data Collection Instrument) in patients with congenital hand differences [24].…”

Cross-cultural adaptation and validation of the Bad Sobernheim Stress questionnaire in Iranian adolescents with idiopathic scoliosis using thoracolumbar orthoses

“…Scoliosis Research Society-22r (SRS-22r) patient questionnaire is a valid and reliable scale that evaluates the health issues related to AIS. [ 19 ] This questionnaire was reported as an excellent tool to assess the QoL in an adolescent with idiopathic scoliosis[ 20 ] and has sufficient internal consistency and concurrent validity. [ 21 22 ] SRS-22r has five subscales for (1) functional activity, (2) pain, (3) mental health, (4) self-image, and (5) management satisfaction.…”