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Quality of life in males and females with idiopathic scoliosis
Department of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden; Department of Orthopaedics, Karolinska University Hospital, Stockholm, Sweden.
Department of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden; Department of Orthopaedics, Sundsvall and Härnösand County Hospital, Sundsvall, Sweden.
Department of Orthopaedics, Sahlgrenska University Hospital, Göteborg, Sweden; Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy at Göteborg University, Sweden.
Department of Medical and Health Sciences, Division of Physiotherapy, Faculty of Health Sciences, Linköping University, Linköping, Sweden.ORCID iD: 0000-0002-4318-9216
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2018 (English)In: Spine, ISSN 0362-2436, E-ISSN 1528-1159Article in journal (Refereed) Epub ahead of print
Abstract [en]

Study Design. Cross-sectional.

Objective. To describe quality of life in males and females with idiopathic scoliosis.

Summary of Background Data. Idiopathic scoliosis is a three-dimensional deformity affecting the growing spine. The prevalence of larger curves, requiring treatment, is higher in females.

Methods. This cross-sectional study comprised 1519 individuals with idiopathic scoliosis (211 males) with a mean (SD) age of 35.3 (14.9) years. They all answered the Scoliosis Research Society 22 revised (SRS-22r) questionnaire and EuroQol 5-dimension-index (EQ-5D). Five hundred twenty eight were surgically treated (78 males), 535 were brace treated (50 males), and 456 were untreated (83 males). The SRS-22r subscore (excluding the satisfaction domain), the SRS-22r domains and the EQ-5D index score were calculated. Subgroup analyses based on treatment and age were performed. Statistical comparisons were performed using analysis of covariance with adjustments for age and treatment. A P-value less than 0.05 was considered as statistical significant.

Results. The mean (SD) SRS-22r subscore was 4.19 (0.61) in males and 4.05 (0.61) in females (P = 0.010). The males had higher scores on the SRS-22r domains function (4.56 vs. 4.42), pain (4.20 vs. 4.00), and mental health (4.14 vs. 3.92) (all P < 0.05). The mean (SD) EQ-5D index score was 0.85 (0.22) for males and 0.81 (0.21) for females (P = 0.10). There were minor differences when comparing males and females in treatment and age groups, but both treated and untreated groups had reduced quality of life compared with the national norms.

Conclusion. When compared with females, males with idiopathic scoliosis tend to have slightly higher scores in the scoliosis specific SRS-22r but not in the generic quality of life measurement EQ-5D. Quality of life is overall similar between males and females in treatment and age groups, but reduced in comparison with the general population.

Level of Evidence: 3

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2018.
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:liu:diva-152018DOI: 10.1097/BRS.0000000000002857ISI: 000467740500013PubMedID: 30180148OAI: oai:DiVA.org:liu-152018DiVA, id: diva2:1256048
Note

Funding agencies:  Vetenskapsradet (SE) [K2013-99X-22268-01-3]; H.K.H. Kronprinsessan Lovisas Forening for Barnasjukvard; Swedish Society of Spinal Surgeons

Available from: 2018-10-15 Created: 2018-10-15 Last updated: 2019-06-22Bibliographically approved

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Abbott, Allan

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