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Health-Related Predictive Factors of Brazilian Children With Early Onset Scoliosis Using the EOSQ-24 and CHQ-PF50 Questionnaires.
De Mendonça, Rodrigo Góes Medéa; Costa Martins, Wesley Wilian; Moraes Barros Fucs, Patricia Maria de; Gotfryd, Alberto Ofenhejm; Silber Caffaro, Maria Fernanda; Letaif, Olavo Biraghi; Marcon, Raphael; Cristante, Alexandre Fogaça; Kiyomoto, Henry Dan; Cardoso da Silva, Tânia Fernanda; Matsumoto, Hiroko; Vitale, Michael G; Meves, Robert.
Afiliación
  • De Mendonça RGM; Department of Orthopedics and Traumatology, Santa Casa de São Paulo, São Paulo, Brazil rodrigomedea@gmail.com.
  • Costa Martins WW; Department of Orthopedics and Traumatology, Santa Casa de São Paulo, São Paulo, Brazil.
  • Moraes Barros Fucs PM; Department of Orthopedics and Traumatology, Santa Casa de São Paulo, São Paulo, Brazil.
  • Gotfryd AO; Department of Orthopedics and Traumatology, Santa Casa de São Paulo, São Paulo, Brazil.
  • Silber Caffaro MF; Department of Orthopedics and Traumatology, Santa Casa de São Paulo, São Paulo, Brazil.
  • Letaif OB; Department of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
  • Marcon R; Department of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
  • Cristante AF; Department of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
  • Kiyomoto HD; Department of Physiotherapy, Centro Universitário da Faculdade das Americas, São Paulo, Brazil.
  • Cardoso da Silva TF; Department of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
  • Matsumoto H; Department of Orthopedic Surgery, Harvard Medical School, Boston, MA, USA.
  • Vitale MG; Department of Orthopedic Surgery and Sports Medicine, Boston Children's Hospital, Boston, MA, USA.
  • Meves R; Pediatric Orthopedic Surgery Department, Columbia University, New York, NY, USA.
Int J Spine Surg ; 17(5): 638-644, 2023 Oct.
Article en En | MEDLINE | ID: mdl-37684053
BACKGROUND: Assessing the quality of life (QOL) of children with early onset scoliosis (EOS) has been discussed recently. Therefore, the study aimed to apply and correlate the 24-item Early Onset Scoliosis Questionnaire (EOSQ-24) with the 50-item Childhood Health Questionnaire (CHQ-PF50) to find predictive factors impacting QOL. METHODS: Cross-sectional study involving a population of caregivers of patients with EOS. The sample consisted of 72 patients. Two research assistants applied the Portuguese version of the EOSQ-24 and CHQ-PF50 in 3 treatment centers. The EOSQ-24 assesses the subjective response of children with EOS from the parent's point of view. The CHQ is a self-administered questionnaire or parental proxy assessment of the psychological and social status of children aged 5 to 18 years. RESULTS: Of 72 patients, 41 (56.9%) were females, mean age of 11.9 ± 4.2 years. The most common scoliosis was of neuromuscular origin (32%). The CHQ-PF50 showed that family-related items had significant scores. The most affected subcategory was physical function (45.5), and the least affected was mental health (90.8). Thus, the CHQ-PF50 PhS summary index was 27, and the CHQ-PF50 PsS was 71.7. Moreover, the critical categories for the EOSQ-24 questionnaire were daily life and physical function (45.1 and 47.8, respectively), and the least affected categories were transfer and pulmonary function (70.8 and 68.9, respectively). Four subcategories showed a strong correlation between both questionnaires: general health (r = 0.749, P < 0.001), physical function (r = 0.645, P < 0.001), bodily pain (r = 0.714, P < 0.001), and mental health (r = 0.424, P < 0.001). Using CHQ-PF50 as a dependent variable in multiple regression analysis (P = 0.028), the only variable affecting the scores was syndromic scoliosis (P = 0.019; 95% CI -27.4 to -2.5). CONCLUSION: A strong correlation between both questionnaires was seen for general health, physical function, bodily pain, and mental health. Syndromic scoliosis was a predictor of worse QOL according to the CHQ-PF50.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference País/Región como asunto: America do sul / Brasil Idioma: En Revista: Int J Spine Surg Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference País/Región como asunto: America do sul / Brasil Idioma: En Revista: Int J Spine Surg Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Países Bajos