Re-evaluation of Reliability and Validity of Simplified Chinese Version of SRS-22 Patient Questionnaire A Multicenter Study of 333 Cases

被引:32
作者
Qiu, Guixing [2 ]
Qiu, Yong [1 ]
Zhu, Zezhang [1 ]
Liu, Zhen [1 ]
Song, Yuemin [3 ]
Hai, Yong [4 ]
Luo, Zhuojing [5 ]
Liu, Zude [6 ]
Zhang, Hongqi [7 ]
Lv, Guohua [8 ]
Wang, Yipeng [2 ]
Zhang, Jianguo [2 ]
Shen, Jianxiong [2 ]
Sun, Xu [1 ]
机构
[1] Nanjing Univ, Sch Med, Drum Tower Hosp, Nanjing 210008, Peoples R China
[2] Beijing Union Med Coll Hosp, Dept Orthopaed, Beijing, Peoples R China
[3] Sichuan Univ, Dept Orthopaed, W China Hosp, Chengdu 610064, Peoples R China
[4] Capital Med Univ, Dept Orthopaed, Chaoyang Hosp, Beijing, Peoples R China
[5] Fourth Mil Med Univ, Dept Orthopaed, Xijing Hosp, Xian 710032, Peoples R China
[6] Shanghai Jiao Tong Univ, Dept Orthopaed, Renji Hosp, Shanghai 200030, Peoples R China
[7] Cent S Univ, Dept Orthopaed, Xiangya Hosp, Changsha, Peoples R China
[8] Cent S Univ, Dept Orthopaed, Xiangya Hosp 2, Changsha, Peoples R China
基金
中国国家自然科学基金;
关键词
scoliosis; outcome analysis; Chinese adaptation; questionnaire; SRS-22; RESEARCH SOCIETY-22 QUESTIONNAIRE; QUALITY-OF-LIFE; SF-36 HEALTH SURVEY; IDIOPATHIC SCOLIOSIS; CONCURRENT VALIDITY; CULTURAL-ADAPTATION; SPANISH VERSION; VALIDATION; PAIN;
D O I
10.1097/BRS.0b013e3181e0485e
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design. A multicenter cross-cultural study to re-evaluate the reliability and validity of the simplified Chinese version of Scoliosis Research Society-22 (SRS-22) Patient Questionnaire. Objective. To assess the concurrent validity and reliability of this instrument in mainland China. Summary of Background Data. The SRS-22 Questionnaire was developed to assess the health-related quality of life for patients with scoliosis in the United States. More recently, the reliability and validity analyses of traditional and simplified Chinese versions of this questionnaire were performed, respectively. However, with respect to the diversity of population and large proportion of rural patients in China, a multicenter study might be necessary to re-evaluate its adaptation. Methods. The original English version of the SRS-22 Questionnaire was translated into simplified Chinese. Considering the different health care systems in mainland China, the question 15 was modified; the respondent might be the parent if the patient was younger than 18 years. This multicenter study was performed by 13 scoliosis surgeons involving seven spine centers. The SRS-22 Questionnaire and a previously validated 36-Item Short-Form Health Survey Questionnaire were given to 391 patients with idiopathic scoliosis or congenital scoliosis without neurologic deficits. Of those, 136 patients were randomly selected for a second identical SRS-22 Questionnaire filled 1 week later and mailed back with a stamped return envelope. Results. A total of 333 patients fully completed both SRS-22 and 36-Item Short-Form Health Survey Questionnaires. Good consistency was observed for all the five domains of the SRS-22. Poorer internal consistency was found in questions 15 and 18. If question 15 was excluded, the a coefficient would increase to 0.68. The pain domain of SRS-22 had a high ceiling effect being 67.5%. The test-retest reproducibility was observed "good" in the pain domain and "excellent" for the remaining domains of SRS-22 Questionnaire. Good (10 domains) and moderate (23 domains) correlations were demonstrated while seven domains had poor correlation. Conclusion. The simplified Chinese version of the SRS-22 Questionnaire was re-evaluated by a multicenter study to respect the diversity of population and cultural differences in mainland China, which showed good internal consistency and satisfactory test-retest reproducibility. It might be useful for clinical evaluation of Chinese adolescents and young adults with scoliosis treated with bracing or surgery, although it also encountered previously reported difficulties with some of the items related to different cultures and health care systems.
引用
收藏
页码:E545 / E550
页数:6
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