Health-Related Predictive Factors of Brazilian Children With Early Onset Scoliosis Using the EOSQ-24 and CHQ-PF50 Questionnaires.

Autor:	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.; Department of Orthopedic Surgery and Sports Medicine, Boston Children's Hospital, Boston, MA, USA., Vitale MG; Pediatric Orthopedic Surgery Department, Columbia University, New York, NY, USA., Meves R; Department of Orthopedics and Traumatology, Santa Casa de São Paulo, São Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	International journal of spine surgery [Int J Spine Surg] 2023 Oct; Vol. 17 (5), pp. 638-644. Date of Electronic Publication: 2023 Sep 08.
DOI:	10.14444/8529
Abstrakt:	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. Competing Interests: Declaration of Conflicting Interests : The authors report no conflicts of interest in this work. (This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright © 2023 ISASS. To see more or order reprints or permissions, see http://ijssurgery.com.)
Databáze:	MEDLINE
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