Enhancing patient-centric care: the role of PROMs utilizing SRS-30 in pediatric scoliosis management

Abstract Background Scoliosis is defined by a curvature of the spine greater than 10 degrees. The most common type of scoliosis is called Adolescent Idiopathic Scoliosis and is found in individuals between 11 to 18 years of age. It corresponds to 90% of the cases of scoliosis in the pediatric popula...

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Main Authors: Marina Rosa Filezio, Ramyn Jooma, Paul Fairie, David Parsons, Maria J. Santana
Format: Article
Language:English
Published: SpringerOpen 2025-07-01
Series:Journal of Patient-Reported Outcomes
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Online Access:https://doi.org/10.1186/s41687-025-00904-2
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author Marina Rosa Filezio
Ramyn Jooma
Paul Fairie
David Parsons
Maria J. Santana
author_facet Marina Rosa Filezio
Ramyn Jooma
Paul Fairie
David Parsons
Maria J. Santana
author_sort Marina Rosa Filezio
collection DOAJ
description Abstract Background Scoliosis is defined by a curvature of the spine greater than 10 degrees. The most common type of scoliosis is called Adolescent Idiopathic Scoliosis and is found in individuals between 11 to 18 years of age. It corresponds to 90% of the cases of scoliosis in the pediatric population, with an overall prevalence of 0.47–5.2%, affecting girls more than boys (3:1). There are different treatment options for scoliosis, and surgery is reserved for patients with curves greater than 45 degrees while still growing or greater than 50 degrees for skeletally mature patients. There is a growing recognition of the important role of patient-reported outcomes measures (PROMs) for understanding the impact of scoliosis on individuals’ lives and its management. This paper explores the importance of PROMs, specifically the Scoliosis Research Society-30 (SRS-30) questionnaire, in assessing and improving the quality of care for pediatric scoliosis patients that were submitted to surgical intervention. Methodology PROMs data were collected at predefined time points: pre-operatively (baseline), and post-operatively at 3, 6, and 12 months. The evaluation encompassed 23 (pre-operative assessment) to 30 questions (follow-up) and included five key domains: Function/Activity, Pain, Self-Image/Appearance, Mental Health, and Satisfaction with Management, as well as possible changes in the results before and after surgery. Results 115 patients participated in this study, of whom 79% were females (mean age 14.5 years). Function/Activity was the only domain to exhibit a significant score decrease in the post-operative follow-up, with a return to baseline levels at the 12-months mark. All other domains showed statistically significant improvement over time, with the steepest increase observed at 3 months for Self-Image/Appearance and Satisfaction with Management. Age did not significantly influence on the results across any of the five domains. Conclusions This project highlights the pivotal role of PROMs, with a specific focus on the SRS-30 questionnaire results, in creating a more holistic and patient-centered approach to scoliosis management.
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spelling doaj-art-1b7a152b7f2c4f7586f10b29fe10008a2025-08-20T03:38:18ZengSpringerOpenJournal of Patient-Reported Outcomes2509-80202025-07-01911710.1186/s41687-025-00904-2Enhancing patient-centric care: the role of PROMs utilizing SRS-30 in pediatric scoliosis managementMarina Rosa Filezio0Ramyn Jooma1Paul Fairie2David Parsons3Maria J. Santana4Department of Community Health Sciences, University of CalgarySchool of Kinesiology, University of British ColumbiaDepartment of Community Health Sciences, University of CalgaryDepartment of Surgery, University of CalgaryDepartment of Community Health Sciences, University of CalgaryAbstract Background Scoliosis is defined by a curvature of the spine greater than 10 degrees. The most common type of scoliosis is called Adolescent Idiopathic Scoliosis and is found in individuals between 11 to 18 years of age. It corresponds to 90% of the cases of scoliosis in the pediatric population, with an overall prevalence of 0.47–5.2%, affecting girls more than boys (3:1). There are different treatment options for scoliosis, and surgery is reserved for patients with curves greater than 45 degrees while still growing or greater than 50 degrees for skeletally mature patients. There is a growing recognition of the important role of patient-reported outcomes measures (PROMs) for understanding the impact of scoliosis on individuals’ lives and its management. This paper explores the importance of PROMs, specifically the Scoliosis Research Society-30 (SRS-30) questionnaire, in assessing and improving the quality of care for pediatric scoliosis patients that were submitted to surgical intervention. Methodology PROMs data were collected at predefined time points: pre-operatively (baseline), and post-operatively at 3, 6, and 12 months. The evaluation encompassed 23 (pre-operative assessment) to 30 questions (follow-up) and included five key domains: Function/Activity, Pain, Self-Image/Appearance, Mental Health, and Satisfaction with Management, as well as possible changes in the results before and after surgery. Results 115 patients participated in this study, of whom 79% were females (mean age 14.5 years). Function/Activity was the only domain to exhibit a significant score decrease in the post-operative follow-up, with a return to baseline levels at the 12-months mark. All other domains showed statistically significant improvement over time, with the steepest increase observed at 3 months for Self-Image/Appearance and Satisfaction with Management. Age did not significantly influence on the results across any of the five domains. Conclusions This project highlights the pivotal role of PROMs, with a specific focus on the SRS-30 questionnaire results, in creating a more holistic and patient-centered approach to scoliosis management.https://doi.org/10.1186/s41687-025-00904-2ScoliosisPediatricSurgerySRS-30PROMs
spellingShingle Marina Rosa Filezio
Ramyn Jooma
Paul Fairie
David Parsons
Maria J. Santana
Enhancing patient-centric care: the role of PROMs utilizing SRS-30 in pediatric scoliosis management
Journal of Patient-Reported Outcomes
Scoliosis
Pediatric
Surgery
SRS-30
PROMs
title Enhancing patient-centric care: the role of PROMs utilizing SRS-30 in pediatric scoliosis management
title_full Enhancing patient-centric care: the role of PROMs utilizing SRS-30 in pediatric scoliosis management
title_fullStr Enhancing patient-centric care: the role of PROMs utilizing SRS-30 in pediatric scoliosis management
title_full_unstemmed Enhancing patient-centric care: the role of PROMs utilizing SRS-30 in pediatric scoliosis management
title_short Enhancing patient-centric care: the role of PROMs utilizing SRS-30 in pediatric scoliosis management
title_sort enhancing patient centric care the role of proms utilizing srs 30 in pediatric scoliosis management
topic Scoliosis
Pediatric
Surgery
SRS-30
PROMs
url https://doi.org/10.1186/s41687-025-00904-2
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