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The validity of the SRS-22 instrument in an adult spinal deformity population compared with the Oswestry and SF-12: A study of response distribution, concurrent validity, internal consistency, and reliability

Prospective analysis of a consecutive cohort of adult spinal deformity patients queried over a 12-month period. To assess the SRS-22 instrument compared with the SF-12 and Oswestry. Very few reports in the literature have applied the SRS-22 to adult spinal deformity patients. Consecutive adult spina...

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Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2005-02, Vol.30 (4), p.455-461
Main Authors: BRIDWELL, Keith H, CATS-BARIL, William, HARRAST, John, BERVEN, Sigurd, GLASSMAN, Steven, FARCY, Jean-Pierre, HORTON, William C, LENKE, Lawrence G, BALDUS, Christine, RADAKE, Terri
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container_end_page 461
container_issue 4
container_start_page 455
container_title Spine (Philadelphia, Pa. 1976)
container_volume 30
creator BRIDWELL, Keith H
CATS-BARIL, William
HARRAST, John
BERVEN, Sigurd
GLASSMAN, Steven
FARCY, Jean-Pierre
HORTON, William C
LENKE, Lawrence G
BALDUS, Christine
RADAKE, Terri
description Prospective analysis of a consecutive cohort of adult spinal deformity patients queried over a 12-month period. To assess the SRS-22 instrument compared with the SF-12 and Oswestry. Very few reports in the literature have applied the SRS-22 to adult spinal deformity patients. Consecutive adult spinal deformity patients were applied the SRS-22, SF-12, and Oswestry. Four analyses were done: 1) floor/ceiling effect; 2) Pearson's correlation coefficients between the SRS-22, SF-12, and Oswestry; 3) Cronbach's alpha analysis for internal consistency within the SRS-22; and 4) test/retest. Floor/ceiling range for the SRS-22 compared favorably with the SF-12 and Oswestry. The Pearson's coefficients correlating the two questionnaires relative to the SRS-22 were > 0.7. The Cronbach's alpha within each domain for the SRS-22 were > 0.7, except for pain (0.67). Test/retest correlation coefficients ranged from 0.84 to 0.95 for the subscales. The SRS-22 is a disease-specific instrument with the capacity to demonstrate change in health status more effectively than the SF-12 and in more domains than the Oswestry. The SRS-22 showed high criterion validity with the SF-12 and Oswestry based on Pearson's coefficients. High Cronbach's alpha scores suggested a high internal consistency within each domain of the SRS-22, except for pain (0.67). Test/retest reliability was excellent.
doi_str_mv 10.1097/01.brs.0000153393.82368.6b
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Spinal nerves ; Congenital Abnormalities ; Female ; Follow-Up Studies ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Neurosurgery ; Pain Measurement - methods ; Pain Measurement - standards ; Prospective Studies ; Reproducibility of Results ; Spinal Cord - abnormalities ; Spinal Cord - pathology ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Traumas. 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Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>Pain Measurement - methods</subject><subject>Pain Measurement - standards</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Spinal Cord - abnormalities</subject><subject>Spinal Cord - pathology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Traumas. 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To assess the SRS-22 instrument compared with the SF-12 and Oswestry. Very few reports in the literature have applied the SRS-22 to adult spinal deformity patients. Consecutive adult spinal deformity patients were applied the SRS-22, SF-12, and Oswestry. Four analyses were done: 1) floor/ceiling effect; 2) Pearson's correlation coefficients between the SRS-22, SF-12, and Oswestry; 3) Cronbach's alpha analysis for internal consistency within the SRS-22; and 4) test/retest. Floor/ceiling range for the SRS-22 compared favorably with the SF-12 and Oswestry. The Pearson's coefficients correlating the two questionnaires relative to the SRS-22 were &gt; 0.7. The Cronbach's alpha within each domain for the SRS-22 were &gt; 0.7, except for pain (0.67). Test/retest correlation coefficients ranged from 0.84 to 0.95 for the subscales. The SRS-22 is a disease-specific instrument with the capacity to demonstrate change in health status more effectively than the SF-12 and in more domains than the Oswestry. The SRS-22 showed high criterion validity with the SF-12 and Oswestry based on Pearson's coefficients. High Cronbach's alpha scores suggested a high internal consistency within each domain of the SRS-22, except for pain (0.67). Test/retest reliability was excellent.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>15706344</pmid><doi>10.1097/01.brs.0000153393.82368.6b</doi><tpages>7</tpages></addata></record>
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ispartof Spine (Philadelphia, Pa. 1976), 2005-02, Vol.30 (4), p.455-461
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source LWW_医学期刊
subjects Adolescent
Adult
Aged
Biological and medical sciences
Cerebrospinal fluid. Meninges. Spinal cord
Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves
Congenital Abnormalities
Female
Follow-Up Studies
Humans
Injuries of the nervous system and the skull. Diseases due to physical agents
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
Neurosurgery
Pain Measurement - methods
Pain Measurement - standards
Prospective Studies
Reproducibility of Results
Spinal Cord - abnormalities
Spinal Cord - pathology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Traumas. Diseases due to physical agents
title The validity of the SRS-22 instrument in an adult spinal deformity population compared with the Oswestry and SF-12: A study of response distribution, concurrent validity, internal consistency, and reliability
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