Enhancing patient-centric care: the role of PROMs utilizing SRS-30 in pediatric scoliosis management
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
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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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it