Analysis of factors affecting baseline SF-36 Mental Component Summary in Adult Spinal Deformity and its impact on surgical outcomes

dc.contributor.authorMmopelwa, Tiro
dc.contributor.authorAyhan, Selim
dc.contributor.authorYuksel, Selcen
dc.contributor.authorNabiyev, Vugar
dc.contributor.authorNiyazi, Asli
dc.contributor.authorPellise, Ferran
dc.contributor.authorAlanay, Ahmet
dc.contributor.authorPerez Grueso, Francisco Javier Sanchez
dc.contributor.authorKleinstuck, Frank
dc.contributor.authorObeid, Ibrahim
dc.contributor.authorAcaroglu, Emre
dc.contributor.authorGrp, European Spine Study
dc.date.accessioned2023-02-21T12:40:01Z
dc.date.available2023-02-21T12:40:01Z
dc.date.issued2018-01-01
dc.description.abstractObjectives: To identify the factors that affect SF-36 mental component summary (MCS) in patients with adult spinal deformity (ASD) at the time of presentation, and to analyse the effect of SF-36 MCS on clinical outcomes in surgically treated patients. Methods: Prospectively collected data from a multicentric ASD database was analysed for baseline parameters. Then, the same database for surgically treated patients with a minimum of 1-year follow-up was analysed to see the effect of baseline SF-36 MCS on treatment results. A clinically useful SF-36 MCS was determined by ROC Curve analysis. Results: A total of 229 patients with the baseline parameters were analysed. A strong correlation between SF-36 MCS and SRS-22, ODI, gender, and diagnosis were found (p < 0.05). For the second part of the study, a total of 186 surgically treated patients were analysed. Only for SF-36 PCS, the un-improved cohort based on minimum clinically important differences had significantly lower mean baseline SF-36 MCS (p < 0.001). SF-36 MCS was found to have an odds ratio of 0.914 in improving SF-36 PCS score (unit by unit) (p < 0.001). A cut-off point of 43.97 for SF-36 MCS was found to be predictive of SF-36 PCS (AUC = 0.631
dc.description.abstractp < 0.001). Conclusions: The factors effective on the baseline SF-36 MCS in an ASD population are other HRQOL parameters such as SRS-22 and ODI as well as the baseline thoracic kyphosis and gender. This study has also demonstrated that baseline SF-36 MCS does not necessarily have any effect on the treatment results by surgery as assessed by SRS-22 or ODI. (C) 2018 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.
dc.description.issue3
dc.description.pages179-184
dc.description.volume52
dc.identifier.doi10.1016/j.aott.2018.02.001
dc.identifier.urihttps://hdl.handle.net/11443/2570
dc.identifier.urihttp://dx.doi.org/10.1016/j.aott.2018.02.001
dc.identifier.wosWOS:000437429400003
dc.publisherTURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY
dc.relation.ispartofACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
dc.subjectAdult spinal deformity
dc.subjectHRQOL
dc.subjectMental component summary
dc.subjectOutcome
dc.subjectSF-36
dc.subjectSurgery
dc.titleAnalysis of factors affecting baseline SF-36 Mental Component Summary in Adult Spinal Deformity and its impact on surgical outcomes
dc.typeArticle

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