An Effective Pediatric PRO Measure for Spine Patients
The Scoliosis Research Society SRS-22r is a 22-question survey intended for pediatrics to survey and follow up on scoliosis. This survey is widely used and accepted by pediatric providers to evaluate patient-reported function, pain, self-image, mental health, and satisfaction with management. The survey has five questions related to each domain with two questions regarding satisfaction with the management of their disorder.
The SRS-22r is primarily used for pediatric patients, while the SRS-30, which many practitioners are familiar with, is utilized for adult patients. Being the most current version, the SRS-22r has been revised slightly to accommodate pediatric patients.
This survey can provide a consistent and comparable score with a question or two unanswered. The SRS-22r is widely used, has been translated into different languages, and the relatively short nature of the survey provides excellent adaptability for practitioners. An advantage of the SRS-22r is that it is comparable and convertible to the PROMIS-25. Legacy information remains valid and the provider can transition to the PROMIS-25 without having to re-start or benchmark a patient’s status.
SRS-22r requires the use of a scoring sheet for the calculation of the score. There are computer-adapted surveys, which would then require the patient to have access to a computer or tablet to complete.
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Ibaseta A, Rahman R, Skolasky RL, Reidler JS, Kebaish KM, Neuman BJ. SRS-22r legacy scores can be accurately translated to PROMIS scores in adult spinal deformity patients. Spine J. 2020 Feb;20(2):234-240. doi: 10.1016/j.spinee.2019.09.006. Epub 2019 Sep 13. PMID: 31525469.