Srs 22r Patient Questionnaire Score Sheet SRS 22r Patient Questionnaire Note this is a sample with responses from an imaginary patient circled and the value of each response listed in bold which they are not on the questionnaire as administered to the patient
The SRS 22r measures quality of life across 5 domains Function 5 questions Pain 5 questions Self Image 5 questions Mental Health 5 questions Satisfaction Dissatisfaction 2 questions The maximum score in each domain is 5 and minimum score is 1 with higher scores representing greater patient quality of life SRS 22r Patient questionnaire We are carefully evaluating the condition of your back and it is important that you answer each of the questions yourself Please circle the one best answer to each question 1 Which one of the following best describes the amount of pain you have experienced during the past 6 months 5 None 4 Mild 3 Moderate
Srs 22r Patient Questionnaire Score Sheet
Srs 22r Patient Questionnaire Score Sheet
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SRS 22r Patient Questionnaire PDF Pain Health Sciences
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Figure 1 From Mapping The SRS 22r Questionnaire Onto The EQ 5D 5L
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SRS 22r Questionnaire au patient Nous valuons minutieusement l tat de votre dos et il est important que vous r pondiez chaque question PERSONNELLEMENT Encerclez la meilleure r ponse possible chaque question 1 quel niveau valuez vous votre niveau de douleur depuis les 6 derniers mois 5 Aucune 4 L g re 3 Mod r e SRS has removed the SRS 23 SRS 24 and SRS 30 from the SRS website All practitioners should utilize the SRS 22r and its various translations as it is the most recent and most validated version of the SRS Patient Based Outcomes Questionnaire
PLEASE CIRCLE THE ONE BEST ANSWER TO EACH QUESTION 1 Which of the following best describes the amount of pain you have experienced during the past 6 months 2 Which one of the following best describes the amount of pain you have experienced over the last month 3 During the past 6 months have you been a very nervous person 4 IMPORTANT THAT YOU ANSWER EACH OF THESE QUESTIONS YOURSELF Please CIRCLE THE ONE BEST ANSWER TO EACH QUESTION 1 Which one of the following best describes the amount of pain you have experienced during the past 6 months 2 Which one of the following best describes the amount of pain you have experienced over the last month 3
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SRS 22r In Patients With 5 Year Follow Up Results From Mixed Effects
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SRS 22r E Questionnaire System Login
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Table 2 From Mapping The SRS 22r Questionnaire Onto The EQ 5D 5L
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Demonstrates how spinal conditions impact quality of life and facilitate comparisons of the quality of life before and after surgical intervention Instrument Details Acronym SRS 22 SRS 30 SRS 30 has a minimum score of 23 without post surgery questions and 30 with post surgery questions Spine Scoliosis Clinic Patient Questionnaire This form helps us assess the condition and impact of your scoliosis It is IMPORTANT THAT YOU ANSWER EACH OF THESE QUESTIONS YOURSELF
The measure covers 5 dimensions pain function mental health self image and satisfaction with treatment The SRS 22r is a valid tool for assessing patient centered outcomes after scoliosis surgery but has not been validated and is not intended for use for other patient populations The majority of patients had an SRS 22R Satisfaction score of 3 0 88 or 4 0 67 consistent with a moderate ceiling effect Correlations for SRS 22R domain scores were all
Table 4 From Mapping The SRS 22r Questionnaire Onto The EQ 5D 5L
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Mapping The SRS 22r Questionnaire Onto The EQ 5D 5L Utility
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https://www.srs.org/Files/Research/srs-22_sample.pdf
SRS 22r Patient Questionnaire Note this is a sample with responses from an imaginary patient circled and the value of each response listed in bold which they are not on the questionnaire as administered to the patient
https://orthotoolkit.com/srs-22
The SRS 22r measures quality of life across 5 domains Function 5 questions Pain 5 questions Self Image 5 questions Mental Health 5 questions Satisfaction Dissatisfaction 2 questions The maximum score in each domain is 5 and minimum score is 1 with higher scores representing greater patient quality of life
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Table 4 From Mapping The SRS 22r Questionnaire Onto The EQ 5D 5L
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Srs 22r Patient Questionnaire Score Sheet - SRS has removed the SRS 23 SRS 24 and SRS 30 from the SRS website All practitioners should utilize the SRS 22r and its various translations as it is the most recent and most validated version of the SRS Patient Based Outcomes Questionnaire
