{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T17:24:18Z","timestamp":1790011458077,"version":"4.0.1"},"reference-count":35,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"3","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,8,10]],"date-time":"2017-08-10T00:00:00Z","timestamp":1502323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"DePuy-Synthes"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives\nTo 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.\nMethods\nProspectively 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.\nResults\nA 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 &lt; 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 &lt; 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 &lt; 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; p &lt; 0.001).\nConclusions\nThe 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.\nLevel of evidence\nLevel III, prognostic study.\nER -<\/jats:p>","DOI":"10.1016\/j.aott.2018.02.001","type":"journal-article","created":{"date-parts":[[2018,3,2]],"date-time":"2018-03-02T05:53:20Z","timestamp":1519970000000},"page":"179-184","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Analysis of factors affecting baseline SF-36 Mental Component Summary in Adult Spinal Deformity and its impact on surgical outcomes"],"prefix":"10.5152","volume":"52","author":[{"given":"Tiro","family":"MMOPELWA","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selim","family":"AYHAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selcen","family":"YUKSEL","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vugar","family":"NAB\u0130YEV","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asli","family":"N\u0130YAZ\u0130","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferran","family":"PELL\u0130SE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"ALANAY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Javier Sanchez Perez GRUESO","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"KLE\u0130NSTUCK","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"OBE\u0130D","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emre","family":"ACAROGLU","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"issue":"20","key":"10.1016\/j.aott.2018.02.001_bib1","doi-asserted-by":"crossref","first-page":"2186","DOI":"10.1097\/BRS.0b013e3181b05146","article-title":"Pain and disability determine treatment modality for older patients with adult scoliosis, while deformity guides treatment for younger patients","volume":"34","author":"Bess","year":"2009","journal-title":"Spine"},{"issue":"1","key":"10.1016\/j.aott.2018.02.001_bib2","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1097\/01.brs.0000251022.18847.77","article-title":"The selection of operative versus nonoperative treatment in patients with adult scoliosis","volume":"32","author":"Glassman","year":"2007","journal-title":"Spine"},{"issue":"6","key":"10.1016\/j.aott.2018.02.001_bib3","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1097\/01.brs.0000155425.04536.f7","article-title":"Correlation of radiographic parameters and clinical symptoms in adult scoliosis","volume":"30","author":"Glassman","year":"2005","journal-title":"Spine"},{"issue":"1","key":"10.1016\/j.aott.2018.02.001_bib4","first-page":"57","article-title":"Adult spinal deformity: a very heterogeneous population of patients with different needs","volume":"50","author":"Acaroglu","year":"2016","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"20","key":"10.1016\/j.aott.2018.02.001_bib5","doi-asserted-by":"crossref","first-page":"2165","DOI":"10.1097\/BRS.0b013e3181b3ff0c","article-title":"Adult scoliosis in patients over sixty-five years of age: outcomes of operative versus nonoperative treatment at a minimum two-year follow-up","volume":"34","author":"Li","year":"2009","journal-title":"Spine (Phila Pa 1976)"},{"issue":"3","key":"10.1016\/j.aott.2018.02.001_bib6","first-page":"S269","article-title":"Impact of radiographic parameters on HRQOL in adult spinal deformity. The \u201cLordosis Gap\u201d better than lumbar lordosis ?","volume":"21","author":"Pellise","year":"2012","journal-title":"Eur Spine J"},{"issue":"6","key":"10.1016\/j.aott.2018.02.001_bib7","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1227\/NEU.0000000000001116","article-title":"Outcomes of operative and nonoperative treatment for adult spinal deformity: a prospective, multicenter, propensity-matched cohort assessment with minimum 2-year follow-up","volume":"78","author":"Smith","year":"2016","journal-title":"Neurosurgery"},{"issue":"8","key":"10.1016\/j.aott.2018.02.001_bib8","doi-asserted-by":"crossref","first-page":"2390","DOI":"10.1007\/s00586-016-4413-8","article-title":"A\u00a0decision analysis to identify the ideal treatment for adult spinal deformity: is surgery better than non-surgical treatment in improving health-related quality of life and decreasing the disease burden?","volume":"25","author":"Acaroglu","year":"2016","journal-title":"Eur Spine J"},{"issue":"2","key":"10.1016\/j.aott.2018.02.001_bib9","doi-asserted-by":"crossref","first-page":"190","DOI":"10.5312\/wjo.v6.i2.190","article-title":"Economic impact of minimally invasive lumbar surgery","volume":"6","author":"Hofstetter","year":"2015","journal-title":"World J Orthop"},{"issue":"1","key":"10.1016\/j.aott.2018.02.001_bib10","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00586-014-3542-1","article-title":"Impact on health related quality of life of adult spinal deformity (ASD) compared with other chronic conditions","volume":"24","author":"Pellise","year":"2015","journal-title":"Eur Spine J"},{"issue":"1","key":"10.1016\/j.aott.2018.02.001_bib11","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.spinee.2014.06.020","article-title":"The impact of preoperative depression on quality of life outcomes after lumbar surgery","volume":"15","author":"Miller","year":"2015","journal-title":"Spine J"},{"issue":"20","key":"10.1016\/j.aott.2018.02.001_bib12","doi-asserted-by":"crossref","first-page":"2616","DOI":"10.1097\/00007632-200010150-00012","article-title":"A\u00a0prospective study of psychological predictors of lumbar surgery outcome","volume":"25","author":"Trief","year":"2000","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.aott.2018.02.001_bib13","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/00003086-199403000-00004","article-title":"Anterior lumbar fusion. A comparison of noncompensation patients with compensation patients","volume":"300","author":"Greenough","year":"1994","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"10.1016\/j.aott.2018.02.001_bib14","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/BF02221598","article-title":"Anterior lumbar fusion: results, assessment techniques and prognostic factors","volume":"3","author":"Greenough","year":"1994","journal-title":"Eur Spine J"},{"issue":"4","key":"10.1016\/j.aott.2018.02.001_bib15","first-page":"371","article-title":"Psychological distress deteriorates the subjective outcome of lumbosacral fusion. A prospective study","volume":"64","author":"Van Susante","year":"1998","journal-title":"Acta Orthop Belg"},{"issue":"4","key":"10.1016\/j.aott.2018.02.001_bib16","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1111\/j.1526-4637.2009.00632.x","article-title":"Pretreatment psychosocial variables as predictors of outcomes following lumbar surgery and spinal cord stimulation: a systematic review and literature synthesis","volume":"10","author":"Celestin","year":"2009","journal-title":"Pain Med"},{"issue":"10","key":"10.1016\/j.aott.2018.02.001_bib17","doi-asserted-by":"crossref","first-page":"2392","DOI":"10.1016\/j.spinee.2014.01.047","article-title":"Depressive burden is associated with a poorer surgical outcome among lumbar spinal stenosis patients: a 5-year follow-up study","volume":"14","author":"Pakarinen","year":"2014","journal-title":"Spine J"},{"issue":"2","key":"10.1016\/j.aott.2018.02.001_bib18","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1111\/j.1471-6712.2010.00821.x","article-title":"Could SF-36 be used as a screening instrument for depression in a Swedish youth population?","volume":"25","author":"Kristjansdottir","year":"2011","journal-title":"Scand J Caring Sci"},{"issue":"4","key":"10.1016\/j.aott.2018.02.001_bib19","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1111\/j.1526-4637.2003.03040.x","article-title":"Chronic pain, depression, and quality of life: correlations and predictive value of the SF-36","volume":"4","author":"Elliott","year":"2003","journal-title":"Pain Med"},{"key":"10.1016\/j.aott.2018.02.001_bib20","series-title":"The SF-36 Health Survey: A Summary of Responsiveness to Clinical Interventions","author":"Qualitymetric","year":"2000"},{"issue":"1","key":"10.1016\/j.aott.2018.02.001_bib21","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.jval.2012.10.010","article-title":"Mapping to obtain EQ-5D utility values for use in NICE health technology assessments","volume":"16","author":"Longworth","year":"2013","journal-title":"Value Health"},{"issue":"3","key":"10.1016\/j.aott.2018.02.001_bib22","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.spinee.2005.11.004","article-title":"Screening for depressive symptoms in patients with chronic spinal pain using the SF-36 Health Survey","volume":"6","author":"Walsh","year":"2006","journal-title":"Spine J"},{"issue":"11","key":"10.1016\/j.aott.2018.02.001_bib23","doi-asserted-by":"crossref","first-page":"3644","DOI":"10.1007\/s00586-016-4649-3","article-title":"Global tilt: a single parameter incorporating spinal and pelvic sagittal parameters and least affected by patient positioning","volume":"25","author":"Obeid","year":"2016","journal-title":"Eur Spine J"},{"key":"10.1016\/j.aott.2018.02.001_bib24","series-title":"SRS 52nd Annual Meeting & Course","article-title":"Minimum Detectable Change (MDC) and Minimum Clinically Important Difference (MCID) of Health Related Quality of Life Parameters in Adult Spinal Deformity","author":"Yuksel","year":"2017"},{"key":"10.1016\/j.aott.2018.02.001_bib25","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/j.jspd.2014.11.004","article-title":"Multiple regression analysis of factors affecting health-related quality of life in adult spinal deformity","volume":"3","author":"Acaroglu","year":"2015","journal-title":"Spine Deform"},{"issue":"1","key":"10.1016\/j.aott.2018.02.001_bib26","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/s00586-015-4062-3","article-title":"Influence of gender on patient-oriented outcomes in spine surgery","volume":"25","author":"Pochon","year":"2016","journal-title":"Eur Spine J"},{"issue":"14","key":"10.1016\/j.aott.2018.02.001_bib27","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1097\/BRS.0000000000001499","article-title":"Impact of gender on 30-day complications after adult spinal deformity surgery","volume":"41","author":"Kothari","year":"2016","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1","key":"10.1016\/j.aott.2018.02.001_bib28","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/00002508-199903000-00006","article-title":"Does gender affect appraisal of pain and pain coping strategies?","volume":"15","author":"Unruh","year":"1999","journal-title":"Clin J Pain"},{"issue":"1","key":"10.1016\/j.aott.2018.02.001_bib29","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1093\/bja\/aet127","article-title":"Sex differences in pain: a brief review of clinical and experimental findings","volume":"111","author":"Bartley","year":"2013","journal-title":"Br J Anaesth"},{"issue":"3","key":"10.1016\/j.aott.2018.02.001_bib30","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.pain.2006.03.004","article-title":"Sex differences in adolescent chronic pain and pain-related coping","volume":"123","author":"Keogh","year":"2006","journal-title":"Pain"},{"issue":"6","key":"10.1016\/j.aott.2018.02.001_bib31","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1177\/1359105313478644","article-title":"Gender differences in perception of quality of life in adults with and without chronic health conditions: the role of depressive symptoms","volume":"19","author":"da Rocha","year":"2014","journal-title":"J\u00a0Health Psychol"},{"issue":"2","key":"10.1016\/j.aott.2018.02.001_bib32","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1097\/01.psy.0000116775.98593.f4","article-title":"Gender differences in quality of life among cardiac patients","volume":"66","author":"Emery","year":"2004","journal-title":"Psychosom Med"},{"issue":"1","key":"10.1016\/j.aott.2018.02.001_bib33","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1023\/A:1005459110063","article-title":"Gender differences in pain and pain behaviour: the role of catastrophizing","volume":"24","author":"Sullivan","year":"2000","journal-title":"Cognit Ther Res"},{"issue":"11","key":"10.1016\/j.aott.2018.02.001_bib34","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1023\/A:1022077922593","article-title":"Gender differences in pain perception: the mediating role of self-efficacy beliefs","volume":"47","author":"Jackson","year":"2002","journal-title":"Sex Roles"},{"issue":"4","key":"10.1016\/j.aott.2018.02.001_bib35","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1037\/1040-3590.7.4.524","article-title":"The pain catastrophizing scale: development and validation","volume":"7","author":"Sullivan","year":"1995","journal-title":"Psychol Assess"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17304741?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17304741?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3351\/3298","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:32:57Z","timestamp":1763465577000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,6]]},"references-count":35,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2018,1,3]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2018.02.001","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Analysis of factors affecting baseline SF-36 Mental Component Summary in Adult Spinal Deformity and its impact on surgical outcomes","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2018.02.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}