PMID- 17383907
OWN - NLM
STAT- MEDLINE
DCOM- 20071214
LR  - 20220318
IS  - 1063-4584 (Print)
IS  - 1063-4584 (Linking)
VI  - 15
IP  - 8
DP  - 2007 Aug
TI  - Responsiveness and minimally important change for the Manchester-Oxford foot 
      questionnaire (MOXFQ) compared with AOFAS and SF-36 assessments following surgery 
      for hallux valgus.
PG  - 918-31
AB  - OBJECTIVES: To assess responsiveness and minimally important change (MIC) for the 
      Manchester-Oxford foot questionnaire (MOXFQ) using anchor and distribution-based 
      approaches. Responsiveness and estimates of minimal clinically important 
      difference (MCID) and minimal detectable change are compared with those from the 
      Short-Form 36 (SF-36) and American Orthopaedic Foot & Ankle Society (AOFAS) 
      measures. METHODS: A prospective observational study of 91 consecutive patients 
      (125 foot operations) undergoing hallux valgus surgery at an orthopaedic 
      hospital. Pre- and 12 month post-surgery, patients completed the MOXFQ and SF-36, 
      and foot surgeons assessed all four AOFAS scores corresponding to four regions of 
      the foot. Transition items were asked about perceived changes compared with 
      before surgery. RESULTS: Mean changes in all domains of each instrument were 
      statistically significant, but foot-specific MOXFQ and AOFAS domains produced 
      much larger effect sizes (>1) than any SF-36 domains, indicating superior 
      responsiveness. Clear associations occurred between transition items and all 
      MOXFQ and AOFAS scores, but with only one (physical function) SF-36 domain. 
      Anchor and distribution-based approaches identified generally comparable measures 
      of MIC, which for the MOXFQ and AOFAS domains were between 1 and 2 standard error 
      of measurement. In metric terms, the MCIDs were 16, 12, and 24 for the MOXFQ 
      Walking/standing, Pain, and Social Interaction domains, respectively. 
      CONCLUSIONS: For hallux valgus surgery, the MOXFQ is highly responsive. 
      Performance is comparable to the AOFAS and notably better than the generic SF-36. 
      Study estimates of MIC for the MOXFQ are useful to inform sample-size 
      calculations for future clinical trials.
FAU - Dawson, J
AU  - Dawson J
AD  - Department of Public Health, University of Oxford, Old Road Campus, Headington, 
      Oxford, UK. jill.dawson@dphpc.ox.ac.uk
FAU - Doll, H
AU  - Doll H
FAU - Coffey, J
AU  - Coffey J
FAU - Jenkinson, C
AU  - Jenkinson C
CN  - Oxford and Birmingham Foot and Ankle Clinical Research Group
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Study
DEP - 20070326
PL  - England
TA  - Osteoarthritis Cartilage
JT  - Osteoarthritis and cartilage
JID - 9305697
SB  - IM
EIN - Osteoarthritis Cartilage. 2011 Jul 19(7):920
MH  - Activities of Daily Living
MH  - Adult
MH  - Aged
MH  - Hallux Valgus/*psychology/*surgery
MH  - Humans
MH  - Middle Aged
MH  - Motor Activity
MH  - Pain, Postoperative/psychology
MH  - Prospective Studies
MH  - *Quality of Life
MH  - ROC Curve
MH  - Reproducibility of Results
MH  - Surveys and Questionnaires/*standards
EDAT- 2007/03/27 09:00
MHDA- 2007/12/15 09:00
CRDT- 2007/03/27 09:00
PHST- 2006/10/09 00:00 [received]
PHST- 2007/02/04 00:00 [accepted]
PHST- 2007/03/27 09:00 [pubmed]
PHST- 2007/12/15 09:00 [medline]
PHST- 2007/03/27 09:00 [entrez]
AID - S1063-4584(07)00062-3 [pii]
AID - 10.1016/j.joca.2007.02.003 [doi]
PST - ppublish
SO  - Osteoarthritis Cartilage. 2007 Aug;15(8):918-31. doi: 10.1016/j.joca.2007.02.003. 
      Epub 2007 Mar 26.