PMID- 18454301
OWN - NLM
STAT- MEDLINE
DCOM- 20081023
LR  - 20240213
IS  - 1873-4626 (Electronic)
IS  - 1091-255X (Linking)
VI  - 12
IP  - 7
DP  - 2008 Jul
TI  - Responsiveness and minimal clinically important differences after 
      cholecystectomy: GIQLI versus SF-36.
PG  - 1275-82
LID - 10.1007/s11605-008-0526-7 [doi]
AB  - INTRODUCTION: To compare responsiveness and minimal clinically important 
      differences (MCID) between the Gastrointestinal Quality of Life (GIQLI) and the 
      Short Form 36 (SF-36), we prospectively analyze 159 patients undergoing 
      cholecystectomy at two tertiary academic hospitals. PATIENTS AND METHODS: All 
      patients completed the disease-specific GIQLI and the generic SF-36 before and 3 
      months after surgery. Scores using these instruments were interpreted by 
      generalized estimating equation before and after cholecystectomy. The bootstrap 
      estimation was used to derive 95% confidence intervals for differences in the 
      responsiveness estimates. RESULTS AND DISCUSSION: Mean changes in all GIQLI and 
      the SF-36 subscales were statistically significant (p < 0.05). Comparisons of 
      effect size (ES), standardized response means (SRM), and relative efficiency (>1) 
      indicated that the responsiveness of the GIQLI was superior to that of the SF-36. 
      In the equivalence test, all lower or upper confidence limits presented no 
      equivalence (>5), indicating good MCID. The ES and SRM for emotions and physical 
      function in the GIQLI significantly differed from those of the SF-36 (p < 0.05). 
      CONCLUSION: The data in this study indicate that clinicians and health 
      researchers should weight disease-specific measures more heavily than generic 
      measures when evaluating treatment outcomes.
FAU - Shi, Hon-Yi
AU  - Shi HY
AD  - Graduate Institute of Healthcare Administration, Kaohsiung Medical University, 
      100-Shih-Chun 1st Road, Kaohsiung, Taiwan.
FAU - Lee, Hao-Hsien
AU  - Lee HH
FAU - Chiu, Chong-Chi
AU  - Chiu CC
FAU - Chiu, Herng-Chia
AU  - Chiu HC
FAU - Uen, Yih-Huei
AU  - Uen YH
FAU - Lee, King-Teh
AU  - Lee KT
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
DEP - 20080503
PL  - Netherlands
TA  - J Gastrointest Surg
JT  - Journal of gastrointestinal surgery : official journal of the Society for Surgery 
      of the Alimentary Tract
JID - 9706084
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cholecystectomy/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - *Health Status Indicators
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Satisfaction
MH  - Postoperative Period
MH  - *Quality of Life
MH  - *Surveys and Questionnaires
MH  - Taiwan
MH  - Treatment Outcome
EDAT- 2008/05/06 09:00
MHDA- 2008/10/24 09:00
CRDT- 2008/05/06 09:00
PHST- 2008/01/30 00:00 [received]
PHST- 2008/03/26 00:00 [accepted]
PHST- 2008/05/06 09:00 [pubmed]
PHST- 2008/10/24 09:00 [medline]
PHST- 2008/05/06 09:00 [entrez]
AID - S1091-255X(23)08748-6 [pii]
AID - 10.1007/s11605-008-0526-7 [doi]
PST - ppublish
SO  - J Gastrointest Surg. 2008 Jul;12(7):1275-82. doi: 10.1007/s11605-008-0526-7. Epub 
      2008 May 3.