PMID- 19258150
OWN - NLM
STAT- MEDLINE
DCOM- 20090618
LR  - 20211020
IS  - 1531-6564 (Electronic)
IS  - 0363-5023 (Print)
IS  - 0363-5023 (Linking)
VI  - 34
IP  - 3
DP  - 2009 Mar
TI  - The minimal clinically important difference of the Michigan hand outcomes 
      questionnaire.
PG  - 509-14
LID - 10.1016/j.jhsa.2008.11.001 [doi]
AB  - PURPOSE: To determine the change in score required in various domains of the 
      Michigan Hand Outcomes Questionnaire (MHQ) to indicate meaningful patient 
      improvement, or the minimal clinically important difference (MCID), for 3 common 
      hand conditions: rheumatoid arthritis (RA), carpal tunnel syndrome (CTS) and 
      distal radius fracture (DRF). METHODS: The MHQ was administered to patients at 2 
      time points. Patient satisfaction was defined as a satisfaction score > or =80% 
      of the standard deviation of that patient sample. The minimal change in score in 
      specific MHQ domains that corresponded with patient satisfaction was determined 
      using receiver operating characteristic curves. RESULTS: For CTS patients, MCIDs 
      of 23, 13, and 8 were identified for the pain, function, and work domains, 
      respectively. For RA patients, pain and function were also identified as having 
      discriminative ability, with MCIDs of 11 and 13, respectively. An MCID of 3 was 
      identified for the activities of daily living domain. For DRF patients, no MHQ 
      domains showed discriminative ability because of the ceiling effect at the 
      3-month assessment period. CONCLUSIONS: Individual domains of the MHQ can be used 
      to discriminate between patients who are satisfied and those who are not after 
      either carpal tunnel release or silicone arthroplasty of the metacarpophalangeal 
      joints for RA. Pain and function are the domains of the MHQ that are best able to 
      discriminate between patients who are satisfied and those who are not. The 
      identical function MCID for both RA patients and CTS patients, despite markedly 
      different preoperative values, indicates that a standard amount of functional 
      change may indicate patient satisfaction. High postoperative satisfaction, even 
      only 3 months after surgery, prevented any domains from showing discriminative 
      ability for the DRF patients.
FAU - Shauver, Melissa J
AU  - Shauver MJ
AD  - Section of Plastic Surgery, Department of Surgery, The University of Michigan 
      Health System, Ann Arbor, MI 48109-0340, USA.
FAU - Chung, Kevin C
AU  - Chung KC
LA  - eng
GR  - K24 AR053120/AR/NIAMS NIH HHS/United States
GR  - R01 AR047328/AR/NIAMS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - J Hand Surg Am
JT  - The Journal of hand surgery
JID - 7609631
SB  - IM
MH  - Activities of Daily Living
MH  - Adult
MH  - Aged
MH  - Arthritis, Rheumatoid/*surgery
MH  - Arthroplasty, Replacement, Finger
MH  - Carpal Tunnel Syndrome/*surgery
MH  - Employment
MH  - Esthetics
MH  - Female
MH  - Fracture Fixation, Internal
MH  - Humans
MH  - Male
MH  - Metacarpophalangeal Joint/surgery
MH  - Middle Aged
MH  - *Outcome Assessment, Health Care
MH  - Pain Measurement
MH  - Patient Satisfaction
MH  - ROC Curve
MH  - Radius Fractures/*surgery
MH  - Sensitivity and Specificity
MH  - *Surveys and Questionnaires
PMC - PMC4413464
MID - NIHMS682523
EDAT- 2009/03/05 09:00
MHDA- 2009/06/19 09:00
PMCR- 2015/04/29
CRDT- 2009/03/05 09:00
PHST- 2008/10/15 00:00 [received]
PHST- 2008/10/30 00:00 [revised]
PHST- 2008/11/03 00:00 [accepted]
PHST- 2009/03/05 09:00 [entrez]
PHST- 2009/03/05 09:00 [pubmed]
PHST- 2009/06/19 09:00 [medline]
PHST- 2015/04/29 00:00 [pmc-release]
AID - S0363-5023(08)00971-4 [pii]
AID - 10.1016/j.jhsa.2008.11.001 [doi]
PST - ppublish
SO  - J Hand Surg Am. 2009 Mar;34(3):509-14. doi: 10.1016/j.jhsa.2008.11.001.