PMID- 19430834
OWN - NLM
STAT- MEDLINE
DCOM- 20120416
LR  - 20211020
IS  - 1432-2218 (Electronic)
IS  - 0930-2794 (Linking)
VI  - 23
IP  - 12
DP  - 2009 Dec
TI  - The minimal clinically important difference in the Gastrointestinal 
      Quality-of-Life Index after cholecystectomy.
PG  - 2708-12
LID - 10.1007/s00464-009-0475-6 [doi]
AB  - BACKGROUND: The minimal clinically important difference (MCID) for the 
      Gastrointestinal Quality of Life Index (GIQLI) is unknown, which limits its 
      application and interpretation. This study aimed to estimate MCIDs for the GIQLI 
      scores of patients after they had undergone cholecystectomy. METHODS: This study 
      had 267 participants. All the participants completed the GIQLI and four anchor 
      items, namely, "How would you describe your overall symptoms, emotions, physical 
      functions, and social functions since your last visit?" The response options were 
      "much worse," "somewhat worse," "same," "somewhat better" and "much better." The 
      MCID was defined according to those who responded with "somewhat better." 
      RESULTS: The mean age of the participants was 57.81 +/- 14.93 years, and 37.08% of 
      the patients were women. The MCID group included 67, 78, 44, and 22 patients with 
      MCIDs of 6.42, 6.86, 7.64 and 6.46 points respectively for scores on the 
      symptoms, emotions, physical functions, and social functions subscales, 
      respectively. The effect sizes of four anchors in the "somewhat better" group 
      (0.38-0.49) exceeded those of the same group (0.25-0.38). CONCLUSIONS: This study 
      showed that after patients had undergone cholecystectomy, the clinically 
      significant mean changes in their scores on the GIQLI subscales for symptoms, 
      emotions, physical functions, and social function were respectively 6.42, 6.86, 
      7.64, and 6.46 points. After patients have undergone cholecystectomy, the MCIDs 
      for the GIQLI subscales can play an important role in interpretation of the 
      scores, application of them in clinical practice, and verification of treatment 
      effects.
FAU - Shi, Hon-Yi
AU  - Shi HY
AD  - Graduate Institute of Healthcare Administration, Kaohsiung Medical University, 
      100, Shih-Chuan 1st Road, 807 Kaohsiung, Taiwan.
FAU - Lee, King-Teh
AU  - Lee KT
FAU - Lee, Hao-Hsien
AU  - Lee HH
FAU - Uen, Yih-Huei
AU  - Uen YH
FAU - Na, Hsueh-Li
AU  - Na HL
FAU - Chao, Fang-Tse
AU  - Chao FT
FAU - Chiu, Chong-Chi
AU  - Chiu CC
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Multicenter Study
DEP - 20090509
PL  - Germany
TA  - Surg Endosc
JT  - Surgical endoscopy
JID - 8806653
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cholecystectomy/*psychology/statistics & numerical data
MH  - Cholecystectomy, Laparoscopic/psychology/statistics & numerical data
MH  - Emotions
MH  - Female
MH  - Gastrointestinal Diseases/psychology
MH  - *Health Status Indicators
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Patient Satisfaction
MH  - Postoperative Complications/psychology
MH  - *Quality of Life
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2009/05/12 09:00
MHDA- 2012/04/17 06:00
CRDT- 2009/05/12 09:00
PHST- 2008/12/24 00:00 [received]
PHST- 2009/03/14 00:00 [accepted]
PHST- 2009/03/11 00:00 [revised]
PHST- 2009/05/12 09:00 [entrez]
PHST- 2009/05/12 09:00 [pubmed]
PHST- 2012/04/17 06:00 [medline]
AID - 10.1007/s00464-009-0475-6 [doi]
PST - ppublish
SO  - Surg Endosc. 2009 Dec;23(12):2708-12. doi: 10.1007/s00464-009-0475-6. Epub 2009 
      May 9.