PMID- 24175606
OWN - NLM
STAT- MEDLINE
DCOM- 20140912
LR  - 20220409
IS  - 1938-1344 (Electronic)
IS  - 0190-6011 (Linking)
VI  - 44
IP  - 1
DP  - 2014 Jan
TI  - Minimal clinically important difference of the disabilities of the arm, shoulder 
      and hand outcome measure (DASH) and its shortened version (QuickDASH).
PG  - 30-9
LID - 10.2519/jospt.2014.4893 [doi]
AB  - STUDY DESIGN: Prospective, single-group observational design. OBJECTIVES: To 
      determine the minimal clinically important difference (MCID) for the Disabilities 
      of the Arm, Shoulder and Hand (DASH) outcome measure and its shortened version 
      (QuickDASH) in patients with upper-limb musculoskeletal disorders, using a 
      triangulation of distribution- and anchor-based approaches. BACKGROUND: 
      Meaningful threshold change values of outcome tools are crucial for the clinical 
      decision-making process. METHODS: The DASH and QuickDASH were administered to 255 
      patients (mean +/- SD age, 49 +/- 15 years; 156 women) before and after a physical 
      therapy program. The external anchor administered after the program was a 7-point 
      global rating of change scale. RESULTS: The test-retest reliability of the DASH 
      and QuickDASH was high (intraclass correlation coefficient model 2,1 = 0.93 and 
      0.91, respectively; n = 30). The minimum detectable change at the 90% confidence 
      level was 10.81 points for the DASH and 12.85 points for the QuickDASH. After 
      triangulation of these results with those of the mean-change approach and 
      receiver-operating-characteristic-curve analysis, the following MCID values were 
      selected: 10.83 points for the DASH (sensitivity, 82%; specificity, 74%) and 
      15.91 points for the QuickDASH (sensitivity, 79%; specificity, 75%). After 
      treatment, the MCID threshold was reached/surpassed by 61% of subjects using the 
      DASH and 57% using the QuickDASH. CONCLUSION: The MCID values from this study for 
      the DASH (10.83 points) and the QuickDASH (15.91 points) could represent the 
      lower boundary for a range of MCID values (reasonably useful for different 
      populations and contextual characteristics). The upper boundary may be 
      represented by the 15 points for the DASH and 20 points for the QuickDASH 
      proposed by the DASH website.
FAU - Franchignoni, Franco
AU  - Franchignoni F
AD  - Unit of Occupational Rehabilitation and Ergonomics, Salvatore Maugeri Foundation 
      - IRCCS, Veruno, Italy.
FAU - Vercelli, Stefano
AU  - Vercelli S
FAU - Giordano, Andrea
AU  - Giordano A
FAU - Sartorio, Francesco
AU  - Sartorio F
FAU - Bravini, Elisabetta
AU  - Bravini E
FAU - Ferriero, Giorgio
AU  - Ferriero G
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20131030
PL  - United States
TA  - J Orthop Sports Phys Ther
JT  - The Journal of orthopaedic and sports physical therapy
JID - 7908150
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Arm Injuries/physiopathology
MH  - *Disability Evaluation
MH  - Female
MH  - Hand Injuries/physiopathology
MH  - Humans
MH  - Italy
MH  - Male
MH  - Middle Aged
MH  - Musculoskeletal Diseases/*physiopathology/*rehabilitation
MH  - Outcome Assessment, Health Care
MH  - Prospective Studies
MH  - Psychometrics
MH  - ROC Curve
MH  - Reproducibility of Results
MH  - Severity of Illness Index
MH  - Shoulder/physiopathology
MH  - Shoulder Injuries
MH  - Upper Extremity/injuries/*physiopathology
MH  - Young Adult
EDAT- 2013/11/02 06:00
MHDA- 2014/09/13 06:00
CRDT- 2013/11/02 06:00
PHST- 2013/11/02 06:00 [entrez]
PHST- 2013/11/02 06:00 [pubmed]
PHST- 2014/09/13 06:00 [medline]
AID - 10.2519/jospt.2014.4893 [doi]
PST - ppublish
SO  - J Orthop Sports Phys Ther. 2014 Jan;44(1):30-9. doi: 10.2519/jospt.2014.4893. 
      Epub 2013 Oct 30.