PMID- 24318084 OWN - NLM STAT- MEDLINE DCOM- 20141203 LR - 20220409 IS - 1573-2649 (Electronic) IS - 0962-9343 (Linking) VI - 23 IP - 5 DP - 2014 Jun TI - Quality of life assessed with EQ-5D in patients undergoing glioma surgery: what is the responsiveness and minimal clinically important difference? PG - 1427-34 LID - 10.1007/s11136-013-0593-4 [doi] AB - PURPOSE: To evaluate the responsiveness of EQ-5D 3L in patients undergoing intracranial glioma surgery and estimate the minimal clinically important difference (MCID). MATERIALS AND METHODS: EQ-5D 3L index values from 164 patients who underwent glioma surgery in the period 2007-2012 were analysed. Responsiveness and MCID were estimated using a combination of distribution-based and anchor-based methods. Karnofsky performance status served as an anchor. RESULTS: Patients who improved functionally did not report significantly higher EQ-5D 3L scores post operatively with a standardized response mean (SRM) of 0.04 (p = 0.13). Patients who deteriorated functionally reported significantly lower EQ-5D 3L scores post operatively with a SRM of 0.72 (p < 0.001). With different approaches, we determined a range of MCID values from 0.13 to 0.15. CONCLUSIONS: EQ-5D 3L is responsive to changes when glioma patients are deteriorating functionally after surgery but not responsive when the patients are improving. The MCID values for EQ-5D 3L in glioma surgery seem higher than reported MCID values for other types of cancers. FAU - Sagberg, Lisa Millgard AU - Sagberg LM AD - Department of Neuroscience, Norwegian University of Science and Technology, 7491, Trondheim, Norway, lisa.millgard.sagberg@ntnu.no. FAU - Jakola, Asgeir S AU - Jakola AS FAU - Solheim, Ole AU - Solheim O LA - eng PT - Journal Article PT - Validation Study DEP - 20131207 PL - Netherlands TA - Qual Life Res JT - Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation JID - 9210257 SB - IM MH - Brain Neoplasms/drug therapy/*psychology/surgery MH - Chemotherapy, Adjuvant MH - Cross-Sectional Studies MH - Drug-Related Side Effects and Adverse Reactions MH - Female MH - Glioma/drug therapy/*psychology/surgery MH - Health Status Indicators MH - Humans MH - Karnofsky Performance Status/statistics & numerical data MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Neoplasm Grading/psychology MH - Norway MH - Postoperative Period MH - Prospective Studies MH - Quality of Life/*psychology MH - Sickness Impact Profile MH - Surveys and Questionnaires/*standards MH - Time Factors MH - Treatment Outcome MH - Visual Analog Scale EDAT- 2013/12/10 06:00 MHDA- 2014/12/15 06:00 CRDT- 2013/12/10 06:00 PHST- 2013/11/27 00:00 [accepted] PHST- 2013/12/10 06:00 [entrez] PHST- 2013/12/10 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - 10.1007/s11136-013-0593-4 [doi] PST - ppublish SO - Qual Life Res. 2014 Jun;23(5):1427-34. doi: 10.1007/s11136-013-0593-4. Epub 2013 Dec 7.