PMID- 24598378 OWN - NLM STAT- MEDLINE DCOM- 20140515 LR - 20181202 IS - 1878-5921 (Electronic) IS - 0895-4356 (Linking) VI - 67 IP - 5 DP - 2014 May TI - Patients' ratings of global perceived change during 2 years were strongly influenced by the current health status. PG - 508-15 LID - S0895-4356(13)00506-4 [pii] LID - 10.1016/j.jclinepi.2013.12.001 [doi] AB - OBJECTIVES: To investigate the longitudinal validity of patients' ratings of global perceived change (GPC) and to assess the implications of using the GPC as the anchor to determine the minimal important change (MIC). STUDY DESIGN AND SETTING: Secondary analysis of data from a multicenter study including 380 patients with disc-related sciatica with follow-ups at 3, 6, 12, and 24 months. The GPC scale ranged from much worse to completely gone. Five patient-reported outcome measures were used. An MIC was defined as the mean change score in the actual outcome measure for patients reporting being better. The influence of patients' current state and baseline scores on the GPC was analyzed by multivariate linear regression. Differences in the magnitude of the MIC between the 3- and 24-month recall periods were analyzed by hierarchical linear models. RESULTS: Across all recall periods and outcome measures, the GPC was strongly influenced by the patient's state at the time of asking. In four of five outcome measures, the magnitude of the MIC increased when recall increased from 3 to 24 months. CONCLUSION: Caution is needed when using the GPC to determine the MIC of patient-reported outcome measures in patients with chronic conditions. CI - Copyright (c) 2014 Elsevier Inc. All rights reserved. FAU - Grovle, Lars AU - Grovle L AD - Department of Rheumatology, Sykehuset Ostfold, 1603 Fredrikstad, Norway. Electronic address: largro@so-hf.no. FAU - Haugen, Anne J AU - Haugen AJ AD - Department of Rheumatology, Sykehuset Ostfold, 1603 Fredrikstad, Norway. FAU - Hasvik, Eivind AU - Hasvik E AD - Department of Physiotherapy, Sykehuset Ostfold, 1603 Fredrikstad, Norway; National Institute of Occupational Health, 0033 Oslo, Norway. FAU - Natvig, Bard AU - Natvig B AD - Department of General Practice, Institute of Health and Society, University of Oslo, 0316 Oslo, Norway. FAU - Brox, Jens I AU - Brox JI AD - Department of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, Norway. FAU - Grotle, Margreth AU - Grotle M AD - FORMI (Communication Unit for Musculoskeletal Disorders), Division of Neuroscience, Oslo University Hospital, Ullevaal, 0424 Oslo, Norway; Department of Physiotherapy, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, 0130 Oslo, Norway. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20140303 PL - United States TA - J Clin Epidemiol JT - Journal of clinical epidemiology JID - 8801383 RN - Intervertebral disc disease SB - IM MH - *Diagnostic Self Evaluation MH - Follow-Up Studies MH - *Health Status MH - Humans MH - Intervertebral Disc Degeneration/complications/*therapy MH - Intervertebral Disc Displacement/complications/*therapy MH - Linear Models MH - Mental Recall MH - Multivariate Analysis MH - Reproducibility of Results MH - Sciatica/etiology/*therapy MH - Time Factors MH - Treatment Outcome OTO - NOTNLM OT - Global perceived change OT - Minimal clinically important difference OT - Minimal important change OT - Outcome assessment OT - Recall bias OT - Transition rating EDAT- 2014/03/07 06:00 MHDA- 2014/05/16 06:00 CRDT- 2014/03/07 06:00 PHST- 2013/05/02 00:00 [received] PHST- 2013/10/29 00:00 [revised] PHST- 2013/12/06 00:00 [accepted] PHST- 2014/03/07 06:00 [entrez] PHST- 2014/03/07 06:00 [pubmed] PHST- 2014/05/16 06:00 [medline] AID - S0895-4356(13)00506-4 [pii] AID - 10.1016/j.jclinepi.2013.12.001 [doi] PST - ppublish SO - J Clin Epidemiol. 2014 May;67(5):508-15. doi: 10.1016/j.jclinepi.2013.12.001. Epub 2014 Mar 3.