PMID- 25737521
OWN - NLM
STAT- MEDLINE
DCOM- 20150430
LR  - 20161125
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Linking)
VI  - 97-B
IP  - 3
DP  - 2015 Mar
TI  - A comparison of patient-reported outcome measures after spinal surgery.
PG  - 366-71
LID - 10.1302/0301-620X.97B3.34178 [doi]
AB  - Minimal clinically important differences (MCID) in the scores of patient-reported 
      outcome measures allow clinicians to assess the outcome of intervention from the 
      perspective of the patient. There has been significant variation in their 
      absolute values in previous publications and a lack of consistency in their 
      calculation. The purpose of this study was first, to establish whether these 
      values, following spinal surgery, vary depending on the surgical intervention and 
      their method of calculation and secondly, to assess whether there is any 
      correlation between the two external anchors most frequently used to calculate 
      the MCID. We carried out a retrospective analysis of prospectively gathered data 
      of adult patients who underwent elective spinal surgery between 1994 and 2009. A 
      total of 244 patients were included. There were 125 men and 119 women with a mean 
      age of 54 years (16 to 84); the mean follow-up was 62 months (6 to 199) The MCID 
      was calculated using three previously published methods. Our results show that 
      the value of the MCID varies considerably with the operation and its method of 
      calculation. There was good correlation between the two external anchors. The 
      global outcome tool correlated significantly better. We conclude that consensus 
      needs to be reached on the best method of calculating the MCID. This then needs 
      to be defined for each spinal procedure. Using a blanket value for the MCID for 
      all spinal procedures should be avoided.
CI  - (c)2015 The British Editorial Society of Bone & Joint Surgery.
FAU - Patel, M S
AU  - Patel MS
AD  - University Hospitals of Leicester NHS Trust, Leicester General Hospital, 
      Gwendolen Road, Leicester, LE5 4PW, UK.
FAU - Newey, M
AU  - Newey M
AD  - Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK.
FAU - Sell, P
AU  - Sell P
AD  - University Hospitals of Leicester NHS Trust, Gwendolen Road, Leicester LE5 4PW, 
      UK.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - England
TA  - Bone Joint J
JT  - The bone & joint journal
JID - 101599229
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Disability Evaluation
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Lumbar Vertebrae/*surgery
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement
MH  - *Patient Outcome Assessment
MH  - Reoperation
MH  - Retrospective Studies
MH  - Surveys and Questionnaires
MH  - United Kingdom
OTO - NOTNLM
OT  - MCID
OT  - Minimal Clinical Important Difference
OT  - Patient satisfaction
OT  - Spinal surgery
EDAT- 2015/03/05 06:00
MHDA- 2015/05/01 06:00
CRDT- 2015/03/05 06:00
PHST- 2015/03/05 06:00 [entrez]
PHST- 2015/03/05 06:00 [pubmed]
PHST- 2015/05/01 06:00 [medline]
AID - 97-B/3/366 [pii]
AID - 10.1302/0301-620X.97B3.34178 [doi]
PST - ppublish
SO  - Bone Joint J. 2015 Mar;97-B(3):366-71. doi: 10.1302/0301-620X.97B3.34178.