PMID- 27592691
OWN - NLM
STAT- MEDLINE
DCOM- 20171023
LR  - 20220330
IS  - 1365-2753 (Electronic)
IS  - 1356-1294 (Linking)
VI  - 23
IP  - 2
DP  - 2017 Apr
TI  - Minimal clinically important difference for change in 6-minute walk test distance 
      of adults with pathology: a systematic review.
PG  - 377-381
LID - 10.1111/jep.12629 [doi]
AB  - RATIONALE, AIMS, AND OBJECTIVES: The 6-minute walk test (6MWT) is widely used as 
      a test of functional exercise capacity. Several studies have reported the minimal 
      clinically important difference (MCID) for the 6MWT; however, the findings of the 
      studies have not been examined in the context of one another. In this review, we 
      aimed to summarize available information on the MCID for the 6MWT performed by 
      patients with pathology. METHODS: Relevant literature was identified by searches 
      of 3 electronic databases (PubMed, Scopus, and Cumulative Index of Nursing and 
      Allied Health), examination of article reference lists, and consultation with an 
      expert. Inclusion necessitated that articles (1) be original, full length, and 
      peer reviewed, (2) report an MCID for the 6MWT, and (3) focus on adults with 
      medical issues. Articles were excluded if the MCID was determined by a procedure 
      other than receiver operating characteristic curve analysis. Articles were 
      abstracted for information on participants, interventions, 6MWT distance, and the 
      determination of MCID. Quality was assessed using a hybrid 9-item (0- to 
      18-point) instrument. RESULTS: Six articles were selected based on the inclusion 
      and exclusion criteria. The populations studied included people with chronic 
      obstructive pulmonary disease, lung cancer, coronary artery disease, diffuse 
      parenchymal lung disease, and non-cystic fibrosis bronchiectasis and adults with 
      fear of falling. Mean baseline 6MWT distances ranged from 295 to 551 m. The MCIDs 
      for which the area under the receiver operating characteristic curve was at least 
      0.70 ranged from 14.0 to 30.5 m. CONCLUSIONS: Based on our findings, a change of 
      14.0 to 30.5 m may be clinically important across multiple patient groups.
CI  - (c) 2016 John Wiley & Sons, Ltd.
FAU - Bohannon, Richard W
AU  - Bohannon RW
AD  - Department of Physical Therapy, College of Pharmacy and Health Sciences, Campbell 
      University, Lillington, North Carolina, USA.
FAU - Crouch, Rebecca
AU  - Crouch R
AD  - Department of Physical Therapy, College of Pharmacy and Health Sciences, Campbell 
      University, Lillington, North Carolina, USA.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20160904
PL  - England
TA  - J Eval Clin Pract
JT  - Journal of evaluation in clinical practice
JID - 9609066
SB  - IM
MH  - Accidental Falls
MH  - Bronchiectasis/physiopathology
MH  - Coronary Artery Disease/physiopathology
MH  - Fear
MH  - Humans
MH  - Lung Diseases, Interstitial/physiopathology
MH  - *Minimal Clinically Important Difference
MH  - Pulmonary Disease, Chronic Obstructive/physiopathology
MH  - Quality of Life
MH  - ROC Curve
MH  - Walk Test/*standards
OTO - NOTNLM
OT  - clinimetrics
OT  - gait
OT  - measurement
OT  - responsiveness
EDAT- 2016/09/07 06:00
MHDA- 2017/10/24 06:00
CRDT- 2016/09/06 06:00
PHST- 2016/06/10 00:00 [received]
PHST- 2016/07/20 00:00 [revised]
PHST- 2016/07/21 00:00 [accepted]
PHST- 2016/09/07 06:00 [pubmed]
PHST- 2017/10/24 06:00 [medline]
PHST- 2016/09/06 06:00 [entrez]
AID - 10.1111/jep.12629 [doi]
PST - ppublish
SO  - J Eval Clin Pract. 2017 Apr;23(2):377-381. doi: 10.1111/jep.12629. Epub 2016 Sep 
      4.