PMID- 27792107
OWN - NLM
STAT- MEDLINE
DCOM- 20171017
LR  - 20210114
IS  - 1528-1159 (Electronic)
IS  - 0362-2436 (Linking)
VI  - 42
IP  - 8
DP  - 2017 Apr 15
TI  - Minimum Clinically Important Difference and Substantial Clinical Benefit in Pain, 
      Functional, and Quality of Life Scales in Failed Back Surgery Syndrome Patients.
PG  - E474-E481
LID - 10.1097/BRS.0000000000001950 [doi]
AB  - STUDY DESIGN: .: Prospective observational 1-year study. OBJECTIVE: .: To 
      determine minimum clinically important difference (MCID) and substantial clinical 
      benefit (SCB) of outcome measures in failed back surgery syndrome (FBSS) 
      patients, as these metrics enable assessment of whether and when an intervention 
      produces clinically meaningful effects in a patient. SUMMARY OF BACKGROUND DATA: 
      .: Several methods have been devised to quantify clinically important difference, 
      but MCID and SCB for FBSS patients has yet to be determined. METHODS: .: Patients 
      with persisting/recurrent low back pain (LBP) and/or leg pain after lumbar 
      surgery who completed 16 weeks of treatment (n = 105) at two hospitals in Korea 
      from November 2011 to September 2014 were analyzed. Global perceived effect was 
      used to determine receiver operating characteristic curves in visual analogue 
      scale (VAS), Oswestry disability index (ODI), and short form-36 (SF-36) in an 
      anchor-based approach. RESULTS: .: MCIDs for ODI, LBP and leg pain VAS, physical 
      component summary, mental health component summary (MCS), and overall health 
      scores of SF-36 were 9.0, 22.5, 27.5, 10.2, 4.0, and 8.9, and SCBs were 15.0, 
      32.5, 37.0, 19.7, 19.3, and 21.1, respectively. MCID and SCB area under the curve 
      was >/=0.8, and >/=0.7, respectively. CONCLUSION: .: LBP and leg pain VAS, ODI, and 
      physical component summary of SF-36 may be used to measure responsiveness in FBSS 
      patients. LEVEL OF EVIDENCE: 3.
FAU - Park, Ki Byung
AU  - Park KB
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, 
      Republic of Korea.
FAU - Shin, Joon-Shik
AU  - Shin JS
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, 
      Republic of Korea.
FAU - Lee, Jinho
AU  - Lee J
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, 
      Republic of Korea.
FAU - Lee, Yoon Jae
AU  - Lee YJ
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, 
      Republic of Korea.
FAU - Kim, Me-Riong
AU  - Kim MR
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, 
      Republic of Korea.
FAU - Lee, Jun-Hwan
AU  - Lee JH
AD  - Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon, 
      Republic of Korea.
AD  - Korean Medicine Life Science, University of Science and Technology (UST), Campus 
      of Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
FAU - Shin, Kyung-Min
AU  - Shin KM
AD  - Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon, 
      Republic of Korea.
FAU - Shin, Byung-Cheul
AU  - Shin BC
AD  - Spine and Joint Center, Pusan National University Korean Medicine Hospital, 
      Yangsan, Republic of Korea.
AD  - Department of Korean Rehabilitation Medicine, School of Korean Medicine, Pusan 
      National University, Yangsan, Republic of Korea.
FAU - Cho, Jae-Heung
AU  - Cho JH
AD  - Department of Korean Rehabilitation Medicine, Kyung Hee University, Seoul, 
      Republic of Korea.
FAU - Ha, In-Hyuk
AU  - Ha IH
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, 
      Republic of Korea.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Spine (Phila Pa 1976)
JT  - Spine
JID - 7610646
SB  - IM
MH  - Adult
MH  - Complementary Therapies
MH  - *Disability Evaluation
MH  - Failed Back Surgery Syndrome/*diagnosis/*therapy
MH  - Female
MH  - *Health Status Indicators
MH  - Humans
MH  - Leg
MH  - Low Back Pain/*diagnosis/therapy
MH  - Male
MH  - Middle Aged
MH  - Pain/diagnosis
MH  - Pain Management
MH  - Pain Measurement/*methods
MH  - Patient Satisfaction
MH  - Prospective Studies
MH  - Quality of Life
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
EDAT- 2016/10/30 06:00
MHDA- 2017/10/19 06:00
CRDT- 2016/10/30 06:00
PHST- 2016/10/30 06:00 [pubmed]
PHST- 2017/10/19 06:00 [medline]
PHST- 2016/10/30 06:00 [entrez]
AID - 00007632-201704150-00017 [pii]
AID - 10.1097/BRS.0000000000001950 [doi]
PST - ppublish
SO  - Spine (Phila Pa 1976). 2017 Apr 15;42(8):E474-E481. doi: 
      10.1097/BRS.0000000000001950.