PMID- 29732429
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220317
IS  - 2414-469X (Print)
IS  - 2414-4630 (Electronic)
IS  - 2414-4630 (Linking)
VI  - 4
IP  - 1
DP  - 2018 Mar
TI  - Determination of minimally clinically important differences for JOABPEQ measure 
      after discectomy in patients with lumbar disc herniation.
PG  - 102-108
LID - 10.21037/jss.2018.03.11 [doi]
AB  - BACKGROUND: It is crucial to define if changes in patient-reported outcome (PRO) 
      measure correspond to relevant clinical improvements. Aim of this study was to 
      determine minimally clinically important differences (MCID) of the Japanese 
      Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) in patients 
      with lumbar disc herniation (LDH) to assess surgical success. METHODS: A total of 
      127 patients with LDH consecutively referred to our clinic were enrolled into 
      this prospective study between March 2012 and August 2015. All participants 
      completed the JOABPEQ and the Oswestry Disability Index (ODI) score before 
      surgery, and at 1 year after surgery. Surgical success was defined based on 
      clinical consensus of the team and be used as anchor. The MCID value of the 
      JOABPEQ subscales were estimated using two anchor-based methods: (I) average 
      change procedure (responsiveness); and (II) receiver operating characteristic 
      (ROC) curve analysis. RESULTS: The mean age of patients was 51.2+/-9.4 years, and 
      there were 68 (53.5%) male. A total of 83.5% (106 cases) showed improvement based 
      on the clinical consensus of the spine surgeon team at last follow-up. To assess 
      surgical success, the two MCID calculation methods generated two optimal 
      prediction thresholds on the JOABPEQ subscales (low back pain: 19.1, 22.4; lumbar 
      function: 21.3, 24.2; walking ability: 24.5, 27.9; social life function: 14.3, 
      17.1; and mental health: 12.8, 14.8) for ROC analysis and average change 
      procedure, respectively (P<0.002 for all of subscales in two methods). For all 
      five subscales, the sensitivity and specificity were between 61.2 and 81.1 with 
      AUC greater than 0.70. CONCLUSIONS: These findings support the value of the MCID 
      to assess surgical success for the JOABPEQ subscales in patients with LDH. This 
      estimate may be a useful tool in clinical practice.
FAU - Azimi, Parisa
AU  - Azimi P
AD  - Functional Neurosurgery Research Center, Shahid Beheshti University of Medical 
      Sciences, Tehran, Iran.
FAU - Yazdanian, Taravat
AU  - Yazdanian T
AD  - School of Medicine, Capital Medical University, Beijing 100069, China.
FAU - Benzel, Edward C
AU  - Benzel EC
AD  - Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
LA  - eng
PT  - Journal Article
PL  - China
TA  - J Spine Surg
JT  - Journal of spine surgery (Hong Kong)
JID - 101685460
PMC - PMC5911764
OTO - NOTNLM
OT  - Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ)
OT  - Lumbar disc herniation (LDH)
OT  - minimally clinically important difference (MCID)
OT  - receiver operating characteristic analysis (ROC analysis)
OT  - surgical success
COIS- Conflicts of Interest: The authors have no conflicts of interest to declare.
EDAT- 2018/05/08 06:00
MHDA- 2018/05/08 06:01
PMCR- 2018/03/01
CRDT- 2018/05/08 06:00
PHST- 2018/05/08 06:00 [entrez]
PHST- 2018/05/08 06:00 [pubmed]
PHST- 2018/05/08 06:01 [medline]
PHST- 2018/03/01 00:00 [pmc-release]
AID - jss-04-01-102 [pii]
AID - 10.21037/jss.2018.03.11 [doi]
PST - ppublish
SO  - J Spine Surg. 2018 Mar;4(1):102-108. doi: 10.21037/jss.2018.03.11.