PMID- 30562576 OWN - NLM STAT- MEDLINE DCOM- 20191209 LR - 20191217 IS - 1877-0665 (Electronic) IS - 1877-0657 (Linking) VI - 62 IP - 3 DP - 2019 May TI - Determining the minimal clinically important difference of the hand function sort questionnaire in vocational rehabilitation. PG - 155-160 LID - S1877-0657(18)31496-9 [pii] LID - 10.1016/j.rehab.2018.11.003 [doi] AB - OBJECTIVE: To estimate the Minimal Clinically Important Difference (MCID) of the French version of the Hand Function Sort questionnaire (HFS-F). As a comparison, the MCID of the Disabilities of the Arm, Shoulder, and Hand (DASH) was also estimated. MATERIALS AND METHODS: We included French-speaking patients hospitalized in a multidisciplinary rehabilitation program for chronic pain of the upper limb after an accident. HFS-F and DASH scores were collected at admission and discharge; the Patient Global Impression of Change measure (PGIC; 7 levels) was collected at discharge. The MCID was estimated by 2 methods: the anchor-based method (receiver operating characteristic [ROC], delta (Delta) mean of scores) and the objective method based on the distribution of scores (standard error of measurement, SEM). RESULT: We included 225 patients. By the anchor-based method, the MCID for the HFS-F and DASH was +26 (SD 35) (P<10(-4)) and -13 (SD 13) (P<10(-4)), respectively, and by the ROC curve, it was +10 to +12 for the Delta-HFS-F and -7.5 to -5 for the Delta-DASH. The area under the ROC curve (AUC) was 0.726 [0.638-0.781] for Delta-HFS-F and 0.768 [0.701-0.83] for Delta-DASH. The correlations between the anchor and delta scores were>0.38 (P<10(-4)). The SEM was 16.2 for the HFS-F and -4.3 for the DASH. CONCLUSIONS: Values below the SEM must be rejected. Our anchor was significantly correlated with the outcome. Therefore, we propose an MCID for the HFS-F of 26, corresponding to approximately 10% progression of the score. CI - Copyright (c) 2018 The Author(s). Published by Elsevier Masson SAS.. All rights reserved. FAU - Benhissen, Zineb AU - Benhissen Z AD - Department of musculoskeletal rehabilitation, Clinique Romande de Readaptation SuvaCare, 90, avenue Grand-Champsec, 1951 Sion, Switzerland. FAU - Konzelmann, Michel AU - Konzelmann M AD - Department of musculoskeletal rehabilitation, Clinique Romande de Readaptation SuvaCare, 90, avenue Grand-Champsec, 1951 Sion, Switzerland. Electronic address: michel.konzelmann@crr-suva.ch. FAU - Vuistiner, Philippe AU - Vuistiner P AD - Institute for Research in Rehabilitation, Clinique Romande de Readaptation Suvacare, 90, avenue Grand-Champsec, 1950 Sion, Switzerland. FAU - Leger, Bertrand AU - Leger B AD - Institute for Research in Rehabilitation, Clinique Romande de Readaptation Suvacare, 90, avenue Grand-Champsec, 1950 Sion, Switzerland. FAU - Luthi, Francois AU - Luthi F AD - Department of musculoskeletal rehabilitation, Clinique Romande de Readaptation SuvaCare, 90, avenue Grand-Champsec, 1951 Sion, Switzerland; Institute for Research in Rehabilitation, Clinique Romande de Readaptation Suvacare, 90, avenue Grand-Champsec, 1950 Sion, Switzerland; Orthopaedic Hospital, Lausanne University Hospital, 21, rue du Bugnon, 1011 Lausanne, Switzerland. FAU - Benaim, Charles AU - Benaim C AD - Division of Physical Medicine and Rehabilitation, Orthopaedic Hospital, Lausanne University Hospital, avenue Pierre Decker 4, CH-1011 Lausanne, Switzerland; Institute for Research in Rehabilitation, Clinique Romande de Readaptation Suvacare, 90, avenue Grand-Champsec, 1950 Sion, Switzerland. LA - eng PT - Journal Article DEP - 20181215 PL - Netherlands TA - Ann Phys Rehabil Med JT - Annals of physical and rehabilitation medicine JID - 101502773 SB - IM MH - Adult MH - Arm Injuries/physiopathology/*rehabilitation MH - *Disability Evaluation MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Minimal Clinically Important Difference MH - Recovery of Function MH - *Rehabilitation, Vocational MH - Shoulder Injuries/physiopathology/*rehabilitation MH - Surveys and Questionnaires/*standards OTO - NOTNLM OT - Recovery of function OT - Rehabilitation OT - Surveys and questionnaires OT - Treatment outcome OT - Upper extremity EDAT- 2018/12/19 06:00 MHDA- 2019/12/18 06:00 CRDT- 2018/12/19 06:00 PHST- 2018/06/11 00:00 [received] PHST- 2018/11/21 00:00 [revised] PHST- 2018/11/26 00:00 [accepted] PHST- 2018/12/19 06:00 [pubmed] PHST- 2019/12/18 06:00 [medline] PHST- 2018/12/19 06:00 [entrez] AID - S1877-0657(18)31496-9 [pii] AID - 10.1016/j.rehab.2018.11.003 [doi] PST - ppublish SO - Ann Phys Rehabil Med. 2019 May;62(3):155-160. doi: 10.1016/j.rehab.2018.11.003. Epub 2018 Dec 15.