PMID- 30675558
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220331
IS  - 2468-6026 (Electronic)
IS  - 2468-6026 (Linking)
VI  - 1
IP  - 3
DP  - 2017 Oct
TI  - Minimal clinically important difference of Liverpool Elbow Score in elbow 
      arthroplasty.
PG  - 144-148
LID - 10.1016/j.jses.2017.07.004 [doi]
AB  - BACKGROUND: The minimal clinically important difference (MCID) that allows the 
      interpretation of small but meaningful changes after intervention has not been 
      reported for the Liverpool Elbow Score (LES). This study aimed to determine the 
      MCID for the LES in patients undergoing total elbow replacement. METHODS: This 
      observational study is based on preoperative and 1-year postoperative clinical 
      outcome of total elbow replacement (Discovery Elbow System) in 71 patients using 
      the LES. A 4-point Likert-like transition scale was used to evaluate patient 
      satisfaction after total elbow replacement. A combination of distribution-based 
      methods (standard deviation [SD] of change in the LES, standard error of mean, 
      smallest detectable change [SDC]) and anchor-based methods (receiver operating 
      curve, difference of mean of change in LES) was used to determine range of MCID 
      values. RESULTS: The mean change in the LES value was 2.4 (SD, 2.1). The 
      estimated SDC value with upper limit of 90% confidence interval was 1.5. The mean 
      change in LES of "satisfied" and "somewhat satisfied" patient groups was 2.4 
      (SD, 2.1) and 1.1 (SD, 1.4), respectively, and the difference between both means 
      (MCID based on difference of mean in 2 subgroups) was 1.3. According to receiver 
      operating curve analysis, the value of MCID was 1.6. CONCLUSION: The MCID value 
      for the LES was estimated to range between 0.7 and 1.8. The estimated SDC value 
      was 1.5. We propose that the "true" MCID value of the LES would be between 1.6 
      and 1.8 to ensure that the value is higher than the measurement error of the LES.
FAU - Vishwanathan, Karthik
AU  - Vishwanathan K
AD  - Shri Krishna Hospital and Pramukhswami Medical College, Karamsad, India.
FAU - Alizadehkhaiyat, Omid
AU  - Alizadehkhaiyat O
AD  - School of Health Sciences, Liverpool Hope University, Liverpool, UK.
FAU - Kemp, Graham J
AU  - Kemp GJ
AD  - Department of Musculoskeletal Biology, Institute of Ageing and Chronic Disease, 
      University of Liverpool, Liverpool, UK.
FAU - Frostick, Simon P
AU  - Frostick SP
AD  - Musculoskeletal Science Research Group, Institute of Translational Medicine, 
      University of Liverpool, Liverpool, UK.
LA  - eng
PT  - Journal Article
DEP - 20170830
PL  - Netherlands
TA  - JSES Open Access
JT  - JSES open access
JID - 101738952
PMC - PMC6340916
OTO - NOTNLM
OT  - Clinical outcome
OT  - Discovery elbow
OT  - Elbow
OT  - Joint replacement, elbow prostheses
OT  - Minimal clinically important changes
OT  - Total arthroplasty
EDAT- 2017/08/30 00:00
MHDA- 2017/08/30 00:01
PMCR- 2017/08/30
CRDT- 2019/01/25 06:00
PHST- 2019/01/25 06:00 [entrez]
PHST- 2017/08/30 00:00 [pubmed]
PHST- 2017/08/30 00:01 [medline]
PHST- 2017/08/30 00:00 [pmc-release]
AID - S2468-6026(17)30047-5 [pii]
AID - 10.1016/j.jses.2017.07.004 [doi]
PST - epublish
SO  - JSES Open Access. 2017 Aug 30;1(3):144-148. doi: 10.1016/j.jses.2017.07.004. 
      eCollection 2017 Oct.