PMID- 31072663
OWN - NLM
STAT- MEDLINE
DCOM- 20201116
LR  - 20201116
IS  - 1531-6564 (Electronic)
IS  - 0363-5023 (Print)
IS  - 0363-5023 (Linking)
VI  - 44
IP  - 11
DP  - 2019 Nov
TI  - Minimal Clinically Important Difference After Carpal Tunnel Release Using the 
      PROMIS Platform.
PG  - 947-953.e1
LID - S0363-5023(18)30310-1 [pii]
LID - 10.1016/j.jhsa.2019.03.006 [doi]
AB  - PURPOSE: In light of recently-proposed quality measures for carpal tunnel release 
      (CTR), elucidating the minimal clinically important difference (MCID) for 
      selected outcome measures will be important when interpreting treatment 
      responses. Our purpose was to estimate the MCID of the Patient-Reported Outcomes 
      Measurement Information System (PROMIS) instruments and the short Disabilities of 
      the Arm, Shoulder, and Hand (QuickDASH) following CTR. METHODS: Adult patients 
      undergoing isolated unilateral CTR between July 2014 and October 2016 were 
      identified. Outcomes included the PROMIS Upper Extremity (UE) Computer Adaptive 
      Test (CAT), Physical Function (PF) CAT, QuickDASH, and Pain Interference (PI) 
      CAT. For inclusion, pretreatment baseline (within 60 days of surgery) and 
      postoperative (6-90 days) UE or PF CAT scores were required, as well as a 
      response on a 5-point Likert scale to the question "How much relief and/or 
      improvement do you feel you have experienced as a result of your treatment?" The 
      MCID was calculated using SD and minimum detectable change (MDC) distribution 
      methods. RESULTS: In response to the Likert scale question, 88.6% of patients 
      reported improvement at a mean of 14.8 days after surgery. The infrequency of 
      patients reporting no change (5 of 44; 11.4%) precluded calculation of a 
      statistically sound anchor-based MCID value. The MCID values, as calculated using 
      the one-half SD method, were 3.6, 4.6, 10.4, and 3.4 for the UE CAT, PF CAT, 
      QuickDASH, and PI CAT, respectively. CONCLUSIONS: We have calculated MCID values 
      for the UE CAT, PF CAT, QuickDASH, and PI CAT for patients undergoing CTR. 
      Although the small number of patients reporting no change and minimal change 
      after surgery precluded an anchor-based MCID calculation, we report estimates 
      using the one-half SD method for the MCID following CTR. CLINICAL RELEVANCE: 
      These MCID estimates will be helpful when interpreting CTR clinical outcomes and 
      for powering prospective trials.
CI  - Copyright (c) 2019 American Society for Surgery of the Hand. Published by Elsevier 
      Inc. All rights reserved.
FAU - Kazmers, Nikolas H
AU  - Kazmers NH
AD  - Department of Orthopaedics. Electronic address: nkazmers@gmail.com.
FAU - Hung, Man
AU  - Hung M
AD  - Department of Orthopaedics; Division of Public Health, University of Utah, Salt 
      Lake City, UT.
FAU - Bounsanga, Jerry
AU  - Bounsanga J
AD  - Department of Orthopaedics.
FAU - Voss, Maren W
AU  - Voss MW
AD  - Department of Orthopaedics.
FAU - Howenstein, Abby
AU  - Howenstein A
AD  - Department of Orthopaedics.
FAU - Tyser, Andrew R
AU  - Tyser AR
AD  - Department of Orthopaedics.
LA  - eng
GR  - I01 BX001140/BX/BLRD VA/United States
GR  - U01 AR067138/AR/NIAMS NIH HHS/United States
GR  - UL1 RR025764/RR/NCRR NIH HHS/United States
GR  - UL1 TR000105/TR/NCATS NIH HHS/United States
PT  - Journal Article
DEP - 20190506
PL  - United States
TA  - J Hand Surg Am
JT  - The Journal of hand surgery
JID - 7609631
SB  - IM
CIN - J Hand Surg Am. 2019 Dec;44(12):e1. PMID: 31806121
CIN - J Hand Surg Am. 2019 Dec;44(12):e5-e6. PMID: 31806123
MH  - Adult
MH  - Carpal Tunnel Syndrome/diagnosis/*surgery
MH  - Cohort Studies
MH  - Decompression, Surgical/*methods
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - *Outcome Assessment, Health Care
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - United States
PMC - PMC6829061
MID - NIHMS1525746
OTO - NOTNLM
OT  - Carpal tunnel
OT  - PROMIS
OT  - QuickDASH
OT  - minimal clinically important difference (MCID)
OT  - upper extremity
EDAT- 2019/05/11 06:00
MHDA- 2020/11/18 06:00
PMCR- 2020/11/01
CRDT- 2019/05/11 06:00
PHST- 2018/03/05 00:00 [received]
PHST- 2019/01/27 00:00 [revised]
PHST- 2019/03/12 00:00 [accepted]
PHST- 2019/05/11 06:00 [pubmed]
PHST- 2020/11/18 06:00 [medline]
PHST- 2019/05/11 06:00 [entrez]
PHST- 2020/11/01 00:00 [pmc-release]
AID - S0363-5023(18)30310-1 [pii]
AID - 10.1016/j.jhsa.2019.03.006 [doi]
PST - ppublish
SO  - J Hand Surg Am. 2019 Nov;44(11):947-953.e1. doi: 10.1016/j.jhsa.2019.03.006. Epub 
      2019 May 6.