PMID- 32419483
OWN - NLM
STAT- MEDLINE
DCOM- 20211210
LR  - 20211214
IS  - 1938-7636 (Electronic)
IS  - 1938-6400 (Linking)
VI  - 14
IP  - 6
DP  - 2021 Dec
TI  - Minimum Clinically Important Difference in Short Musculoskeletal Function 
      Assessment: What Change Matters in Ankle Fractures.
PG  - 496-500
LID - 10.1177/1938640020923262 [doi]
AB  - Accurate interpretation of the clinical significance of patient-reported outcome 
      (PRO) research requires determination of the threshold where a difference in PRO 
      score represents a clinical benefit to patients, termed the minimum clinically 
      important difference (MCID). The Short Musculoskeletal Function Assessment (SMFA) 
      is one of the most commonly utilized PRO tools in orthopaedics. However, to date, 
      no MCID has been determined. The purpose of this study was to define the MCID for 
      the SMFA. A prospectively collected ankle fracture outcomes registry was reviewed 
      between 2014 and 2016. Inclusion criteria were isolated ankle fracture, treatment 
      with open reduction and internal fixation, and 6-week follow-up with completed 
      SMFA. Two commonly utilized methods to determine the MCID, the anchor and 
      distribution methods, were performed in this study. Overall, 105 patients met 
      inclusion/exclusion criteria. Utilizing both the overall health anchor and the 
      mental and emotional health anchor, the MCID was 7.3 (n = 17 and n = 19, 
      respectively). The distribution method MCID was 7.0 (n = 105). Our study found 
      the MCID values for the SMFA to converge around a value of 7 for the 3 analyses. 
      This indicates that a threshold of 7 should be applied to studies utilizing the 
      SMFA to determine the clinical significance of the results.
FAU - McCreary, Dylan L
AU  - McCreary DL
AD  - University of Minnesota, Minneapolis, Minnesota (DLM, BPC).
AD  - Regions Hospital, Saint Paul, Minnesota (BPC).
FAU - Cunningham, Brian P
AU  - Cunningham BP
AUID- ORCID: 0000-0002-6653-2451
AD  - University of Minnesota, Minneapolis, Minnesota (DLM, BPC).
AD  - Regions Hospital, Saint Paul, Minnesota (BPC).
LA  - eng
PT  - Journal Article
DEP - 20200517
PL  - United States
TA  - Foot Ankle Spec
JT  - Foot & ankle specialist
JID - 101473598
SB  - IM
MH  - *Ankle Fractures/surgery
MH  - Fracture Fixation, Internal
MH  - Humans
MH  - Open Fracture Reduction
MH  - Patient Reported Outcome Measures
MH  - Treatment Outcome
OTO - NOTNLM
OT  - ankle injuries
OT  - bone
OT  - bone healing/orthobiologics
OT  - comparative diagnostic studies
OT  - diagnostic and therapeutic techniques
OT  - general disorders
OT  - heel-rearfoot-ankle
OT  - other
OT  - trauma
EDAT- 2020/05/19 06:00
MHDA- 2021/12/15 06:00
CRDT- 2020/05/19 06:00
PHST- 2020/05/19 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2020/05/19 06:00 [entrez]
AID - 10.1177/1938640020923262 [doi]
PST - ppublish
SO  - Foot Ankle Spec. 2021 Dec;14(6):496-500. doi: 10.1177/1938640020923262. Epub 2020 
      May 17.