PMID- 32718186
OWN - NLM
STAT- MEDLINE
DCOM- 20210428
LR  - 20220418
IS  - 1477-0873 (Electronic)
IS  - 0269-2155 (Print)
IS  - 0269-2155 (Linking)
VI  - 34
IP  - 12
DP  - 2020 Dec
TI  - Minimal clinically important difference and minimal detectable change of the 
      World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) amongst 
      patients with chronic musculoskeletal pain.
PG  - 1506-1511
LID - 10.1177/0269215520942573 [doi]
AB  - OBJECTIVES: The aim of this study is to estimate a minimal clinically important 
      difference (MCID) and a minimal detectable change (MDC) of the 12-item WHODAS 2.0 
      amongst patients with chronic musculoskeletal pain. DESIGN: Cross-sectional 
      cohort study. SETTING: Outpatient Physical and Rehabilitation Medicine clinic. 
      SUBJECTS: A total of 1988 consecutive patients with musculoskeletal pain. 
      INTERVENTIONS: A distribution-based approach was employed to estimate a minimal 
      clinically important difference, a minimal detectable change, and a minimal 
      detectable percent change (MDC%). RESULTS: The mean age of the patients was 
      48 years, and 65% were women. The average intensity of pain was 6,3 (2.0) points 
      (0-10 numeric rating scale) and the mean WHODAS 2.0 total score was 13 (9) points 
      out of 48. The minimal clinically important difference ranged between 3.1 and 
      4.7 points. The minimal detectable change was 8.6 points and minimal detectable % 
      change was unacceptably high 66%. CONCLUSIONS: Amongst patients with chronic 
      musculoskeletal pain, the 12-item WHODAS 2.0 demonstrated a high minimal 
      detectable change of almost nine points. As the minimal detectable change 
      exceeded the level of minimal clinically important difference, nine points were 
      considered to be the amount of change perceived by a respondent as clinically 
      significant.
FAU - Katajapuu, Niina
AU  - Katajapuu N
AUID- ORCID: 0000-0002-7416-8928
AD  - Faculty of Sports and Health Sciences, University of Jyvaskyla, Jyvaskyla, 
      Finland.
AD  - Faculty of Health and Wellbeing, Turku University of Applied Sciences, Turku, 
      Finland.
FAU - Heinonen, Ari
AU  - Heinonen A
AD  - Faculty of Sports and Health Sciences, University of Jyvaskyla, Jyvaskyla, 
      Finland.
FAU - Saltychev, Mikhail
AU  - Saltychev M
AUID- ORCID: 0000-0003-1269-4743
AD  - Department of Physical and Rehabilitation Medicine, Turku University Hospital and 
      University of Turku, Turku, Finland.
LA  - eng
PT  - Journal Article
DEP - 20200727
PL  - England
TA  - Clin Rehabil
JT  - Clinical rehabilitation
JID - 8802181
SB  - IM
MH  - Chronic Pain/*rehabilitation
MH  - Cohort Studies
MH  - Cross-Sectional Studies
MH  - *Disability Evaluation
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - Musculoskeletal Pain/*rehabilitation
MH  - Pain Measurement
PMC - PMC7649960
OTO - NOTNLM
OT  - Whodas
OT  - minimal clinically important difference
OT  - minimal detectable change
OT  - musculoskeletal pain
COIS- Declaration of conflicting interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article.
EDAT- 2020/07/29 06:00
MHDA- 2021/04/29 06:00
PMCR- 2020/11/09
CRDT- 2020/07/29 06:00
PHST- 2020/07/29 06:00 [pubmed]
PHST- 2021/04/29 06:00 [medline]
PHST- 2020/07/29 06:00 [entrez]
PHST- 2020/11/09 00:00 [pmc-release]
AID - 10.1177_0269215520942573 [pii]
AID - 10.1177/0269215520942573 [doi]
PST - ppublish
SO  - Clin Rehabil. 2020 Dec;34(12):1506-1511. doi: 10.1177/0269215520942573. Epub 2020 
      Jul 27.