PMID- 33617087 OWN - NLM STAT- MEDLINE DCOM- 20220418 LR - 20221003 IS - 1554-527X (Electronic) IS - 0736-0266 (Print) IS - 0736-0266 (Linking) VI - 39 IP - 10 DP - 2021 Oct TI - Minimal clinically important differences in SF-36 global score: Current value in orthopedic oncology. PG - 2116-2123 LID - 10.1002/jor.24944 [doi] AB - The SF-36 is widely used to evaluate the health-related quality of life (HRQoL) of patients with musculoskeletal tumors. Instead of typical methods, calculating the SF-36 Global Score has recently become an increasingly common reporting approach. However, numerical changes lack clear clinical relevance. The minimal clinically important difference (MCID) is useful for interpreting changes in functional scores by defining the smallest change patients may perceive as clinically meaningful. The aim of this study is to determine the MCID of the SF-36 Global Score in orthopedic oncology patients, which has not been reported to date. Three-hundred ten patients who underwent surgery and completed two surveys during postoperative follow-up were reviewed. The two most common methods for calculating the SF-36 Global Score were used: (1) anchor-based methods and receiver operating characteristic analysis based on one-half of the SD of change score and standard error of measurement at baseline and; (2) distribution-based methods. Using anchor-based methods, the MCIDs of SF-36 Global Scores #1 and #2 were 2.7 (area under the curve [AUC] = 0.85) and 2.5 (AUC = 0.79) for improvement, and -1.5 (AUC = 0.81) and -0.6 (AUC = 0.83) for deterioration, respectively. Using distribution-based methods, the MCIDs of SF-36 Global Scores #1 and #2 were 4.1 and 4.4 by half SD, and 4.1 and 4.5 by standard error of measurement, respectively. Our findings provide benchmark values, which can serve as a reference for future studies in musculoskeletal tumor patients using the SF-36 Global Score as a single measure for HRQoL. CI - (c) 2020 Orthopaedic Research Society. Published by Wiley Periodicals LLC. FAU - Ogura, Koichi AU - Ogura K AD - Department of Surgery, Orthopaedic Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Bartelstein, Meredith K AU - Bartelstein MK AD - Department of Surgery, Orthopaedic Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Yakoub, Mohamed A AU - Yakoub MA AD - Department of Surgery, Orthopaedic Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Nikolic, Zarko AU - Nikolic Z AD - Department of Surgery, Orthopaedic Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Boland, Patrick J AU - Boland PJ AD - Department of Surgery, Orthopaedic Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Healey, John H AU - Healey JH AUID- ORCID: 0000-0002-0802-1186 AD - Department of Surgery, Orthopaedic Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA. LA - eng GR - P30 CA008748/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20201220 PL - United States TA - J Orthop Res JT - Journal of orthopaedic research : official publication of the Orthopaedic Research Society JID - 8404726 SB - IM MH - Humans MH - Minimal Clinically Important Difference MH - *Neoplasms MH - *Orthopedics MH - Quality of Life MH - Surveys and Questionnaires MH - Treatment Outcome PMC - PMC9348556 MID - NIHMS1825741 OTO - NOTNLM OT - SF-36 Global Score OT - anchor-based method OT - distribution-based method OT - health-related quality of life (HRQoL) OT - minimal clinically important difference (MCID) OT - sarcoma COIS- Competing interests The authors declare that they have no competing interests. EDAT- 2021/02/23 06:00 MHDA- 2022/04/19 06:00 PMCR- 2022/10/01 CRDT- 2021/02/22 12:20 PHST- 2020/10/21 00:00 [revised] PHST- 2020/06/18 00:00 [received] PHST- 2020/12/03 00:00 [accepted] PHST- 2021/02/23 06:00 [pubmed] PHST- 2022/04/19 06:00 [medline] PHST- 2021/02/22 12:20 [entrez] PHST- 2022/10/01 00:00 [pmc-release] AID - 10.1002/jor.24944 [doi] PST - ppublish SO - J Orthop Res. 2021 Oct;39(10):2116-2123. doi: 10.1002/jor.24944. Epub 2020 Dec 20.