PMID- 34215267 OWN - NLM STAT- MEDLINE DCOM- 20210719 LR - 20210719 IS - 1477-7525 (Electronic) IS - 1477-7525 (Linking) VI - 19 IP - 1 DP - 2021 Jul 2 TI - Exploration of the methods of establishing the minimum clinical important difference based on anchor and its application in the quality of life measurement scale QLICP-ES (V2.0) for esophageal cancer. PG - 173 LID - 10.1186/s12955-021-01808-7 [doi] LID - 173 AB - BACKGROUND: The development of the minimum clinical important difference (MCID) can make it easier for researchers or doctors to judge the significance of research results and the effect of intervention measures, and improve the evaluation system of efficacy. This paper is aimed to calculate the MCID based on anchor and to develop MCID for esophageal cancer scale (QLICP-ES). METHODS: The item Q29 (How do you evaluate your overall health in the past week with 7 grades answers from 1 very poor to 7 excellent)of EORTC QLQ-C30 was used as the subjective anchor to calculate the score difference between each domain at discharge and admission. MCID was established according to two standards, "one grade difference"(A) and "at least one grade difference"(B), and developed by three methods: anchor-based method, ROC curve method and multiple linear regression models. In terms of anchor-based method, the mean of the absolute value of the difference before and after treatments is MCID. The point with the best sensitivity and specificity-Yorden index at the ROC curve is MCID for ROC curve method. In contrast, the predicted mean value based on a multiple linear regression model and the parameters of each factor is MCID. RESULTS: Most of the correlation coefficients of Q29 and various domains of the QLICP-ES were higher than 0.30. The rank of MCID values determined by different methods and standards were as follows: standard B > standard A, anchor-based method > ROC curve method > multiple linear regression models. The recommended MCID values of physical domain, psychological domain, social domain, common symptom and side-effects domain, the specific domain and the overall of the QLICP-ES were 7.8, 9.7, 4.7, 3.6, 4.3, 2.3 and 2.9, respectively. CONCLUSION: Different methods have their own advantages and disadvantages, and also different definitions and standards can be adopted according to research purposes and methods. A lot of different MCID values were presented in this paper so that it can be easy and convenient to select by users. FAU - Ren, Dandan AU - Ren D AD - School of Humanities and Management, Research Center for Quality of Life and Applied Psychology, Guangdong Medical University, Dongguan, 523808, China. FAU - Wu, Ting AU - Wu T AD - School of Humanities and Management, Research Center for Quality of Life and Applied Psychology, Guangdong Medical University, Dongguan, 523808, China. FAU - Wan, Chonghua AU - Wan C AUID- ORCID: 0000-0002-7323-6837 AD - School of Humanities and Management, Research Center for Quality of Life and Applied Psychology, Guangdong Medical University, Dongguan, 523808, China. wanchh@hotmail.com. FAU - Li, Gaofeng AU - Li G AD - The Third Affiliated Hospital, Kunming Medical University (Yunnan Tumor Hospital), Kunming, 650106, China. FAU - Qi, Yanbo AU - Qi Y AD - The Center for Response and Management of Emergence Public Health Event, the Center for Disease Control and Prevention of Yunnan Province, Kunming, 650022, China. FAU - Fang, Yujing AU - Fang Y AD - Department of Thoracic Surgery, State Key Laboratory of Oncology in South China, Sun Yat-Sen University Cancer Center, Collaborative Innovation Center of Cancer Medicine, Guangzhou, 510060, China. FAU - Zhong, Jiudi AU - Zhong J AD - Department of Thoracic Surgery, State Key Laboratory of Oncology in South China, Sun Yat-Sen University Cancer Center, Collaborative Innovation Center of Cancer Medicine, Guangzhou, 510060, China. LA - eng GR - 71974040/National Natural Science Foundation of China/ GR - 81273185/National Natural Science Foundation of China/ GR - 2018KZDXM037/Features Innovative Projects of Key Platform and Major Scientific Research Project of Universities in Guangdong Province/ GR - 2017KZDXM040/Features Innovative Projects of Key Platform and Major Scientific Research Project of Universities in Guangdong Province/ PT - Journal Article DEP - 20210702 PL - England TA - Health Qual Life Outcomes JT - Health and quality of life outcomes JID - 101153626 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Esophageal Neoplasms MH - Female MH - Humans MH - Linear Models MH - Male MH - Middle Aged MH - *Outcome and Process Assessment, Health Care MH - Psychometrics MH - *Quality of Life MH - ROC Curve MH - Sensitivity and Specificity PMC - PMC8254221 OTO - NOTNLM OT - Anchor-based method OT - Esophageal cancer OT - Multiple linear regression model OT - Quality of life OT - ROC curve OT - The minimum clinical important difference COIS- The authors declare that they have no competing interests. EDAT- 2021/07/04 06:00 MHDA- 2021/07/20 06:00 PMCR- 2021/07/02 CRDT- 2021/07/03 05:24 PHST- 2020/08/28 00:00 [received] PHST- 2021/06/18 00:00 [accepted] PHST- 2021/07/03 05:24 [entrez] PHST- 2021/07/04 06:00 [pubmed] PHST- 2021/07/20 06:00 [medline] PHST- 2021/07/02 00:00 [pmc-release] AID - 10.1186/s12955-021-01808-7 [pii] AID - 1808 [pii] AID - 10.1186/s12955-021-01808-7 [doi] PST - epublish SO - Health Qual Life Outcomes. 2021 Jul 2;19(1):173. doi: 10.1186/s12955-021-01808-7.