PMID- 35770358 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2234-7550 (Print) IS - 2234-5930 (Electronic) IS - 1225-1585 (Linking) VI - 48 IP - 3 DP - 2022 Jun 30 TI - Minimal clinically important difference of mouth opening in oral submucous fibrosis patients: a retrospective study. PG - 167-173 LID - 10.5125/jkaoms.2022.48.3.167 [doi] AB - OBJECTIVES: The purpose of this study was to estimate the minimal clinically important difference (MCID) of mouth opening (MO) and patient satisfaction in surgically treated oral submucous fibrosis (OSMF) patients. MATERIALS AND METHODS: The status of MO was collected preoperatively (T0), postoperatively at 3 months (T1), and at a minimum of 6 months postoperatively (T2). MCID was determined through the anchor-based approach with the change difference method, mean change method, and receiver operator characteristic curve (ROC) method. RESULTS: In this study, 35 patients enrolled and completed postoperative follow-up (T2) averaging a duration of 18.1 months. At T1, using the change difference method, MO was 14.89 mm and the ROC curve exhibited a 11.5 gain in MO (sensitivity 81.8% and specificity 100%, area under the curve [AUC] of 0.902) and was classified as MCID as reported by patients. At T2, MCID of MO was 9.75 mm using the change difference method and 11.75 mm by the mean change method. The ROC curve revealed that the MCID of MO at T2 was 10.5 mm with 73.9% sensitivity and 83.3% specificity (AUC of 0.873). The kappa value was 0.91, confirming reliability of the data. CONCLUSION: This study demonstrated MCID values that indicate the clinical relevance of surgical treatment of OSMF if the minimum possible gain in MO is approximately 10 mm. FAU - Kaur, Amanjot AU - Kaur A AUID- ORCID: 0000-0001-5560-0140 AD - Oral and Maxillofacial Surgery, Department of Dentistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. FAU - Rustagi, Neeti AU - Rustagi N AUID- ORCID: 0000-0003-3051-5411 AD - Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. FAU - Ganesan, Aparna AU - Ganesan A AUID- ORCID: 0000-0002-4249-2651 AD - Oral and Maxillofacial Surgery, Department of Dentistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. FAU - Pm, Nihadha AU - Pm N AUID- ORCID: 0000-0002-0498-564X AD - Oral and Maxillofacial Surgery, Department of Dentistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. FAU - Kumar, Pravin AU - Kumar P AUID- ORCID: 0000-0001-9318-9188 AD - Oral and Maxillofacial Surgery, Department of Dentistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. FAU - Chaudhry, Kirti AU - Chaudhry K AUID- ORCID: 0000-0002-8261-7033 AD - Oral and Maxillofacial Surgery, Department of Dentistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India. LA - eng PT - Journal Article PL - Korea (South) TA - J Korean Assoc Oral Maxillofac Surg JT - Journal of the Korean Association of Oral and Maxillofacial Surgeons JID - 101580242 PMC - PMC9247444 OTO - NOTNLM OT - Minimal clinically important difference OT - Oral submucous fibrosis COIS- Conflict of Interest No potential conflict of interest relevant to this article was reported. EDAT- 2022/07/01 06:00 MHDA- 2022/07/01 06:01 PMCR- 2022/06/30 CRDT- 2022/06/30 03:03 PHST- 2022/04/04 00:00 [received] PHST- 2022/05/04 00:00 [accepted] PHST- 2022/06/30 03:03 [entrez] PHST- 2022/07/01 06:00 [pubmed] PHST- 2022/07/01 06:01 [medline] PHST- 2022/06/30 00:00 [pmc-release] AID - jkaoms.2022.48.3.167 [pii] AID - jkaoms-48-3-167 [pii] AID - 10.5125/jkaoms.2022.48.3.167 [doi] PST - ppublish SO - J Korean Assoc Oral Maxillofac Surg. 2022 Jun 30;48(3):167-173. doi: 10.5125/jkaoms.2022.48.3.167.