PMID- 36602614
OWN - NLM
STAT- MEDLINE
DCOM- 20230214
LR  - 20230225
IS  - 0942-0940 (Electronic)
IS  - 0001-6268 (Linking)
VI  - 165
IP  - 2
DP  - 2023 Feb
TI  - Establishing minimum clinically important difference for patient-reported outcome 
      measures in patients undergoing lateral lumbar interbody fusion.
PG  - 325-334
LID - 10.1007/s00701-022-05428-y [doi]
AB  - BACKGROUND: The minimum clinically important difference (MCID) has not been 
      established in lateral lumbar interbody fusion (LLIF). Our study aims to 
      establish MCID for patient-reported outcome measures (PROMs) of physical function 
      and pain for LLIF through anchor-based and distribution-based approaches. 
      METHODS: Patients undergoing LLIF with preoperative and 6-month postoperative 
      Oswestry Disability Index (ODI) scores were identified. PROMs of Patient-Reported 
      Outcome Measurement Information System Physical Function (PROMIS-PF), 12-Item 
      Short Form Physical Component Score (SF-12 PCS), Veterans RAND 12-Item Short Form 
      Physical Component Score (VR-12 PCS), visual analog scale (VAS) back, and VAS leg 
      were collected at preoperative and 6-month postoperative time points. 
      Anchor-based MCID calculations were average change, minimal detectable change, 
      change difference, receiver operating characteristic curve, and cross-sectional 
      analysis using ODI as the anchor. Distribution-based calculations were standard 
      error of measurement, reliable change index, effect size, and 0.5  * DeltaSD. RESULTS: 
      Fifty patients were included. Anchor-based approaches MCID ranges were PROMIS-PF 
      1.1-9.6, SF-12 PCS 6.4-16.5, VR-12 PCS 5.9-12.9, VAS Back 1.4-4.6, and VAS Leg 
      1.3-4.3. The area under curve for receiver operating characteristics (ROC) 
      analysis ranged from 0.63 to 0.71. Distribution-based MCID ranges were PROMIS-PF 
      1.4-4.5, SF-12 PCS 1.9-12.7, VR-12 PCS 2.0-6.6, VAS Back 0.4-1.4, and VAS Leg 
      0.5-2.0. CONCLUSION: MCID thresholds varied widely depending on the calculation 
      method. The closest to (0,1) ROC approach was the most clinically appropriate 
      MCID calculation. The corresponding MCID values for LLIF were PROMIS-PF at 7.8, 
      SF-12 PCS at 6.4, VR-12 PCS at 9.3, VAS Back at 4.6, and VAS Leg at 4.3.
CI  - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, 
      part of Springer Nature.
FAU - Nie, James W
AU  - Nie JW
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St., Suite #300, IL, 60612, Chicago, USA.
FAU - Hartman, Timothy J
AU  - Hartman TJ
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St., Suite #300, IL, 60612, Chicago, USA.
FAU - MacGregor, Keith R
AU  - MacGregor KR
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St., Suite #300, IL, 60612, Chicago, USA.
FAU - Oyetayo, Omolabake O
AU  - Oyetayo OO
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St., Suite #300, IL, 60612, Chicago, USA.
FAU - Zheng, Eileen
AU  - Zheng E
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St., Suite #300, IL, 60612, Chicago, USA. kern.singh@rushortho.com.
FAU - Singh, Kern
AU  - Singh K
AUID- ORCID: 0000-0002-6118-7273
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St., Suite #300, IL, 60612, Chicago, USA. kern.singh@rushortho.com.
LA  - eng
PT  - Journal Article
DEP - 20230105
PL  - Austria
TA  - Acta Neurochir (Wien)
JT  - Acta neurochirurgica
JID - 0151000
SB  - IM
MH  - Humans
MH  - Treatment Outcome
MH  - Cross-Sectional Studies
MH  - *Pain
MH  - Pain Measurement/methods
MH  - *Spinal Fusion/methods
MH  - Patient Reported Outcome Measures
MH  - Lumbar Vertebrae/surgery
OTO - NOTNLM
OT  - Lateral lumbar interbody fusion
OT  - MCID
OT  - Minimum clinically important difference
OT  - Patient-reported outcome measures
EDAT- 2023/01/06 06:00
MHDA- 2023/02/15 06:00
CRDT- 2023/01/05 11:15
PHST- 2022/09/05 00:00 [received]
PHST- 2022/11/17 00:00 [accepted]
PHST- 2023/01/06 06:00 [pubmed]
PHST- 2023/02/15 06:00 [medline]
PHST- 2023/01/05 11:15 [entrez]
AID - 10.1007/s00701-022-05428-y [pii]
AID - 10.1007/s00701-022-05428-y [doi]
PST - ppublish
SO  - Acta Neurochir (Wien). 2023 Feb;165(2):325-334. doi: 10.1007/s00701-022-05428-y. 
      Epub 2023 Jan 5.