PMID- 36603986
OWN - NLM
STAT- MEDLINE
DCOM- 20230109
LR  - 20230207
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 2
DP  - 2023 Feb
TI  - Minimally Clinically Important Difference (MCID) Is a Low Bar.
PG  - 139-141
LID - S0749-8063(22)00701-0 [pii]
LID - 10.1016/j.arthro.2022.11.001 [doi]
AB  - Patients don't care about "statistical" significance. Patient-centered outcome 
      measures focus on "clinical" significance and include minimal clinically 
      important difference (MCID), patient acceptable symptomatic state (PASS), 
      substantial clinical benefit (SCB), and maximal outcome improvement (MOI). 
      "Minimal" is a low bar. MCID neither addresses whether patients are satisfied nor 
      whether they have derived a substantial benefit. MCID is commonly reported 
      allowing comparison between studies, and MCID can be calculated retrospectively, 
      so reporting MCID is acceptable. However, we also need to report PASS, SCB, and, 
      in unique patients like high-level athletes, we may also need to report MOI to 
      adjust for high pretreatment scores and a ceiling effect. Finally, threshold 
      scores are patient-level metrics and must be reported as percentage of patients 
      who meet the threshold, not reported as to whether, as a group, the mean score 
      for the cohort meets the threshold or not (which is a common error).
CI  - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Rossi, Michael J
AU  - Rossi MJ
FAU - Brand, Jefferson C
AU  - Brand JC
FAU - Lubowitz, James H
AU  - Lubowitz JH
LA  - eng
PT  - Editorial
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
MH  - Humans
MH  - Treatment Outcome
MH  - Retrospective Studies
MH  - *Arthroscopy
MH  - *Outcome Assessment, Health Care
MH  - Minimal Clinically Important Difference
MH  - Patient Reported Outcome Measures
EDAT- 2023/01/06 06:00
MHDA- 2023/01/10 06:00
CRDT- 2023/01/05 21:03
PHST- 2022/11/02 00:00 [received]
PHST- 2022/11/02 00:00 [accepted]
PHST- 2023/01/05 21:03 [entrez]
PHST- 2023/01/06 06:00 [pubmed]
PHST- 2023/01/10 06:00 [medline]
AID - S0749-8063(22)00701-0 [pii]
AID - 10.1016/j.arthro.2022.11.001 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 Feb;39(2):139-141. doi: 10.1016/j.arthro.2022.11.001.