PMID- 36625578
OWN - NLM
STAT- MEDLINE
DCOM- 20230517
LR  - 20231011
IS  - 1524-4040 (Electronic)
IS  - 0148-396X (Linking)
VI  - 92
IP  - 6
DP  - 2023 Jun 1
TI  - Minimum Clinically Important Difference in Patients Undergoing Minimally Invasive 
      Transforaminal Lumbar Interbody Fusion.
PG  - 1199-1207
LID - 10.1227/neu.0000000000002350 [doi]
AB  - BACKGROUND: Few studies have established the minimum clinically important 
      difference (MCID) in patients undergoing minimally invasive transforaminal lumbar 
      interbody fusion (MIS-TLIF) for physical function and pain. OBJECTIVE: To 
      establish MCID for physical function and pain patient-reported outcome measures 
      (PROMs) for MIS-TLIF through anchor- and distribution-based methods using the 
      Oswestry Disability Index (ODI) as the anchor. METHODS: Ninety-eight patients 
      undergoing primary MIS-TLIF with preoperative and 1-year postoperative ODI scores 
      were identified. MCID was calculated using anchor- and distribution-based 
      methods. ODI responders were classified as patients who decreased by 1 disability 
      classification. PROMs of Patient-Reported Outcome Measurement Information 
      System-Physical Function (PROMIS-PF), 12-Item Short Form Physical Component Score 
      (SF-12 PCS), Visual Analog Scale (VAS) back/leg, and ODI were collected 
      preoperatively and 1-year postoperatively. Anchor-based methods were average 
      change, minimum detectable change, change difference, receiver operating 
      characteristic curve, and cross-sectional analysis. Distribution-based methods 
      were standard error of measurement, receiver change index, effect size, and 0.5  * 
      DeltaSD. RESULTS: Anchor-based methods ranged from 4.2 to 11.9 for PROMIS-PF, 6.0 to 
      15.8 for SF-12 PCS, 1.8 to 4.6 for VAS back, and 2.1 to 4.0 for VAS leg. The area 
      under the curve for receiver operating characteristic analysis ranged from 0.66 
      to 0.81. Distribution-based methods ranged from 1.1 to 3.9 for PROMIS-PF, 1.6 to 
      10.4 for SF-12 PCS, 0.5 to 1.6 for VAS back, and 0.6 to 1.8 for VAS leg. 
      CONCLUSION: Patients undergoing MIS-TLIF had a wide range of MCID values. The 
      receiver operating characteristic curve was selected as the most clinically 
      appropriate method. The corresponding MCID values were 4.2 for PROMIS-PF, 6.8 for 
      SF-12 PCS, 1.8 for VAS back, and 2.4 for VAS leg.
CI  - Copyright (c) Congress of Neurological Surgeons 2023. All rights reserved.
FAU - Nie, James W
AU  - Nie JW
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Hartman, Timothy J
AU  - Hartman TJ
FAU - MacGregor, Keith R
AU  - MacGregor KR
FAU - Oyetayo, Omolabake O
AU  - Oyetayo OO
FAU - Zheng, Eileen
AU  - Zheng E
FAU - Singh, Kern
AU  - Singh K
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230109
PL  - United States
TA  - Neurosurgery
JT  - Neurosurgery
JID - 7802914
SB  - IM
MH  - Humans
MH  - *Lumbar Vertebrae/surgery
MH  - Treatment Outcome
MH  - Cross-Sectional Studies
MH  - *Spinal Fusion/methods
MH  - Minimally Invasive Surgical Procedures/methods
MH  - Pain
EDAT- 2023/01/11 06:00
MHDA- 2023/05/17 06:42
CRDT- 2023/01/10 09:04
PHST- 2022/08/15 00:00 [received]
PHST- 2022/11/07 00:00 [accepted]
PHST- 2023/05/17 06:42 [medline]
PHST- 2023/01/11 06:00 [pubmed]
PHST- 2023/01/10 09:04 [entrez]
AID - 00006123-202306000-00012 [pii]
AID - 10.1227/neu.0000000000002350 [doi]
PST - ppublish
SO  - Neurosurgery. 2023 Jun 1;92(6):1199-1207. doi: 10.1227/neu.0000000000002350. Epub 
      2023 Jan 9.