PMID- 36972902
OWN - NLM
STAT- MEDLINE
DCOM- 20230628
LR  - 20230628
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 175
DP  - 2023 Jul
TI  - Establishing Minimum Clinically Important Difference Thresholds for Physical 
      Function and Pain in Patients Undergoing Anterior Lumbar Interbody Fusion.
PG  - e352-e360
LID - S1878-8750(23)00408-4 [pii]
LID - 10.1016/j.wneu.2023.03.087 [doi]
AB  - OBJECTIVE: To establish minimum clinically important difference (MCID) in 
      anterior lumbar interbody fusion (ALIF) for the physical function 
      patient-reported outcome measures, Patient-Reported Outcomes Measurement 
      Information System Physical Function (PROMIS-PF), 12-Item Short Form (SF-12) 
      physical component score (PCS), Veterans RAND 12 (VR-12) PCS, and pain 
      patient-reported outcome measures visual analog scale (VAS) back and VAS leg 
      through anchor- and distribution-based calculations. METHODS: Patients undergoing 
      ALIF with preoperative and 6-month Oswestry Disability Index were included. Using 
      Oswestry Disability Index as the anchor, anchor-based calculation methods were 
      the average change, minimum detectable change, and receiver operating 
      characteristic curve methods. Distribution-based methods were the standard error 
      of measurement, reliable change index, effect size, and half of the standard 
      deviation (0.5DeltaSD). RESULTS: Fifty-one patients were identified. Anchor-based 
      methods ranged from 2.9 to 11.5 for PROMIS-PF, 8.2-13.6 for SF-12 PCS, 7.8-16.8 
      for VR-12 PCS, 0.5-3.9 for VAS back, and 1.0-3.4 for VAS leg. The area under 
      curve ranged from 0.59 (VAS back) to 0.78 (VR-12 PCS). Distribution-based methods 
      ranged from 1.0 to 4.2 for PROMIS-PF, 1.8-12.2 for SF-12 PCS, 1.9-6.2 for VR-12 
      PCS, 0.4-1.6 for VAS back, and 0.5-1.7 for VAS leg. CONCLUSIONS: The MCID values 
      greatly relied on the calculation method. The minimum detectable change method 
      was selected as the most appropriate MCID calculation method. The MCID values 
      that may be utilized for ALIF patients are 7.3 for PROMIS-PF, 8.2 for SF-12 PCS, 
      7.8 for VR-12 PCS, 3.2 for VAS back, and 2.2 for VAS leg.
CI  - Copyright (c) 2023 Elsevier Inc. 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
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Zheng, Eileen
AU  - Zheng E
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Oyetayo, Omolabake O
AU  - Oyetayo OO
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - MacGregor, Keith R
AU  - MacGregor KR
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Federico, Vincent P
AU  - Federico VP
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Massel, Dustin H
AU  - Massel DH
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Sayari, Arash J
AU  - Sayari AJ
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Singh, Kern
AU  - Singh K
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA. Electronic address: kern.singh@rushortho.com.
LA  - eng
PT  - Journal Article
DEP - 20230325
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Humans
MH  - Treatment Outcome
MH  - *Spinal Fusion/methods
MH  - Pain
MH  - Lumbosacral Region/surgery
MH  - Pain Measurement/methods
MH  - Lumbar Vertebrae/surgery
OTO - NOTNLM
OT  - Anterior lumbar interbody fusion
OT  - MCID
OT  - Minimum clinically important difference
OT  - Patient-reported outcome measures
EDAT- 2023/03/28 06:00
MHDA- 2023/06/28 06:42
CRDT- 2023/03/27 20:26
PHST- 2023/01/23 00:00 [received]
PHST- 2023/03/20 00:00 [revised]
PHST- 2023/03/21 00:00 [accepted]
PHST- 2023/06/28 06:42 [medline]
PHST- 2023/03/28 06:00 [pubmed]
PHST- 2023/03/27 20:26 [entrez]
AID - S1878-8750(23)00408-4 [pii]
AID - 10.1016/j.wneu.2023.03.087 [doi]
PST - ppublish
SO  - World Neurosurg. 2023 Jul;175:e352-e360. doi: 10.1016/j.wneu.2023.03.087. Epub 
      2023 Mar 25.