PMID- 37288517 OWN - NLM STAT- MEDLINE DCOM- 20231023 LR - 20231026 IS - 2043-6289 (Electronic) IS - 0266-7681 (Linking) VI - 48 IP - 9 DP - 2023 Oct TI - Minimal clinically important difference of the Michigan Hand Outcomes Questionnaire score and the pain visual analogue scale in conservative treatment of trigger finger. PG - 863-871 LID - 10.1177/17531934231176663 [doi] AB - We investigated the minimal clinically important difference (MCID) of the Michigan Hand Outcomes Questionnaire (MHQ) and the pain visual analogue scale (VAS-pain) after conservative treatment of trigger finger. This secondary analysis of a randomized controlled trial compared pain reduction, symptoms and functional improvement at 12 weeks. Patients included were at least 18 years old and able to complete MHQ and VAS-pain at enrolment and 12 weeks after treatment. The MCIDs of MHQ and VAS-pain were evaluated using a distribution-based, anchor-based and receiver operating characteristic (ROC) curve-based approach. Of the 117 patients, the MCIDs of MHQ and VAS-pain using a distribution-based approach were 5.3 and 0.6, respectively; applying ROC method were 23.5 and 2.5, respectively; and using anchor questions were 15 and 2, respectively. These MCID values by anchor-based method with a minimal difference of 15 for MHQ and 2 for VAS-pain are recommended as primary evidence to determine clinically significant improvement after conservative treatment of trigger finger.Level of evidence: I. FAU - Atthakomol, Pichitchai AU - Atthakomol P AUID- ORCID: 0000-0001-9737-4110 AD - Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. AD - Clinical Epidemiology and Clinical Statistic Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. FAU - Tongsu, Rerkchai AU - Tongsu R AD - Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. FAU - Ngamsuprom, Khunawuth AU - Ngamsuprom K AD - Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. FAU - Wangtrakunchai, Vorathep AU - Wangtrakunchai V AD - Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. FAU - Phinyo, Phichayut AU - Phinyo P AD - Clinical Epidemiology and Clinical Statistic Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. AD - Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. FAU - Manosroi, Worapaka AU - Manosroi W AD - Clinical Epidemiology and Clinical Statistic Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. AD - Division of Endocrinology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20230608 PL - England TA - J Hand Surg Eur Vol JT - The Journal of hand surgery, European volume JID - 101315820 SB - IM MH - Humans MH - Adolescent MH - *Minimal Clinically Important Difference MH - Conservative Treatment MH - *Trigger Finger Disorder MH - Visual Analog Scale MH - Michigan MH - Pain MH - Surveys and Questionnaires MH - Treatment Outcome OTO - NOTNLM OT - Michigan hand outcomes questionnaire OT - Minimal clinically important difference OT - conservative treatment OT - pain visual analogue scale OT - trigger finger COIS- Declaration of conflicting interestsThe authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/06/08 06:42 MHDA- 2023/10/23 00:42 CRDT- 2023/06/08 04:39 PHST- 2023/10/23 00:42 [medline] PHST- 2023/06/08 06:42 [pubmed] PHST- 2023/06/08 04:39 [entrez] AID - 10.1177/17531934231176663 [doi] PST - ppublish SO - J Hand Surg Eur Vol. 2023 Oct;48(9):863-871. doi: 10.1177/17531934231176663. Epub 2023 Jun 8.