PMID- 37933798
OWN - NLM
STAT- MEDLINE
DCOM- 20240411
LR  - 20240411
IS  - 1531-4995 (Electronic)
IS  - 0023-852X (Linking)
VI  - 134
IP  - 5
DP  - 2024 May
TI  - Variability in Minimal Clinically Important Difference Calculation and Reporting 
      in the Otolaryngology Literature.
PG  - 2059-2069
LID - 10.1002/lary.31145 [doi]
AB  - OBJECTIVE: Best practices for calculation of the minimal clinically important 
      difference (MCID) of outcome measures include the use of complementary 
      methodologies (broadly classified as anchor-based and distribution-based) and 
      reporting of the MCID's predictive ability. We sought to determine MCID 
      calculation and reporting patterns within the otolaryngology literature. METHODS: 
      A systematic search strategy of Embase, PubMed, and Web of Science databases was 
      developed and implemented to identify studies reporting the determination of an 
      MCID for an outcome measure. Studies specifically within the otolaryngology 
      literature (defined as journals classified as "otorhinolaryngology" in the 
      Journal Citation Reports database) were included. All those journals were 
      additionally searched for relevant articles. RESULTS: There were 35 articles that 
      met the inclusion criteria. Of these studies, 88.6% reported MCID of a 
      patient-reported outcome measure and the remainder were for objective outcome 
      measurements. Anchor-based methods were used by 82.9% of studies and 
      distribution-based methods were used by 68.6% of studies. Of all studies, 31.4% 
      utilized anchor-based methods alone, 17.1% utilized distribution-based methods 
      alone, and 51.4% used both methods. Only 25.7% of studies reported the 
      sensitivity (median: 60.8%, range: 40.5%-86.7%) and specificity (median: 80.4%, 
      range: 63.5%-88.0%) of the MCID to detect patients experiencing clinically 
      important change. CONCLUSION: Deviation from best practices in MCID calculation 
      and reporting exists within the otolaryngology literature, with almost half of 
      all studies only using one method of MCID calculation and almost three-quarters 
      not reporting the predictive ability (sensitivity/specificity) of the calculated 
      MCID. When predictive ability is reported, however, MCIDs appear to be more 
      specific than sensitive. LEVEL OF EVIDENCE: NA Laryngoscope, 134:2059-2069, 2024.
CI  - (c) 2023 The Authors. The Laryngoscope published by Wiley Periodicals LLC on behalf 
      of The American Laryngological, Rhinological and Otological Society, Inc.
FAU - Tripathi, Siddhant H
AU  - Tripathi SH
AUID- ORCID: 0000-0001-7957-3802
AD  - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati 
      College of Medicine, Cincinnati, Ohio, U.S.A.
FAU - Min, Susie
AU  - Min S
AD  - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati 
      College of Medicine, Cincinnati, Ohio, U.S.A.
FAU - Cody, Alexander S
AU  - Cody AS
AD  - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati 
      College of Medicine, Cincinnati, Ohio, U.S.A.
FAU - Shukla, Geet
AU  - Shukla G
AD  - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati 
      College of Medicine, Cincinnati, Ohio, U.S.A.
FAU - Houssein, Firas A
AU  - Houssein FA
AD  - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati 
      College of Medicine, Cincinnati, Ohio, U.S.A.
FAU - Howard, John S
AU  - Howard JS
AD  - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati 
      College of Medicine, Cincinnati, Ohio, U.S.A.
FAU - Hu, Alex
AU  - Hu A
AD  - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati 
      College of Medicine, Cincinnati, Ohio, U.S.A.
FAU - Previtera, Melissa J
AU  - Previtera MJ
AD  - Health Sciences Library, University of Cincinnati College of Medicine, 
      Cincinnati, Ohio, U.S.A.
FAU - Phillips, Katie M
AU  - Phillips KM
AUID- ORCID: 0000-0001-6304-3508
AD  - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati 
      College of Medicine, Cincinnati, Ohio, U.S.A.
FAU - Sedaghat, Ahmad R
AU  - Sedaghat AR
AUID- ORCID: 0000-0001-6331-2325
AD  - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati 
      College of Medicine, Cincinnati, Ohio, U.S.A.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20231107
PL  - United States
TA  - Laryngoscope
JT  - The Laryngoscope
JID - 8607378
SB  - IM
MH  - Humans
MH  - *Minimal Clinically Important Difference
MH  - *Outcome Assessment, Health Care
MH  - Sensitivity and Specificity
MH  - Patient Reported Outcome Measures
MH  - Treatment Outcome
OTO - NOTNLM
OT  - MCID
OT  - accuracy
OT  - best practices
OT  - methodology
OT  - minimal clinically important difference
OT  - otolaryngology
OT  - reliability
EDAT- 2023/11/07 12:43
MHDA- 2024/04/11 06:43
CRDT- 2023/11/07 07:24
PHST- 2023/08/21 00:00 [revised]
PHST- 2022/12/21 00:00 [received]
PHST- 2023/10/17 00:00 [accepted]
PHST- 2024/04/11 06:43 [medline]
PHST- 2023/11/07 12:43 [pubmed]
PHST- 2023/11/07 07:24 [entrez]
AID - 10.1002/lary.31145 [doi]
PST - ppublish
SO  - Laryngoscope. 2024 May;134(5):2059-2069. doi: 10.1002/lary.31145. Epub 2023 Nov 
      7.