PMID- 38336576
OWN - NLM
STAT- MEDLINE
DCOM- 20240304
LR  - 20240304
IS  - 1532-1940 (Electronic)
IS  - 0266-4356 (Linking)
VI  - 62
IP  - 2
DP  - 2024 Feb
TI  - Minimal clinically important difference in maxillofacial trauma patients: a 
      prospective cohort study.
PG  - 177-183
LID - S0266-4356(23)00571-5 [pii]
LID - 10.1016/j.bjoms.2023.11.016 [doi]
AB  - The present study estimated the minimal clinically important difference (MCID) 
      for pain on a visual analogue scale - numerical rating scale (VAS-NRS) and mean 
      bite force (MBF) in patients treated for maxillofacial trauma (MFT). This cohort 
      study included 120 MFT patients treated according to AO principles. Preoperative 
      and four-week postoperative pain on the VAS-NRS, and MBF were measured to 
      calculate MCIDs as indicators of functional rehabilitation. The patient's 
      perspective of the treatment was assessed using a four-item anchor question. The 
      MCID was determined by two anchor-based approaches, namely, the change difference 
      (CD) method and receiver operating characteristic (ROC) curve method. According 
      to the CD method, the MCID for pain was 2.4 and the MBF was 147.9 N. Based on the 
      ROC curve, the MCID for pain was 2.5 (sensitivity 91.7%, specificity 47.2%) and 
      MBF was 159.1 N (sensitivity 71.4%, specificity 61.1%). This study demonstrated a 
      high sensitivity (>70%) for MCID, which implies that pain reduction of 2.4-2.5 
      points on the VAS-NRS and a gain in MBF of 147.9-159.1N are clinically relevant 
      for patients treated for MFT.
CI  - Copyright (c) 2023 The British Association of Oral and Maxillofacial Surgeons. 
      Published by Elsevier Ltd. All rights reserved.
FAU - Ganesan, Aparna
AU  - Ganesan A
AD  - Ex-Junior Resident, Oral & Maxillofacial Surgery, Department of Dentistry, All 
      India Institute of Medical Sciences, Jodhpur, India.
FAU - Rustagi, Neeti
AU  - Rustagi N
AD  - Additional Professor, Department of Community & Family Medicine, All India 
      Institute of Medical Sciences, Jodhpur, India.
FAU - Kaur, Amanjot
AU  - Kaur A
AD  - Assistant Professor, Department of Oral & Maxillofacial Surgery, All India 
      Institute of Medical Sciences, Vijaypur, Jammu, India.
FAU - Chaudhry, Kirti
AU  - Chaudhry K
AD  - Additional Professor, Oral & Maxillofacial Surgery, Department of Dentistry, All 
      India Institute of Medical Sciences, Jodhpur, India. Electronic address: 
      chaudhry_kirti@yahoo.com.
FAU - Kumar, Pravin
AU  - Kumar P
AD  - Professor & Head of the Department, Department of Dentistry, All India Institute 
      of Medical Sciences, Jodhpur, India.
FAU - Chopane, Shivakumar
AU  - Chopane S
AD  - Ex-Junior Resident, Oral & Maxillofacial Surgery, Department of Dentistry, All 
      India Institute of Medical Sciences, Jodhpur, India.
FAU - Chugh, Ankita
AU  - Chugh A
AD  - Professor, Oral & Maxillofacial Surgery, Department of Dentistry, All India 
      Institute of Medical Sciences, Jodhpur, India.
LA  - eng
PT  - Journal Article
DEP - 20231205
PL  - Scotland
TA  - Br J Oral Maxillofac Surg
JT  - The British journal of oral & maxillofacial surgery
JID - 8405235
SB  - IM
MH  - Humans
MH  - *Minimal Clinically Important Difference
MH  - Cohort Studies
MH  - Prospective Studies
MH  - *Maxillofacial Injuries/surgery
MH  - Pain, Postoperative
OTO - NOTNLM
OT  - Bite force
OT  - Minimal clinically important difference (MCID)
OT  - Pain
OT  - Patient-reported outcome measure (PROM)
OT  - ROC curve
EDAT- 2024/02/10 13:18
MHDA- 2024/03/04 06:48
CRDT- 2024/02/09 21:57
PHST- 2023/08/13 00:00 [received]
PHST- 2023/11/17 00:00 [revised]
PHST- 2023/11/28 00:00 [accepted]
PHST- 2024/03/04 06:48 [medline]
PHST- 2024/02/10 13:18 [pubmed]
PHST- 2024/02/09 21:57 [entrez]
AID - S0266-4356(23)00571-5 [pii]
AID - 10.1016/j.bjoms.2023.11.016 [doi]
PST - ppublish
SO  - Br J Oral Maxillofac Surg. 2024 Feb;62(2):177-183. doi: 
      10.1016/j.bjoms.2023.11.016. Epub 2023 Dec 5.