Minimally important change: approach to interpretation of patient‐reported outcomes

2019 ◽  
Vol 183 (1) ◽  
pp. 8-9 ◽  
Author(s):  
M.X. Shen ◽  
X. Chen
Keyword(s):  
Patient Reported Outcomes ◽  
Important Change ◽  
Patient Reported ◽  
Minimally Important Change

The longitudinal relationship between the patient-reported Multiple Sclerosis Impact Scale and the clinician-assessed Multiple Sclerosis Functional Composite

2007 ◽  
Vol 14 (2) ◽  
pp. 255-258 ◽  
Author(s):  
L. Costelloe ◽  
K. O'Rourke ◽  
C. McGuigan ◽  
C. Walsh ◽  
N. Tubridy ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Important Change ◽  
Physical Change ◽  
Cross Sectional ◽  
Functional Composite ◽  
Multiple Sclerosis Functional Composite ◽  
Impact Scale ◽  
Patient Reported ◽  
Baseline Effect ◽  
Minimally Important Change

Background To examine the longitudinal relationship between the patient-rated Multiple Sclerosis Impact Scale (MSIS-29) and the doctor-reported Multiple Sclerosis Functional Composite (MSFC). Methods Two-hundred and four MS patients at baseline and 150 patients one to three years later had MSFC and MSIS-29 assessments. Cross-sectional correlations between these measures and correlations of change in scores were examined. Minimally important change (MIC) in the MSFC was defined at either 0.5 or 0.32 SD from baseline. Effect sizes (ES) were calculated. Results Validity: The MSIS-29 physical correlated moderately with the total MSFC score and the 25-foot timed walk and 9-hole peg test. Correlations of the MSIS-29 physical with the PASAT, and the MSFC with the MSIS-29 psychological were weak. Responsiveness: When MIC in the MSFC was defined as 0.5, mean MSIS-29 physical change was 11.26 (ES = 0.53). At MSFC change of 0.32, mean MSIS-29 physical change was 10.4 (ES = 0.52). Change in MSFC scores correlated weakly with change in the MSIS-29 scores. Stability: In patients with stable MSFC scores, the mean MSIS-29 physical scores improved minimally over time with negligible ES. Conclusions Although the MSIS-29 physical demonstrates moderate cross-sectional correlation with the MSFC, the weak correlations of change scores between the two instruments indicate that they measure different aspects of the effects of multiple sclerosis morbidity. Multiple Sclerosis 2008; 14: 255—258. http://msj.sagepub.com

Linking measurement error to minimal important change of patient-reported outcomes

2009 ◽  
Vol 62 (10) ◽  
pp. 1062-1067 ◽  
Author(s):  
Caroline B. Terwee ◽  
Leo D. Roorda ◽  
Dirk L. Knol ◽  
Michiel R. De Boer ◽  
Henrica C.W. De Vet
Keyword(s):  
Measurement Error ◽  
Patient Reported Outcomes ◽  
Important Change ◽  
Minimal Important Change ◽  
Patient Reported

Modern trunnion designs do not affect clinically significant patient-reported outcomes

2019 ◽  
Vol 30 (6) ◽  
pp. 752-760
Author(s):  
Ugonna N Ihekweazu ◽  
Stephen Lyman ◽  
Yu-fen Chiu ◽  
Idelle Vaynberg ◽  
Geoffrey Westrich
Keyword(s):  
Patient Reported Outcomes ◽  
Clinical Results ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Important Change ◽  
Study Cohort ◽  
Clinical Patient ◽  
Patient Reported ◽  
Long Term Impact ◽  
The Impact

Introduction: Trunnion geometry is known to vary between hip systems. Trunnionosis and the impact of trunnion design on total hip arthroplasty (THA) survival, has gained attention as a failure mechanism. We sought to report the differences in patient-reported outcome measures (PROMs) between the most commonly utilised modern THA trunnions. Methods: We reviewed primary unilateral THA patients from May 2007 to October 2011. The most frequently used stems were included. LEAS, HOOS subdomains, and SF-12 were obtained pre and post operatively while satisfaction was measured at 2 years after THA. Trunnions were grouped by taper geometry and manufacturer. The 2-year change in PROMs for each trunnion was compared to the pooled 2-year change in HOOS for all other trunnions. Results: 3950 THA patients were studied. 6 trunnion designs were evaluated from 5 manufacturers. The range in differences between the 2-year change in individual PROMs were as follows: HOOS pain (0.6–2.4), HOOS symptoms (0–3.8), HOOS ADL (0.4–4), and HOOS QOL (0.5–3.6). None of the differences in the 2-year change in PROMs reached a minimal clinically important change (MCIC), which we previously determined to be a minimum of 9 points for all HOOS domains. Conclusion: All of the trunnions designs utilised in our study cohort demonstrated excellent clinical results. Small differences were well below the known MCIC; and were not clinically relevant. The findings of this study should prompt further investigations into the long-term impact of trunnion design on clinical patient-reported outcomes.

Patient-Reported Outcomes Measurement Information System Anxiety and Depression Item Banks--Emotional Distress Domain; Brazilian Portuguese Version

2020 ◽  
Author(s):  
Natália Fontes Caputo de Castro ◽  
Rogério de Melo Costa Pinto ◽  
Tânia Maria da Silva Mendonça ◽  
Carlos Henrique Martins da Silva
Keyword(s):  
Information System ◽  
Emotional Distress ◽  
Patient Reported Outcomes ◽  
Brazilian Portuguese ◽  
Anxiety And Depression ◽  
Measurement Information ◽  
Outcomes Measurement ◽  
Item Banks ◽  
Patient Reported ◽  
Measurement Information System

P048 QUALITY OF LIFE AND OTHER PATIENT REPORTED OUTCOMES IN PATIENTS WITH POUCHITIS

2020 ◽  
Vol 158 (3) ◽  
pp. S107
Author(s):  
Edward Barnes ◽  
Millie Long ◽  
Laura Raffals ◽  
Xian Zhang ◽  
Anuj Vyas ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Reported Outcomes ◽  
Patient Reported

Erfassung und Nutzen von „Patient Reported Outcomes“ (PRO) in der stationären onkologischen Routineversorgung

2014 ◽  
Vol 15 (03) ◽  
Author(s):  
M Radloff ◽  
J Schmitt ◽  
M Eberlein-Gonska ◽  
M Schuler ◽  
T Petzold ◽  
...  
Keyword(s):  
Patient Reported Outcomes ◽  
Patient Reported
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