Minimum Clinically Important Difference: Current Trends in the Spine Literature

STUDY DESIGN.Review of the 2011 to 2015 minimum clinically important difference (MCID)-related publications in Spine, Spine Journal, Journal of Neurosurgery-Spine, and European Spine Journal. OBJECTIVE.To summarize the various determinations of MCID and to analyze its usage in the spine literature o...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2017-07, Vol.42 (14), p.1096-1105
Hauptverfasser: Chung, Andrew S., Copay, Anne G., Olmscheid, Neil, Campbell, David, Walker, J. Brock, Chutkan, Norman
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1105
container_issue 14
container_start_page 1096
container_title Spine (Philadelphia, Pa. 1976)
container_volume 42
creator Chung, Andrew S.
Copay, Anne G.
Olmscheid, Neil
Campbell, David
Walker, J. Brock
Chutkan, Norman
description STUDY DESIGN.Review of the 2011 to 2015 minimum clinically important difference (MCID)-related publications in Spine, Spine Journal, Journal of Neurosurgery-Spine, and European Spine Journal. OBJECTIVE.To summarize the various determinations of MCID and to analyze its usage in the spine literature of the past 5 years in order to develop a basic reference to help practitioners interpret or utilize MCID. SUMMARY OF BACKGROUND DATA.MCID represents the smallest change in a domain of interest that is considered beneficial to a patient or clinician. The many sources of variation in calculated MCID values and inconsistency in its utilization have resulted in confusion in the interpretation and use of MCID. METHODS.All articles from 2011 to 2015 were reviewed. Only clinical science articles utilizing patient reported outcome scores (PROs) were included in the analysis. A keyword search was then performed to identify articles that used MCID. MCID utilization in the selected papers was characterized and recorded. RESULTS.MCID was referenced in 264/1591 (16.6%) clinical science articles that utilized PROs22/264 (8.3%) independently calculated MCID values and 156/264 (59.1%) used previously published MCID values as a gauge of their own results. Despite similar calculation methods, there was a two- or three-fold range in the recommended MCID values for the same instrument. Half the studies recommended MCID values within the measurement error. Most studies (97.2%) using MCID to evaluate their own results relied on generic MCID. The few studies using specific MCID (MCID calculated for narrowly defined indications or treatments) did not consistently match the characteristics of their sample to the specificity of the MCID. About 48% of the studies compared group averages instead of individual scores to the MCID threshold. CONCLUSION.Despite a clear interest in MCID as a measure of patient improvement, its current developments and uses have been inconsistent.Level of EvidenceN/A
doi_str_mv 10.1097/BRS.0000000000001990
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1842602011</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1842602011</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2800-8109747a41d9ccf9f7651a782a0f2aa4876b419c77c4dff1a0cbab0e2401d3103</originalsourceid><addsrcrecordid>eNqFkU1PwzAMhiMEgvHxDxDKkUvBTtMm5QbjUxqaxOBcZWmiFdJ2JK0Q_55MA4Q4gA-2D8_rxK8JOUQ4QSjE6cXD7AR-BBYFbJARZkwmiFmxSUaQ5ixhPM13yG4IzxHKUyy2yQ4TUoCEbESm93VbN0NDxy42Wjn3Tu-aZed71fb0srbWeNNqc0bHg49dTx9jrgKtW9ovDJ0t69bQSd0br_rBm32yZZUL5uCz7pGn66vH8W0ymd7cjc8niWYSIJGrFbhQHKtCa1tYkWeohGQKLFOKS5HPORZaCM0ra1GBnqs5GMYBqxQh3SPH67lL370OJvRlUwdtnFOt6YZQouQsBwaIEeVrVPsuBG9sufR1o_x7iVCu_lFGK8vfVkbZ0ecLw7wx1bfoy7sIyDXw1rm4fnhxw5vx5cIo1y_-m83_kK4wkafxdIACBGaQrIRZ-gEZZY7W</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1842602011</pqid></control><display><type>article</type><title>Minimum Clinically Important Difference: Current Trends in the Spine Literature</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Chung, Andrew S. ; Copay, Anne G. ; Olmscheid, Neil ; Campbell, David ; Walker, J. Brock ; Chutkan, Norman</creator><creatorcontrib>Chung, Andrew S. ; Copay, Anne G. ; Olmscheid, Neil ; Campbell, David ; Walker, J. Brock ; Chutkan, Norman</creatorcontrib><description>STUDY DESIGN.Review of the 2011 to 2015 minimum clinically important difference (MCID)-related publications in Spine, Spine Journal, Journal of Neurosurgery-Spine, and European Spine Journal. OBJECTIVE.To summarize the various determinations of MCID and to analyze its usage in the spine literature of the past 5 years in order to develop a basic reference to help practitioners interpret or utilize MCID. SUMMARY OF BACKGROUND DATA.MCID represents the smallest change in a domain of interest that is considered beneficial to a patient or clinician. The many sources of variation in calculated MCID values and inconsistency in its utilization have resulted in confusion in the interpretation and use of MCID. METHODS.All articles from 2011 to 2015 were reviewed. Only clinical science articles utilizing patient reported outcome scores (PROs) were included in the analysis. A keyword search was then performed to identify articles that used MCID. MCID utilization in the selected papers was characterized and recorded. RESULTS.MCID was referenced in 264/1591 (16.6%) clinical science articles that utilized PROs22/264 (8.3%) independently calculated MCID values and 156/264 (59.1%) used previously published MCID values as a gauge of their own results. Despite similar calculation methods, there was a two- or three-fold range in the recommended MCID values for the same instrument. Half the studies recommended MCID values within the measurement error. Most studies (97.2%) using MCID to evaluate their own results relied on generic MCID. The few studies using specific MCID (MCID calculated for narrowly defined indications or treatments) did not consistently match the characteristics of their sample to the specificity of the MCID. About 48% of the studies compared group averages instead of individual scores to the MCID threshold. CONCLUSION.Despite a clear interest in MCID as a measure of patient improvement, its current developments and uses have been inconsistent.Level of EvidenceN/A</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/BRS.0000000000001990</identifier><identifier>PMID: 27870805</identifier><language>eng</language><publisher>United States: Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Back Pain - therapy ; Humans ; Minimal Clinically Important Difference ; Neck Pain - therapy ; Patient Reported Outcome Measures ; Spinal Cord Diseases - therapy ; Spinal Diseases - therapy</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2017-07, Vol.42 (14), p.1096-1105</ispartof><rights>Wolters Kluwer Health, Inc. All rights reserved</rights><rights>Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2800-8109747a41d9ccf9f7651a782a0f2aa4876b419c77c4dff1a0cbab0e2401d3103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27870805$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chung, Andrew S.</creatorcontrib><creatorcontrib>Copay, Anne G.</creatorcontrib><creatorcontrib>Olmscheid, Neil</creatorcontrib><creatorcontrib>Campbell, David</creatorcontrib><creatorcontrib>Walker, J. Brock</creatorcontrib><creatorcontrib>Chutkan, Norman</creatorcontrib><title>Minimum Clinically Important Difference: Current Trends in the Spine Literature</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>STUDY DESIGN.Review of the 2011 to 2015 minimum clinically important difference (MCID)-related publications in Spine, Spine Journal, Journal of Neurosurgery-Spine, and European Spine Journal. OBJECTIVE.To summarize the various determinations of MCID and to analyze its usage in the spine literature of the past 5 years in order to develop a basic reference to help practitioners interpret or utilize MCID. SUMMARY OF BACKGROUND DATA.MCID represents the smallest change in a domain of interest that is considered beneficial to a patient or clinician. The many sources of variation in calculated MCID values and inconsistency in its utilization have resulted in confusion in the interpretation and use of MCID. METHODS.All articles from 2011 to 2015 were reviewed. Only clinical science articles utilizing patient reported outcome scores (PROs) were included in the analysis. A keyword search was then performed to identify articles that used MCID. MCID utilization in the selected papers was characterized and recorded. RESULTS.MCID was referenced in 264/1591 (16.6%) clinical science articles that utilized PROs22/264 (8.3%) independently calculated MCID values and 156/264 (59.1%) used previously published MCID values as a gauge of their own results. Despite similar calculation methods, there was a two- or three-fold range in the recommended MCID values for the same instrument. Half the studies recommended MCID values within the measurement error. Most studies (97.2%) using MCID to evaluate their own results relied on generic MCID. The few studies using specific MCID (MCID calculated for narrowly defined indications or treatments) did not consistently match the characteristics of their sample to the specificity of the MCID. About 48% of the studies compared group averages instead of individual scores to the MCID threshold. CONCLUSION.Despite a clear interest in MCID as a measure of patient improvement, its current developments and uses have been inconsistent.Level of EvidenceN/A</description><subject>Back Pain - therapy</subject><subject>Humans</subject><subject>Minimal Clinically Important Difference</subject><subject>Neck Pain - therapy</subject><subject>Patient Reported Outcome Measures</subject><subject>Spinal Cord Diseases - therapy</subject><subject>Spinal Diseases - therapy</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1PwzAMhiMEgvHxDxDKkUvBTtMm5QbjUxqaxOBcZWmiFdJ2JK0Q_55MA4Q4gA-2D8_rxK8JOUQ4QSjE6cXD7AR-BBYFbJARZkwmiFmxSUaQ5ixhPM13yG4IzxHKUyy2yQ4TUoCEbESm93VbN0NDxy42Wjn3Tu-aZed71fb0srbWeNNqc0bHg49dTx9jrgKtW9ovDJ0t69bQSd0br_rBm32yZZUL5uCz7pGn66vH8W0ymd7cjc8niWYSIJGrFbhQHKtCa1tYkWeohGQKLFOKS5HPORZaCM0ra1GBnqs5GMYBqxQh3SPH67lL370OJvRlUwdtnFOt6YZQouQsBwaIEeVrVPsuBG9sufR1o_x7iVCu_lFGK8vfVkbZ0ecLw7wx1bfoy7sIyDXw1rm4fnhxw5vx5cIo1y_-m83_kK4wkafxdIACBGaQrIRZ-gEZZY7W</recordid><startdate>20170715</startdate><enddate>20170715</enddate><creator>Chung, Andrew S.</creator><creator>Copay, Anne G.</creator><creator>Olmscheid, Neil</creator><creator>Campbell, David</creator><creator>Walker, J. Brock</creator><creator>Chutkan, Norman</creator><general>Wolters Kluwer Health, Inc. All rights reserved</general><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170715</creationdate><title>Minimum Clinically Important Difference: Current Trends in the Spine Literature</title><author>Chung, Andrew S. ; Copay, Anne G. ; Olmscheid, Neil ; Campbell, David ; Walker, J. Brock ; Chutkan, Norman</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2800-8109747a41d9ccf9f7651a782a0f2aa4876b419c77c4dff1a0cbab0e2401d3103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Back Pain - therapy</topic><topic>Humans</topic><topic>Minimal Clinically Important Difference</topic><topic>Neck Pain - therapy</topic><topic>Patient Reported Outcome Measures</topic><topic>Spinal Cord Diseases - therapy</topic><topic>Spinal Diseases - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chung, Andrew S.</creatorcontrib><creatorcontrib>Copay, Anne G.</creatorcontrib><creatorcontrib>Olmscheid, Neil</creatorcontrib><creatorcontrib>Campbell, David</creatorcontrib><creatorcontrib>Walker, J. Brock</creatorcontrib><creatorcontrib>Chutkan, Norman</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chung, Andrew S.</au><au>Copay, Anne G.</au><au>Olmscheid, Neil</au><au>Campbell, David</au><au>Walker, J. Brock</au><au>Chutkan, Norman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Minimum Clinically Important Difference: Current Trends in the Spine Literature</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2017-07-15</date><risdate>2017</risdate><volume>42</volume><issue>14</issue><spage>1096</spage><epage>1105</epage><pages>1096-1105</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><abstract>STUDY DESIGN.Review of the 2011 to 2015 minimum clinically important difference (MCID)-related publications in Spine, Spine Journal, Journal of Neurosurgery-Spine, and European Spine Journal. OBJECTIVE.To summarize the various determinations of MCID and to analyze its usage in the spine literature of the past 5 years in order to develop a basic reference to help practitioners interpret or utilize MCID. SUMMARY OF BACKGROUND DATA.MCID represents the smallest change in a domain of interest that is considered beneficial to a patient or clinician. The many sources of variation in calculated MCID values and inconsistency in its utilization have resulted in confusion in the interpretation and use of MCID. METHODS.All articles from 2011 to 2015 were reviewed. Only clinical science articles utilizing patient reported outcome scores (PROs) were included in the analysis. A keyword search was then performed to identify articles that used MCID. MCID utilization in the selected papers was characterized and recorded. RESULTS.MCID was referenced in 264/1591 (16.6%) clinical science articles that utilized PROs22/264 (8.3%) independently calculated MCID values and 156/264 (59.1%) used previously published MCID values as a gauge of their own results. Despite similar calculation methods, there was a two- or three-fold range in the recommended MCID values for the same instrument. Half the studies recommended MCID values within the measurement error. Most studies (97.2%) using MCID to evaluate their own results relied on generic MCID. The few studies using specific MCID (MCID calculated for narrowly defined indications or treatments) did not consistently match the characteristics of their sample to the specificity of the MCID. About 48% of the studies compared group averages instead of individual scores to the MCID threshold. CONCLUSION.Despite a clear interest in MCID as a measure of patient improvement, its current developments and uses have been inconsistent.Level of EvidenceN/A</abstract><cop>United States</cop><pub>Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>27870805</pmid><doi>10.1097/BRS.0000000000001990</doi><tpages>10</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0362-2436
ispartof Spine (Philadelphia, Pa. 1976), 2017-07, Vol.42 (14), p.1096-1105
issn 0362-2436
1528-1159
language eng
recordid cdi_proquest_miscellaneous_1842602011
source MEDLINE; Journals@Ovid Complete
subjects Back Pain - therapy
Humans
Minimal Clinically Important Difference
Neck Pain - therapy
Patient Reported Outcome Measures
Spinal Cord Diseases - therapy
Spinal Diseases - therapy
title Minimum Clinically Important Difference: Current Trends in the Spine Literature
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T16%3A16%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Minimum%20Clinically%20Important%20Difference:%20Current%20Trends%20in%20the%20Spine%20Literature&rft.jtitle=Spine%20(Philadelphia,%20Pa.%201976)&rft.au=Chung,%20Andrew%20S.&rft.date=2017-07-15&rft.volume=42&rft.issue=14&rft.spage=1096&rft.epage=1105&rft.pages=1096-1105&rft.issn=0362-2436&rft.eissn=1528-1159&rft_id=info:doi/10.1097/BRS.0000000000001990&rft_dat=%3Cproquest_cross%3E1842602011%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1842602011&rft_id=info:pmid/27870805&rfr_iscdi=true