Minimal important change in physical function in trauma patients: a study using the short musculoskeletal function assessment

Autor: Inge H. F. Reininga, Erik Heineman, M. El Moumni, M. W. de Graaf
Přispěvatelé: Public Health Research (PHR), Extremities Pain and Disability (EXPAND), Groningen Institute for Organ Transplantation (GIOT), Lifestyle Medicine (LM), Lifelong Learning, Education & Assessment Research Network (LEARN)
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Activities of daily living
SF-36
Adolescent
Injury
Logistic regression
Trauma
Article
RESPONSIVENESS
03 medical and health sciences
Disability Evaluation
Young Adult
0302 clinical medicine
Surveys and Questionnaires
Short musculoskeletal function assessment
Musculoskeletal function
Medicine
FUNCTION ASSESSMENT QUESTIONNAIRE
QUALITY
COSMIN
Humans
030212 general & internal medicine
Musculoskeletal Diseases
VALIDITY
Aged
Response rate (survey)
OUTCOMES
business.industry
SMFA
Public Health
Environmental and Occupational Health
Middle Aged
Patient reported outcome
Global Rating
RELIABILITY
Minimal important difference
Physical therapy
Quality of Life
Upper Extremity Dysfunction
Wounds and Injuries
Patient-reported outcome
INJURIES
Female
Minimal clinically important
business
030217 neurology & neurosurgery
Zdroj: Quality of Life Research
Quality of Life Research, 29(8), 2231-2239. SPRINGER
ISSN: 1573-2649
Popis: Purpose The Short Musculoskeletal Function Assessment (SMFA) questionnaire can be used to evaluate physical functioning in patients with traumatic injuries. It is not known what change in score reflects a meaningful change to patients. The aim was to determine minimal important change (MIC) values of the subscales (0–100) of the Dutch SMFA-NL in a sample of patients with a broad range of injuries. Methods Patients between 18 and 65 years of age completed the SMFA-NL and the Global Rating of Effect (GRE) questions at 6-week and 12-month post-injury. Anchor-based MIC values were calculated using univariable logistic regression analyses. Results A total of 225 patients were included (response rate 67%). The MIC value of the Upper Extremity Dysfunction (UED) subscale was 8 points, with a misclassification rate of 43%. The Lower Extremity Dysfunction subscale MIC value was 14 points, with a misclassification rate of 29%. The MIC value of the Problems with Daily Activities subscale was 25 points, with a misclassification rate of 33%. The MIC value of the Mental and Emotional Problems (MEP) subscale was 7 points, with a misclassification rate 37%. Conclusion MIC values of the SMFA-NL were determined. The MIC values aid interpreting whether a change in physical functioning can be considered clinically important. Due to the considerable rates of misclassification, the MIC values of the UED and MEP subscales should be used with caution.
Databáze: OpenAIRE
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