Is the Oswestry Disability Index a valid measure of response to sacroiliac joint treatment?

Autor: Daniel J. Cher, Anne G. Copay
Jazyk: angličtina
Rok vydání: 2015
Předmět:
musculoskeletal diseases
Male
medicine.medical_specialty
Minimum clinically important difference
Article
03 medical and health sciences
Disability Evaluation
0302 clinical medicine
030202 anesthesiology
Minimally invasive surgery
health services administration
Back pain
Medicine
Humans
Minimally Invasive Surgical Procedures
Pelvis
Quality of Life Research
Sacroiliac joint
Patient-reported outcomes
business.industry
Minimal clinically important difference
Sacroiliac joint fusion
Public Health
Environmental and Occupational Health
Sacroiliac Joint
Middle Aged
musculoskeletal system
humanities
Surgery
Oswestry Disability Index
medicine.anatomical_structure
Treatment Outcome
Joint pain
Physical therapy
Quality of Life
Female
medicine.symptom
business
Low Back Pain
030217 neurology & neurosurgery
Zdroj: Quality of Life Research
ISSN: 1573-2649
0962-9343
Popis: Purpose Disease-specific measures of the impact of sacroiliac (SI) joint pain on back/pelvis function are not available. The Oswestry Disability Index (ODI) is a validated functional measure for lower back pain, but its responsiveness to SI joint treatment has yet to be established. We sought to assess the validity of ODI to capture disability caused by SI joint pain and the minimum clinically important difference (MCID) after SI joint treatment. Methods Patients (n = 155) participating in a prospective clinical trial of minimally invasive SI joint fusion underwent baseline and follow-up assessments using ODI, visual analog scale (VAS) pain assessment, Short Form 36 (SF-36), EuroQoL-5D, and questions (at follow-up only) regarding satisfaction with the SI joint fusion and whether the patient would have the fusion surgery again. All outcomes were compared from baseline to 12 months postsurgery. The health transition item of the SF-36 and the satisfaction scale were used as external anchors to calculate MCID. MCID was estimated for ODI using four calculation methods: (1) minimum detectable change, (2) average ODI change of patients’ subsets, (3) change difference between patients’ subsets, and (4) receiver operating characteristic (ROC) curve. Results After SI fusion, patients improved significantly (p
Databáze: OpenAIRE
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