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Assessment of the minimum clinically important difference in neurological function and quality of life after surgery in cervical spondylotic myelopathy patients: a prospective cohort study
Zhou, Feifei; Zhang, Yilong; Sun, Yu; Zhang, Fengshan; Pan, Shengfa; Liu, Zhongjun
关键词Cervical spondylotic myelopathy Cervical spine Minimum clinically important difference Modified Japanese Orthopaedic Association score Short Form 36
刊名EUROPEAN SPINE JOURNAL
2015-12-01
DOI10.1007/s00586-015-4208-3
24期:12页:2918-2923
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Clinical Neurology ; Orthopedics
研究领域[WOS]Neurosciences & Neurology ; Orthopedics
关键词[WOS]LOW-BACK-PAIN ; SHORT-FORM 36 ; MEDICAL OUTCOMES ; DISEASE ; QUESTIONNAIRE ; DISABILITY ; MANAGEMENT ; ARTICLE ; SF-36
英文摘要

The purpose of this study was to evaluate the application of the minimum clinically important difference (MCID) concept to postoperative clinical results by using a prospective cohort study in Chinese patients with cervical spondylotic myelopathy (CSM).

The sample consisted of 113 patients who underwent surgical treatment for CSM in our hospital between February 2008 and November 2012. The preoperative and 1-year postoperative modified Japanese Orthopaedic Association (mJOA) scores, mJOA score recovery rate, physical component summary (PCS) and mental component summary (MCS) of the Short Form 36 were collected. The MCID of each outcome measurement was calculated by four approaches including average change, minimum detectable change, change difference and receiver operating characteristic curve. The responsiveness of each measurement was then analyzed.

The patients presented a statistically significant improvement (p < 0.01) postoperatively in mJOA, PCS, and MCS. The MCID calculated by four approaches varied from 4.09 to 9.62 for the PCS, 3.11 to 7.41 for the MCS, 1.25 to 3.07 for mJOA score, and 31.37 to 44.02 % for mJOA recovery rate. In addition, the improvement of the mJOA score owned the highest responsiveness of the four outcome measurements.

The threshold value of the MCID was determined by the choice of the assessment approach. In addition, the recovery rate of the mJOA score appeared to be the most valid and responsive measure of effectiveness of surgery in CSM patients.

语种英语
WOS记录号WOS:000365875800029
引用统计
被引频次:9[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/59033
专题北京大学第三临床医学院_骨科
作者单位Peking Univ, Dept Orthoped, Hosp 3, Beijing 100191, Peoples R China
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GB/T 7714
Zhou, Feifei,Zhang, Yilong,Sun, Yu,et al. Assessment of the minimum clinically important difference in neurological function and quality of life after surgery in cervical spondylotic myelopathy patients: a prospective cohort study[J]. EUROPEAN SPINE JOURNAL,2015,24(12):2918-2923.
APA Zhou, Feifei,Zhang, Yilong,Sun, Yu,Zhang, Fengshan,Pan, Shengfa,&Liu, Zhongjun.(2015).Assessment of the minimum clinically important difference in neurological function and quality of life after surgery in cervical spondylotic myelopathy patients: a prospective cohort study.EUROPEAN SPINE JOURNAL,24(12),2918-2923.
MLA Zhou, Feifei,et al."Assessment of the minimum clinically important difference in neurological function and quality of life after surgery in cervical spondylotic myelopathy patients: a prospective cohort study".EUROPEAN SPINE JOURNAL 24.12(2015):2918-2923.
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