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

de Graaf M. W.; Reininga I. H. F.; Heineman E.El Moumni M.

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

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

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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.

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《Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation》 |2020年第8期|2231-2239|共9页
作者
de Graaf M. W.; Reininga I. H. F.; Heineman E.El Moumni M.;
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作者单位

Univ Groningen, Univ Med Ctr Groningen, Dept Trauma Surg, POB 30 001, NL-9700 RB Groningen;

Univ Groningen, Univ Med Ctr Groningen, Dept Surg, POB 30 001, NL-9700 RB Groningen, Netherlands;

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原文格式 PDF
正文语种英语
中图分类医药、卫生;
关键词
Short musculoskeletal function assessment; Patient reported outcome; Minimal important difference; Minimal clinically important; Trauma; Injury;

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

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