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Minimal important changes and differences in elective hand surgery.

J N Rodrigues1, N T Mabvuure2, D Nikkhah3

  • 1University of Nottingham, Queen's Medical Centre, Nottingham, UK j.n.rodrigues@doctors.org.uk.

The Journal of Hand Surgery, European Volume
|October 17, 2014
PubMed
Summary
This summary is machine-generated.

Minimal important differences (MIDs) are crucial for assessing treatment relevance in hand surgery. This review identified 99 MIDs across 29 articles, highlighting variability in calculation methods and outcome measures.

Keywords:
Minimal clinically important differencehand surgeryimportant differenceminimal important differenceoutcome

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Area of Science:

  • Orthopedic Surgery
  • Patient-Reported Outcomes
  • Evidence-Based Medicine

Background:

  • Minimal important differences (MIDs) represent the smallest changes in patient-reported outcomes that are meaningful to individuals after treatment.
  • MIDs are essential for interpreting the clinical significance of treatment effects in various medical conditions.
  • The application and calculation of MIDs can differ based on the specific condition, intervention, and follow-up duration.

Purpose of the Study:

  • To systematically review and synthesize existing minimal important differences (MIDs) specifically for elective hand surgery procedures.
  • To identify the range of MIDs reported, the outcome measures utilized, and the methodologies employed in their calculation.
  • To provide an overview of the current evidence base for MIDs in hand surgery and suggest future research directions.

Main Methods:

  • A comprehensive literature search was conducted to identify studies reporting minimal important differences (MIDs) relevant to elective hand surgery.
  • Data extraction focused on the conditions, surgical treatments, outcome measures (e.g., Disabilities of the Arm, Shoulder and Hand), and follow-up periods.
  • The methodologies used for calculating MIDs in the included studies were critically appraised, with a focus on the types of anchors employed.

Main Results:

  • A total of 99 minimal important differences (MIDs) were identified across 29 articles pertaining to elective hand surgery.
  • The Disabilities of the Arm, Shoulder and Hand (DASH) outcome measure was associated with the highest number of MID estimates, though considerable variation was observed.
  • The majority of identified MIDs were calculated using retrospective anchor-based methods.

Conclusions:

  • This review highlights the availability of numerous minimal important differences (MIDs) for various hand surgery contexts, underscoring their importance in clinical practice.
  • The significant variability in reported MIDs and the predominant use of retrospective anchors suggest a need for methodological standardization.
  • Further research is recommended to refine MID calculation methods and establish more robust and consistent estimates for hand surgery outcomes.