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Diferencias mínimas clínicamente importantes reportadas para las medidas de resultados reportadas por los pacientes
Jenna L Dvorsky1,2, Michael R Kann1, Christopher Gonzalez2
1University of Pittsburgh School of Medicine, Pittsburgh PA.
Journal of hand surgery global online
|February 9, 2026
Resumen
Esta revisión resume los valores mínimos de diferencia clínicamente importante (MCID) para las medidas de resultado de la mano común y las extremidades superiores. Comprender la variabilidad de MCID es crucial para interpretar el progreso del paciente y diseñar estudios quirúrgicos relevantes.
Área de la Ciencia:
- La ortopedia es la ortopedia.
- Cirugía de la mano Cirugía de la mano.
- Medición de resultados Medición de resultados
Sus antecedentes:
- Las medidas de resultado informadas por el paciente (PROM) son vitales en la cirugía de manos y extremidades superiores para rastrear el progreso del paciente.
- Existe variabilidad e incertidumbre con respecto a los valores de la diferencia mínima clínicamente importante (MCID) para los PROM comúnmente utilizados.
Objetivo del estudio:
- Revisar y resumir sistemáticamente los valores de MCID informados para los instrumentos de resultado utilizados con frecuencia en la cirugía de manos y extremidades superiores.
- Proporcionar valores de referencia para interpretar los cambios informados por los pacientes e informar el diseño del estudio.
Principales métodos:
- Se realizó una búsqueda exhaustiva de la literatura en varias bases de datos (Embase, Medline, CINAHL, Scopus, Web of Science).
- Las estrategias de búsqueda se centraron en MCID, PROMs específicos (cuestionario del túnel carpiano de Boston, DASH, MHQ) y condiciones relacionadas de las extremidades superiores.
- La selección del estudio y la extracción de datos se realizaron utilizando el software Endnote y Covidence.
Principales resultados:
- Se incluyeron veinticinco estudios publicados entre 1998 y 2025.
- Los valores de MCID se informaron para el Cuestionario del túnel carpiano de Boston (9 estudios), el Cuestionario de resultados de la mano de Michigan (4 estudios), DASH (4 estudios) y Quick DASH (12 estudios).
Conclusiones:
- Los MCID informados para los PROM pueden diferir en función de las poblaciones de pacientes, los diagnósticos y las metodologías de cálculo.
- Esta revisión pone de relieve la variabilidad en los valores de MCID para las PROM comunes de la mano y las extremidades superiores.
- Comprender esta variabilidad ayuda a distinguir mejoras clínicas significativas y a diseñar estudios con resultados relevantes.
Palabras clave:
Mano Mano Mano Mano es la mano.Diferencia mínima y clínicamente importante.Las revisiones sistemáticas son revisiones sistemáticas.Más Videos Relacionados
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