Spinal Cord Unit, IRCCS Fondazione S. Lucia , Rome , Italy and.
Disabil Rehabil. 2013 Oct;35(21):1808-13. doi: 10.3109/09638288.2012.756942. Epub 2013 Jan 24.
To calculate the clinical significance of the SCIM III according to distribution-based approaches.
Retrospective review of the charts of 255 patients with registration of the total SCIM and of the four subscales. Clinical significance was calculated per several distribution-based approaches. The calculated clinical significance was compared with improvements by the patients to determine the percentage of patients who achieved significant improvement.
An improvement of at least 4 points of the total SCIM is needed to obtain a small significant improvement and of 10 points to obtain a substantial improvement. Based on these results, the percentages of patients who achieved an improvement varied from 60% to 100%.
The results provide benchmarks for clinicians and researchers to interpret whether patients' change score on the SCIM III can be interpreted as true or clinically meaningful and to make clinical judgments about the patients' progress.
An improvement of at least four points of the total SCIM is needed to obtain a small significant improvement and of 10 points to obtain a substantial improvement. The results provide benchmarks for clinicians and researchers to interpret whether patients' change score on the SCIM III can be interpreted as true or clinically meaningful and to make clinical judgments about the patients' progress.
根据基于分布的方法计算 SCIM III 的临床意义。
回顾性分析了 255 名患者的图表，这些患者记录了总 SCIM 和四个分量表。根据几种基于分布的方法计算临床意义。将计算出的临床意义与患者的改善情况进行比较，以确定达到显著改善的患者比例。
总 SCIM 至少提高 4 分才能获得较小的显著改善，提高 10 分才能获得较大的显著改善。根据这些结果，患者的改善百分比从 60%到 100%不等。
这些结果为临床医生和研究人员提供了基准，以解释患者在 SCIM III 上的变化得分是否可以被解释为真实或临床有意义，并对患者的进展做出临床判断。
总 SCIM 至少提高 4 分才能获得较小的显著改善，提高 10 分才能获得较大的显著改善。结果为临床医生和研究人员提供了基准，以解释患者在 SCIM III 上的变化得分是否可以被解释为真实或临床有意义，并对患者的进展做出临床判断。
