Rodrigues J N, Mabvuure N T, Nikkhah D, Shariff Z, Davis T R C
University of Nottingham, Queen's Medical Centre, Nottingham, UK
Glasgow Royal Infirmary.
J Hand Surg Eur Vol. 2015 Nov;40(9):900-12. doi: 10.1177/1753193414553908. Epub 2014 Oct 15.
Minimal important changes and differences describe the smallest changes and differences between individuals that are relevant to patients following treatment. Minimal important differences may vary between conditions, treatments and lengths of follow-up, and can be calculated in different ways. Minimal important differences for elective hand surgery were reviewed. A total of 99 minimal important differences were identified in 29 articles. The conditions, treatments, outcome measures used and follow-up periods are discussed. The Disabilities of the Arm, Shoulder and Hand had the most estimates of minimal important differences, but these varied. The methods used in the included studies were reviewed and appraised. Most minimal important differences were calculated using retrospective anchors. Future research directions in this area are suggested.
II.
最小重要变化和差异描述了个体之间与治疗后患者相关的最小变化和差异。最小重要差异可能因疾病、治疗方法和随访时间的不同而有所变化，并且可以通过不同的方式进行计算。对择期手部手术的最小重要差异进行了综述。在29篇文章中总共确定了99个最小重要差异。讨论了疾病、治疗方法、所使用的结局指标和随访期。上肢、肩部和手部功能障碍量表对最小重要差异的估计最多，但这些估计值各不相同。对纳入研究中使用的方法进行了综述和评估。大多数最小重要差异是使用回顾性锚定法计算得出的。提出了该领域未来的研究方向。
II级。
