nach oben

European Spine Journal

Erschienen in:

14.03.2019 | Original Article

Minimum clinically important difference in outcome scores among patients undergoing cervical laminoplasty

verfasst von: So Kato, Yasushi Oshima, Yoshitaka Matsubayashi, Yuki Taniguchi, Sakae Tanaka, Katsushi Takeshita

Erschienen in: European Spine Journal | Ausgabe 5/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Minimum clinically important difference (MCID) represents the smallest change in an outcome measure recognized as clinically meaningful to a patient and is one of the most important psychometric parameters for assessing the postoperative results of spinal surgery. The purpose of the present study was to elucidate MCIDs for four common outcome measures used for degenerative cervical myelopathy in the context of patients undergoing laminoplasty.

Methods

We retrospectively reviewed a consecutive series of cervical laminoplasties in a single academic institution. Pre- and postoperative Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ), Short Form-36 (SF-36), Neck Disability Index (NDI), and EuroQOL (EQ-5D) scores were obtained. Patients were also asked to answer the anchor question regarding satisfaction with treatment, and the anchor-based method was used to determine cut-off values for MCIDs.

Results

A total of 101 patients were included in the analysis. All outcome scores showed significant improvement postoperatively, with the exception of JOACMEQ bladder function score and SF-36 mental component summary score. Most patients (66%) were at least “somewhat satisfied” with treatment results. Receiver operating characteristic curve analyses revealed MCIDs of 2.5 for JOACEMQ cervical spine function, 13.0 for upper extremity function, 9.35 for lower extremity function, 9.5 for QOL, 3.9 for SF-36 physical component summary score, 4.2 for NDI, and 0.0485 for EQ-5D.

Conclusion

The MCIDs of four outcome measures were determined for patients undergoing cervical laminoplasty.

Graphical abstract

These slides can be retrieved under Electronic Supplementary Material.

Nur mit Berechtigung zugänglich

Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483CrossRef

Vernon H, Mior S (1991) The Neck Disability Index: a study of reliability and validity. J Manip Physiol Ther 14:409–415

EuroQol Group (1990) EuroQol—a new facility for the measurement of health-related quality of life. Health Policy 16:199–208CrossRef

Japanese Orthopaedic Association (1994) Scoring system for cervical myelopathy. J Jpn Orthop Assoc 68:490–503

Yonenobu K, Abumi K, Nagata K, Taketomi E, Ueyama K (2001) Interobserver and intraobserver reliability of the japanese orthopaedic association scoring system for evaluation of cervical compression myelopathy. Spine (Phila Pa 1976) 26:1890–1894 (discussion 1895) CrossRef

Benzel EC, Lancon J, Kesterson L, Hadden T (1991) Cervical laminectomy and dentate ligament section for cervical spondylotic myelopathy. J Spinal Disord 4:286–295CrossRefPubMed

Fukui M, Chiba K, Kawakami M, Kikuchi S, Konno S, Miyamoto M, Seichi A, Shimamura T, Shirado O, Taguchi T, Takahashi K, Takeshita K, Tani T, Toyama Y, Wada E, Yonenobu K, Tanaka T, Hirota Y, Subcommittee on Low Back P, Cervical Myelopathy Evaluation of the Clinical Outcome Committee of the Japanese Orthopaedic A (2007) An outcome measure for patients with cervical myelopathy: Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ): Part 1. J Orthop Sci 12:227–240. https://doi.org/10.1007/s00776-007-1118-1 CrossRefPubMedPubMedCentral

Fukui M, Chiba K, Kawakami M, Kikuchi S, Konno S, Miyamoto M, Seichi A, Shimamura T, Shirado O, Taguchi T, Takahashi K, Takeshita K, Tani T, Toyama Y, Yonenobu K, Wada E, Tanaka T, Hirota Y (2007) Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire: part 3. Determination of reliability. J Orthop Sci 12:321–326. https://doi.org/10.1007/s00776-007-1131-4 CrossRefPubMedPubMedCentral

Chien A, Lai DM, Cheng CH, Wang SF, Hsu WL, Wang JL (2014) Translation, cross-cultural adaptation, and validation of a Chinese version of the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire. Spine (Phila Pa 1976) 39:963–970. https://doi.org/10.1097/brs.0000000000000313 CrossRef

10.

Witayakom W, Paholpak P, Jirarattanaphochai K, Kosuwon W, Sirichativapee W, Wisanuyotin T, Laupattarakasem P, Sukhonthamarn K, Jeeravipoolvarn P, Sakakibara T, Kasai Y (2016) Validation of the reliability of the Thai version of the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ). J Orthop Sci 21:124–127. https://doi.org/10.1016/j.jos.2015.12.017 CrossRefPubMed

11.

de Vet HC, Terwee CB (2010) The minimal detectable change should not replace the minimal important difference. J Clin Epidemiol 63:804–805. https://doi.org/10.1016/j.jclinepi.2009.12.015 CrossRefPubMed

12.

Ohya J, Oshima Y, Oka H, Saiki F, Taniguchi Y, Matsubayashi Y, Tanaka S, Chikuda H, Takeshita K (2016) Patient satisfaction with posterior decompression surgery for cervical ossification of the posterior longitudinal ligament: prognostic radiographic factors and patient-reported outcomes for the effectiveness of surgical treatment. World Neurosurg 96:272–279. https://doi.org/10.1016/j.wneu.2016.09.011 CrossRefPubMed

13.

Wyrwich KW, Nienaber NA, Tierney WM, Wolinsky FD (1999) Linking clinical relevance and statistical significance in evaluating intra-individual changes in health-related quality of life. Med Care 37:469–478CrossRefPubMed

14.

Ware JE Jr (2000) SF-36 health survey update. Spine (Phila Pa 1976) 25:3130–3139CrossRef

15.

Vernon H (2008) The Neck Disability Index: state-of-the-art, 1991–2008. J Manip Physiol Ther 31:491–502. https://doi.org/10.1016/j.jmpt.2008.08.006 CrossRef

16.

Janssen MF, Birnie E, Haagsma JA, Bonsel GJ (2008) Comparing the standard EQ-5D three-level system with a five-level version. Value Health 11:275–284. https://doi.org/10.1111/j.1524-4733.2007.00230.x CrossRefPubMed

17.

Zhang Y, Zhou F, Sun Y (2015) Assessment of health-related quality of life using the SF-36 in Chinese cervical spondylotic myelopathy patients after surgery and its consistency with neurological function assessment: a cohort study. Health Qual Life Outcomes 13:39. https://doi.org/10.1186/s12955-015-0237-1 CrossRefPubMedPubMedCentral

18.

Carreon LY, Glassman SD, Campbell MJ, Anderson PA (2010) Neck Disability Index, short form-36 physical component summary, and pain scales for neck and arm pain: the minimum clinically important difference and substantial clinical benefit after cervical spine fusion. Spine J 10:469–474. https://doi.org/10.1016/j.spinee.2010.02.007 CrossRefPubMed

19.

Auffinger BM, Lall RR, Dahdaleh NS, Wong AP, Lam SK, Koski T, Fessler RG, Smith ZA (2013) Measuring surgical outcomes in cervical spondylotic myelopathy patients undergoing anterior cervical discectomy and fusion: assessment of minimum clinically important difference. PLoS ONE 8:e67408. https://doi.org/10.1371/journal.pone.0067408 CrossRefPubMedPubMedCentral

20.

Parker SL, Godil SS, Shau DN, Mendenhall SK, McGirt MJ (2013) Assessment of the minimum clinically important difference in pain, disability, and quality of life after anterior cervical discectomy and fusion: clinical article. J Neurosurg Spine 18:154–160. https://doi.org/10.3171/2012.10.SPINE12312 CrossRefPubMed

21.

Chien A, Lai DM, Cheng CH, Wang SF, Hsu WL, Wang JL (2015) Responsiveness of the Chinese versions of the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire and Neck Disability Index in postoperative patients with cervical spondylotic myelopathy. Spine (Phila Pa 1976) 40:1315–1321. https://doi.org/10.1097/brs.0000000000001005 CrossRef

22.

Zhou F, Zhang Y, Sun Y, Zhang F, Pan S, Liu Z (2015) Assessment of the minimum clinically important difference in neurological function and quality of life after surgery in cervical spondylotic myelopathy patients: a prospective cohort study. Eur Spine J 24:2918–2923. https://doi.org/10.1007/s00586-015-4208-3 CrossRefPubMed

23.

Badhiwala JH, Witiw CD, Nassiri F, Akbar MA, Jaja B, Wilson JR, Fehlings MG (2018) Minimum clinically important difference in SF-36 scores for use in degenerative cervical myelopathy. Spine (Phila Pa 1976) 10:15. https://doi.org/10.1097/brs.0000000000002684 CrossRef

24.

Fukui M, Chiba K, Kawakami M, Kikuchi S, Konno S, Miyamoto M, Seichi A, Shimamura T, Shirado O, Taguchi T, Takahashi K, Takeshita K, Tani T, Toyama Y, Yonenobu K, Wada E, Tanaka T, Hirota Y, Subcommittee of the Clinical Outcome Committee of the Japanese Orthopaedic Association on Low Back P, Cervical Myelopathy E (2009) JOA Back Pain Evaluation Questionnaire (JOABPEQ)/JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ). The report on the development of revised versions. April 16, 2007. The Subcommittee of the Clinical Outcome Committee of the Japanese Orthopaedic Association on Low Back Pain and Cervical Myelopathy Evaluation. J Orthop Sci 14:348–365. https://doi.org/10.1007/s00776-009-1337-8 CrossRefPubMed

Titel: Minimum clinically important difference in outcome scores among patients undergoing cervical laminoplasty
verfasst von: So Kato
Yasushi Oshima
Yoshitaka Matsubayashi
Yuki Taniguchi
Sakae Tanaka
Katsushi Takeshita
Publikationsdatum: 14.03.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 5/2019
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-019-05945-y

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Graphical abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2019

Osteoarthritis and spontaneous fusion of facet joints after percutaneous instrumentation in thoracolumbar fractures

Spinal injuries in airborne accidents: a demographic overview of 148 patients in a level-1 trauma center

Is cell transplantation a reliable therapeutic strategy for spinal cord injury in clinical practice? A systematic review and meta-analysis from 22 clinical controlled trials

Age- and sex-related changes in facet orientation and tropism in lower lumbar spine: an MRI study of 600 patients

Letter to the Editor concerning “The association of back muscle strength and sarcopenia-related parameters in the patients with spinal disorders” by Toyoda H, et al. (Eur Spine J; https://doi.org/10.1007/s00586-018-5858-8)

ISSLS PRIZE IN BIOENGINEERING SCIENCE 2019: biomechanical changes in dynamic sagittal balance and lower limb compensatory strategies following realignment surgery in adult spinal deformity patients