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Minimum important change values for pain and disability: which is the best to identify a meaningful response in patients with chronic nonspecific low back pain?

2020-11-29Journal article Restricted access
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dc.contributor.authorPires, Diogo
dc.contributor.authorCruz, Eduardo
dc.contributor.authorCanhão, Helena
dc.contributor.authorNunes, Carla
dc.date.accessioned2022-03-28T14:32:09Z
dc.date.available2022-03-28T14:32:09Z
dc.date.issued2020-11-29
dc.description.abstractPurpose: To examine the association between different minimum important change (MIC) values for pain and disability and a successful response in global perception of improvement in patients with chronic nonspecific low back pain (CNLBP). Methods: A prospective cohort study was conducted. At baseline, all participants completed a sociodemographic and clinical questionnaire, the Numeric Pain Rating Scale and the Quebec Back Pain Disability Scale (QBPDS). After a physiotherapy program, the Global Perceived Effect Scale (GPES) was completed together with pain and disability measures. The association of the different literature MIC values for pain and disability with a successful response on the GPES was analyzed using logistic regression models. The discrimination power, sensitivity, specificity and predictive values were computed. Results: A total of 183 patients with CNLBP participated in this study. A reduction of 30% on the QBPDS (OR = 7.8; area under the curve = 0.73; sensitivity = 0.72; specificity = 0.76) most accurately identified patients who perceived a global improvement on the GPES. Composite criteria using both pain and disability MIC values presented high odds ratios and specificity values, but failed to identify patients who perceived a meaningful improvement. Conclusion: A 30% reduction on the QBPDS is recommended to identify patients with CNLBP who achieve a clinical improvement with physiotherapy treatment.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1080/09593985.2020.1843210pt_PT
dc.identifier.issn15325040
dc.identifier.urihttp://hdl.handle.net/10400.26/39864
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherTaylor & Francispt_PT
dc.relationDesenvolvimento de um modelo conceptual de avaliação de resultados para a intervenção da Fisioterapia em utentes com dor lombar crónica não-específica
dc.subjectLow back painpt_PT
dc.subjectPain measurementpt_PT
dc.subjectDisability evaluationpt_PT
dc.subjectPatient outcome assessmentpt_PT
dc.titleMinimum important change values for pain and disability: which is the best to identify a meaningful response in patients with chronic nonspecific low back pain?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleDesenvolvimento de um modelo conceptual de avaliação de resultados para a intervenção da Fisioterapia em utentes com dor lombar crónica não-específica
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/OE/SFRH%2FBD%2F133638%2F2017/PT
oaire.citation.endPage10pt_PT
oaire.citation.issue2020pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titlePhysiotherapy: Theory and Practicept_PT
oaire.fundingStreamOE
person.familyNameFonseca Pires
person.givenNameDiogo André
person.identifier.ciencia-id151B-3748-C9AD
person.identifier.orcid0000-0002-5980-2441
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication3cff51c5-f92a-49d6-a464-48126d98b332
relation.isAuthorOfPublication.latestForDiscovery3cff51c5-f92a-49d6-a464-48126d98b332
relation.isProjectOfPublicatione215d7ab-5032-4582-906e-f56a68420920
relation.isProjectOfPublication.latestForDiscoverye215d7ab-5032-4582-906e-f56a68420920

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