Minimal Clinically Important Improvement Response In Patients With Severe Osteoarthritis Of The Knee: Short Report From A Survey Of Clinicians

Publication date: Available online 27 March 2018 Source:Journal of Orthopaedics Author(s): Kristin Salottolo, Eric Stahl The minimal clinically important improvement (MCII) is the smallest change that signifies an important improvement. Disease severity may complicate MCII. We developed an eight-question survey examining MCII in patients with severe knee osteoarthritis (Kellgren-Lawrence grade 4). Twenty-seven of 101 clinicians completed the survey. An MCII of 20% was selected most frequently for pain, function, and patient global assessment. Clinicians were divided on responder rate, selecting 20%, 30%, and 50% equally. These findings suggest a 20% MCII may be useful in patients with severe osteoarthritis, but that there is not enough evidence to support a responder rate in this population.
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research