Defining the Minimal Clinically Important Difference and Patient-acceptable Symptom State Score for Disability Assessment in Surgical Patients

Conclusions A change in World Health Organization Disability Assessment Schedule 2.0 score of 5% or more after surgery is consistent with a clinically important change in disability. Patients with a score less than 16% after surgery have an acceptable symptom state and can be considered as disability-free, whereas patients with a score of 35% or more can be considered as having at least moderate clinically significant disability.Editor ’s PerspectiveWhat We Already Know about This TopicThe World Health Organization Disability Assessment Schedule 2.0 is finding widespread adoption as a patient-centered outcome measure in clinical studiesThe minimal clinically important difference and patient-acceptable disability score for patients undergoing surgery remain poorly understoodWhat This Article Tells Us That Is NewUsing previously collected data from three studies across 4,361 patients, a 5% change in score after surgery is clinically importantPatients with a scaled disability score less than 16% after surgery have an acceptable symptom state and can be considered as disability-free
Source: Anesthesiology - Category: Anesthesiology Source Type: research