[article] 
inAnnals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 155-160

Titre :	Determining the minimal clinically important difference of the hand function sort questionnaire in vocational rehabilitation
Type de document :	texte imprimé
Auteurs :	Zineb Benhissen ; Michel Konzelmann ; Philippe Vuistiner ; Bertrand Leger ; François Luthi ; Charles Benaïm
Année de publication :	2019
Article en page(s) :	p. 155-160
Note générale :	https://doi.org/10.1016/j.rehab.2018.11.003
Langues :	Anglais (eng)
Mots-clés :	Treatment outcome  Surveys and questionnaires  Upper extremity  Recovery of function  Rehabilitation
Résumé :	Objective To estimate the Minimal Clinically Important Difference (MCID) of the French version of the Hand Function Sort questionnaire (HFS-F). As a comparison, the MCID of the Disabilities of the Arm, Shoulder, and Hand (DASH) was also estimated. Materials and methods We included French-speaking patients hospitalized in a multidisciplinary rehabilitation program for chronic pain of the upper limb after an accident. HFS-F and DASH scores were collected at admission and discharge; the Patient Global Impression of Change measure (PGIC; 7 levels) was collected at discharge. The MCID was estimated by 2 methods: the anchor-based method (receiver operating characteristic [ROC], delta (Δ) mean of scores) and the objective method based on the distribution of scores (standard error of measurement, SEM). Result We included 225 patients. By the anchor-based method, the MCID for the HFS-F and DASH was +26 (SD 35) (P < 10−4) and −13 (SD 13) (P < 10−4), respectively, and by the ROC curve, it was +10 to +12 for the Δ-HFS-F and −7.5 to −5 for the Δ-DASH. The area under the ROC curve (AUC) was 0.726 [0.638–0.781] for Δ-HFS-F and 0.768 [0.701–0.83] for Δ-DASH. The correlations between the anchor and delta scores were > 0.38 (P < 10−4). The SEM was 16.2 for the HFS-F and −4.3 for the DASH. Conclusions Values below the SEM must be rejected. Our anchor was significantly correlated with the outcome. Therefore, we propose an MCID for the HFS-F of 26, corresponding to approximately 10% progression of the score.
En ligne :	https://www.sciencedirect.com/science/article/pii/S1877065718314969
Permalink :	./index.php?lvl=notice_display&id=84113

[article] Determining the minimal clinically important difference of the hand function sort questionnaire in vocational rehabilitation [texte imprimé] / Zineb Benhissen ; Michel Konzelmann ; Philippe Vuistiner ; Bertrand Leger ; François Luthi ; Charles Benaïm . - 2019 . - p. 155-160.
https://doi.org/10.1016/j.rehab.2018.11.003
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 155-160

Mots-clés :	Treatment outcome  Surveys and questionnaires  Upper extremity  Recovery of function  Rehabilitation
Résumé :	Objective To estimate the Minimal Clinically Important Difference (MCID) of the French version of the Hand Function Sort questionnaire (HFS-F). As a comparison, the MCID of the Disabilities of the Arm, Shoulder, and Hand (DASH) was also estimated. Materials and methods We included French-speaking patients hospitalized in a multidisciplinary rehabilitation program for chronic pain of the upper limb after an accident. HFS-F and DASH scores were collected at admission and discharge; the Patient Global Impression of Change measure (PGIC; 7 levels) was collected at discharge. The MCID was estimated by 2 methods: the anchor-based method (receiver operating characteristic [ROC], delta (Δ) mean of scores) and the objective method based on the distribution of scores (standard error of measurement, SEM). Result We included 225 patients. By the anchor-based method, the MCID for the HFS-F and DASH was +26 (SD 35) (P < 10−4) and −13 (SD 13) (P < 10−4), respectively, and by the ROC curve, it was +10 to +12 for the Δ-HFS-F and −7.5 to −5 for the Δ-DASH. The area under the ROC curve (AUC) was 0.726 [0.638–0.781] for Δ-HFS-F and 0.768 [0.701–0.83] for Δ-DASH. The correlations between the anchor and delta scores were > 0.38 (P < 10−4). The SEM was 16.2 for the HFS-F and −4.3 for the DASH. Conclusions Values below the SEM must be rejected. Our anchor was significantly correlated with the outcome. Therefore, we propose an MCID for the HFS-F of 26, corresponding to approximately 10% progression of the score.
En ligne :	https://www.sciencedirect.com/science/article/pii/S1877065718314969
Permalink :	./index.php?lvl=notice_display&id=84113