Minimally important change was estimated for the Manchester-Oxford Foot Questionnaire after foot/ankle surgery
Objectives To ascertain the smallest amounts of change for the three Manchester-Oxford Foot Questionnaire (MOXFQ) domains that are likely to be clinically meaningful and beyond measurement error for conditions affecting the foot/ankle. Estimates were compared with those from the Short-Form 36 (SF-36...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
Elsevier
2014
|
| _version_ | 1797071444182564864 |
|---|---|
| author | Dawson, J Boller, I Doll, H Lavis, G Sharp, R Cooke, P Jenkinson, C |
| author_facet | Dawson, J Boller, I Doll, H Lavis, G Sharp, R Cooke, P Jenkinson, C |
| author_sort | Dawson, J |
| collection | OXFORD |
| description | Objectives To ascertain the smallest amounts of change for the three Manchester-Oxford Foot Questionnaire (MOXFQ) domains that are likely to be clinically meaningful and beyond measurement error for conditions affecting the foot/ankle. Estimates were compared with those from the Short-Form 36 (SF-36). Study Design and Setting A prospective observational study of 671 consecutive patients undergoing foot or ankle surgery at an orthopedic hospital. Before and 9 months after surgery, patients completed the MOXFQ and SF-36; transition items (anchor) asked about perceived changes in foot/ankle pain or problems since the surgery. Results Four hundred ninety-one patients completed pre- and postoperative questionnaires. Anchor-based minimal clinically important change (MCIC) values were ∼13 points for each of the MOXFQ Walking/standing (W/S), Pain, and Social Interaction (S-I) domains [and greater than the standard error of measurement (SEM)]. MCIC values for all SF-36 domains fell within the SEM. Between-group MCIDs for the MOXFQ were W/S, 16.2; Pain, 9.9; S-I, 9.3. Distribution-based minimal detectable change (MDC90) values for the MOXFQ were ∼11, ∼12, and ∼16 score points for the W/S, Pain, and S-I scales, respectively. Conclusion This article provides information for aiding the interpretability of MOXFQ outcomes data and for planning future studies. The SF-36 is not recommended as a primary outcome for foot/ankle surgery. © 2014 Published by Elsevier. |
| first_indexed | 2024-03-06T22:53:20Z |
| format | Journal article |
| id | oxford-uuid:5f87b60b-f4e7-4e96-a83f-25a3a9274d8b |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T22:53:20Z |
| publishDate | 2014 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:5f87b60b-f4e7-4e96-a83f-25a3a9274d8b2022-03-26T17:47:31ZMinimally important change was estimated for the Manchester-Oxford Foot Questionnaire after foot/ankle surgeryJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5f87b60b-f4e7-4e96-a83f-25a3a9274d8bEnglishSymplectic Elements at OxfordElsevier2014Dawson, JBoller, IDoll, HLavis, GSharp, RCooke, PJenkinson, CObjectives To ascertain the smallest amounts of change for the three Manchester-Oxford Foot Questionnaire (MOXFQ) domains that are likely to be clinically meaningful and beyond measurement error for conditions affecting the foot/ankle. Estimates were compared with those from the Short-Form 36 (SF-36). Study Design and Setting A prospective observational study of 671 consecutive patients undergoing foot or ankle surgery at an orthopedic hospital. Before and 9 months after surgery, patients completed the MOXFQ and SF-36; transition items (anchor) asked about perceived changes in foot/ankle pain or problems since the surgery. Results Four hundred ninety-one patients completed pre- and postoperative questionnaires. Anchor-based minimal clinically important change (MCIC) values were ∼13 points for each of the MOXFQ Walking/standing (W/S), Pain, and Social Interaction (S-I) domains [and greater than the standard error of measurement (SEM)]. MCIC values for all SF-36 domains fell within the SEM. Between-group MCIDs for the MOXFQ were W/S, 16.2; Pain, 9.9; S-I, 9.3. Distribution-based minimal detectable change (MDC90) values for the MOXFQ were ∼11, ∼12, and ∼16 score points for the W/S, Pain, and S-I scales, respectively. Conclusion This article provides information for aiding the interpretability of MOXFQ outcomes data and for planning future studies. The SF-36 is not recommended as a primary outcome for foot/ankle surgery. © 2014 Published by Elsevier. |
| spellingShingle | Dawson, J Boller, I Doll, H Lavis, G Sharp, R Cooke, P Jenkinson, C Minimally important change was estimated for the Manchester-Oxford Foot Questionnaire after foot/ankle surgery |
| title | Minimally important change was estimated for the Manchester-Oxford Foot Questionnaire after foot/ankle surgery |
| title_full | Minimally important change was estimated for the Manchester-Oxford Foot Questionnaire after foot/ankle surgery |
| title_fullStr | Minimally important change was estimated for the Manchester-Oxford Foot Questionnaire after foot/ankle surgery |
| title_full_unstemmed | Minimally important change was estimated for the Manchester-Oxford Foot Questionnaire after foot/ankle surgery |
| title_short | Minimally important change was estimated for the Manchester-Oxford Foot Questionnaire after foot/ankle surgery |
| title_sort | minimally important change was estimated for the manchester oxford foot questionnaire after foot ankle surgery |
| work_keys_str_mv | AT dawsonj minimallyimportantchangewasestimatedforthemanchesteroxfordfootquestionnaireafterfootanklesurgery AT bolleri minimallyimportantchangewasestimatedforthemanchesteroxfordfootquestionnaireafterfootanklesurgery AT dollh minimallyimportantchangewasestimatedforthemanchesteroxfordfootquestionnaireafterfootanklesurgery AT lavisg minimallyimportantchangewasestimatedforthemanchesteroxfordfootquestionnaireafterfootanklesurgery AT sharpr minimallyimportantchangewasestimatedforthemanchesteroxfordfootquestionnaireafterfootanklesurgery AT cookep minimallyimportantchangewasestimatedforthemanchesteroxfordfootquestionnaireafterfootanklesurgery AT jenkinsonc minimallyimportantchangewasestimatedforthemanchesteroxfordfootquestionnaireafterfootanklesurgery |