Establishing the minimal clinically important difference for the Hernia-Related Quality of Life Survey (HerQLes) - 10/02/22
, Anand Gupta, MBBS, MPH, Benjamin K. Poulose, MD, MPH, FACSAbstract |
Background |
Hernia-Related Quality of Life Survey (HerQLes) assesses quality of life (QoL) after hernia repair, but the minimal clinically important difference (MCID) is unknown.
Methods |
Using 2013–2019 data from the Abdominal Core Health Quality Collaborative, HerQLes summary scores were calculated for VHR patients at baseline and 1-year. MCID was calculated using distribution-based method. Multivariate regression identified factors associated with exceeding MCID at 1 year.
Results |
1817 patients met criteria. MCID was identified as a change in HerQLes of at least 15.6 points. Mean 1-year post-op score was 74.9 (SD ± 26.2), which exceeded the MCID threshold (p < 0.001). Patients with increasing hernia width had higher odds of exceeding MCID at 1 year post-op (OR 1.04, p < 0.01), as did patients with greater ASA class (OR 8.9, p < 0.01).
Conclusion |
Using MCID can help identify patients who may significantly improve QoL after VHR, as well as power clinical trials with QoL as primary outcome.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | Minimal clinically important difference (MCID) quantifies meaningful change. |
• | MCID of the Hernia-Related Quality of Life Survey (HerQLes) is 15.6 |
• | Patients with larger hernias, ASA class more likely to benefit from elective repair. |
Keywords : MCID, Hernia, Quality of life
Abbreviations : Minimal clinically important difference, Hernia-Related Quality of Life Survey, Quality of life, Abdominal Core Health Quality Collaborative, Ventral hernia repair, Odds ratio
Mappa
Vol 223 - N° 2
P. 245-249 - febbraio 2022 Ritorno al numero
Articolo precedente
- Evaluating the role of the minimal clinically important difference for the hernia-related quality of Life Survey – How do we know who will benefit from hernia repair?
- Dahlia M. Kenawy, Courtney E. Collins
- Bilateral transversus abdominis release: Complex hernia repair without sacrificing quality of life
- Adrienne N. Christopher, Cody Fowler, Viren Patel, Joseph A. Mellia, Martin P. Morris, Robyn B. Broach, John P. Fischer
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