Minimal Clinically Important Difference and Patient-Acceptable Symptom State in Orthopaedic Spine Surgery: A Review : JBJS Reviews

Journal Logo

Advanced Search
Review Articles

Minimal Clinically Important Difference and Patient-Acceptable Symptom State in Orthopaedic Spine Surgery

A Review

Adindu, Ebubechi K. BS, BA; Singh, Devender PhD; Geck, Matthew MD; Stokes, John MD; Truumees, Eeric MD

Author Information

1Baylor College of Medicine, Houston, Texas

2Ascension Texas Spine and Scoliosis, Austin, Texas

3Department of Orthopaedic Surgery, Ascension Texas Spine and Scoliosis, The University of Texas Dell Medical School, Austin, Texas

4Department of Orthopaedic and Neurological Surgery, Ascension Texas Spine and Scoliosis, The University of Texas Dell Medical School, Austin, Texas

aEmail address for corresponding author: [email protected]

Investigation performed at the University of Texas Dell Medical School, Austin, Texas

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSREV/A940).

JBJS Reviews 11(4):e22.00200, April 2023. | DOI: 10.2106/JBJS.RVW.22.00200

Abstract

  • » Minimal clinically important difference (MCID) and patient-acceptable symptom state (PASS) are both metrics at interpreting patient-reported outcome measures (PROMs).
  • » MCID values tend to vary significantly depending on the baseline pain and function in both acute and chronic symptom states while PASS thresholds are more stable.
  • » MCID values are more easily attainable than PASS thresholds.
  • » Although PASS is more relevant to the patient, it should continue to be used in tandem with MCID when interpreting PROM data.

Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated

Full Text Access for Subscribers:

Not a Subscriber?

Buy
Request Permissions

You can read the full text of this article if you:

Access through Ovid