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.
Le texte complet de cet article est disponible en 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
Plan
Vol 223 - N° 2
P. 245-249 - février 2022 Retour au numéro
Article précédent
- 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?
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