The Spine Journal
Volume 10, Issue 4 , Pages 330-332 , April 2010

Testing minimal clinically important difference: additional comments and scientific reality testing

  • Robert J. Gatchel, PhD, ABPP

      Affiliations

    • Department of Psychology, College of Science, University of Texas at Arlington, Arlington, TX 76019, USA
    • Corresponding Author InformationCorresponding author. College of Science, University of Texas at Arlington, 313 Life Science Bldg, Arlington, TX 76019, USA. Tel.: (817) 272-2541; fax: (817) 272-2364.
    • ,
  • Tom G. Mayer, MD

      Affiliations

    • Department of Orthopedic Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75235, USA

Received 6 January 2010 ,Accepted 27 January 2010.

References 

  1. Worzer W, Theodore BR, Rodgerson M, Gatchel RJ. Interpreting clinical significance: a comparison of effect sizes of commonly used patient self-report pain instruments. Pract Pain Manage. 2008;8:16–29
  2. Spratt KF. Outcomes assessment: overview and specific tools. In:  Herkowitz HN,  Dvorak J,  Bell G, et al. editor. The lumbar spine. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2004;
  3. Gatchel RJ, Mayer TG. Testing minimal clinically important difference: consensus or conundrum?. Spine J. 2010;10:321–327
  4. Dworkin RH, Turk DC, Farrar JT, et al. Core outcome measures for chronic pain clinical trials: IMMPACT recommendations. Pain. 2005;113:9–19
  5. Glassman SD, Carreon L. Thresholds for Health-related Quality of Life measures: reality testing. Spine J. 2010;10:328–329
  6. Turk DC, Okifuji A. Matching treatment to assessment of patients with chronic pain. In:  Turk DC,  Melzack R editor. Handbook of pain assessment. 2nd ed. New York, NY: Guilford; 2001;
  7. Turk DC, Monarch ES. Biopsychosocial perspective on chronic pain. In:  Turk DC,  Gatchel RJ editor. Psychological approaches to pain management: a practitioner's handbook. 2nd ed. New York, NY: Guilford; 2002;
  8. Schwartz CE, Finkelstein JA. Understanding inconsistencies in patient-reported outcomes after spine treatment: response shift phenomenon. Spine J. 2009;9:1039–1045

 FDA device/drug status: not applicable.

 Author disclosures: RJG (royalties, Guilford Press, APA Press; consulting, PRIDE, Dallas, Palladian Health Care, Medical Technologies; scientific advisory board, Palladian Health Care; endowments, Nancy P. & John C. Penson Endowed Professorship; research support: investigator salary, NIH; research support: staff/materials, NIH, DOD).

PII: S1529-9430(10)00055-0

doi: 10.1016/j.spinee.2010.01.019

The Spine Journal
Volume 10, Issue 4 , Pages 330-332 , April 2010

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