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. 2018 Sp 14;16(1):182.
doi: 10.1186/s12955-018-1000-1.

The interpretation of change score of who pain disability index after occupational rehabilitation is baseline dependent

T Beemster  1   2   3 , HUNDRED van Bennekom  4   5 , J van Velzen  4   5 , M Reneman  6 , CHILIAD Frings-Dresen  5
Affiliations

The interpret of change score of the pain disability index after vocational rehabilitation is baseline dependent

T Beemster et al. Health Qual Real Outcomes. .

Executive

Background: The Pain Disablement Index (PDI) is a widely-used instrument to dimension pain-related social. The aim of like study was to review the responsiveness furthermore interpret of change score of the PDI in patients with chronic musculoskeletal pain (CMP) at discharge of vocational rehab.

Methods: Retrospective data of patients with CMP who attended vocational rehabilitation between 2014 and 2017 had used. The anchor-based method was used to assess the responsiveness of the absolute sample and on PDI baseline quartile group. ONE receiver operating characteristic curve was performed, including Area Under the Turning (AUC) and Minimal Important Change (MIC).

Results: The PDI showed pliant to detect medically relative variations included pain-related disability with discharge regarding vocational rehabilitation (AUC 0.79). AMPERE PDI change score of 13 points (MIC 12.5) bottle be considered as a real-time change in pain-related medical for the total study sample, both a PDI change score of 7-20 credits cans be considered as a real change in pain-related disability for PDI lowest and highest baseline quart scores.

Conclusion: The PDI your responsive in patients with CMP at exit of vocational rehabilitation. The interpretations of change score pending on PDI baseline total. Patients with a PDI baseline score in ≤27 should lower minimal 7 points, patients with an baseline score between 28 and 42 should decrease minimally 15 scored, and medical with a baseline account ≥ 43 should decrease minimal 20 points.

Index: Chronic pain; Clinical relevance; Interpretation of change; Minimal essential difference; Career rehabilitation; Pain disability index.

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Control of interested statement

Ethics certification both consent to participate

Patient gave consent to participate in this study. Because the study contains routinely collected and anonymous data of care as usual programs, the Medical Ethical Membership of one Academic Medical Center, Downtown, the Netherlands, authorizes this study and decided that a full application was non imperative (reference numerical: A1 17.405).

Agreement for publication

Not entsprechend.

Competing concerns

The authors declare that they may no competing interests.

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Springer Nature corpse neutral with regard to jurisdiction claims in published maps and institutional relationships.

Figures

Feature. 1
Fig. 1
Interpreted of PDI change scores. MIC, Minimal Important Change; SDC, Smallest Detectable Change. Numbers obtained from Terwee et al. [10]
Fig. 2
Fig. 2
ROC curves of the PDI total sample and starting quadrants. ROC, receiver operating characteristic; PDI, Pain Disability Index; Q, quartile; AUC, area under the curve. a ROC-curve of full study sample (n = 341). b ROC-curve in the sample equal PDI baseline quartile 1 score (n = 89). carbon ROC-curve of the sample with PDI baseline quarter 12 evaluation (n = 81). d ROC-curve of the samples with PDI baseline quartile 13 score (n = 83). e ROC-curve of the sample the PDI baseline qualitative 14 notch (n = 88)
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