Abstract:
OBJECTIVES:To present a new method to estimate a "minimal important change" (MIC) of health-related quality of life (HRQOL) scales, based on predictive modeling, and to compare its performance with the MIC based on receiver operating characteristic (ROC) analysis. To illustrate how the new method deals with variables that modify the MIC across subgroups. STUDY DESIGN AND SETTING:The new method uses logistic regression analysis and identifies the change score associated with a likelihood ratio of 1 as the MIC. Simulation studies were conducted to investigate under which distributional circumstances both methods produce concordant or discordant results and whether the methods differ in accuracy and precision. RESULTS:The "predictive MIC" and the ROC-based MIC were identical when the variances of the change scores in the improved and not-improved groups were equal and the distributions were normal or oppositely skewed. The predictive MIC turned out to be more precise than the ROC-based MIC. The predictive MIC allowed for the testing and estimation of modifying factors such as baseline severity. CONCLUSION:In many situations, the newly described MIC based on predictive modeling yields the same value as the ROC-based MIC but with significantly greater precision. This advantage translates to increased statistical power in MIC studies.
journal_name
J Clin Epidemioljournal_title
Journal of clinical epidemiologyauthors
Terluin B,Eekhout I,Terwee CB,de Vet HCdoi
10.1016/j.jclinepi.2015.03.015subject
Has Abstractpub_date
2015-12-01 00:00:00pages
1388-96issue
12eissn
0895-4356issn
1878-5921pii
S0895-4356(15)00160-2journal_volume
68pub_type
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章,评审
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journal_title:Journal of clinical epidemiology
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doi:10.1016/j.jclinepi.2008.11.005
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journal_title:Journal of clinical epidemiology
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pub_type: 杂志文章,多中心研究
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journal_title:Journal of clinical epidemiology
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更新日期:2003-06-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:1994-11-01 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1016/j.jclinepi.2009.01.021
更新日期:2009-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0895-4356(99)00184-5
更新日期:2000-04-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1016/j.jclinepi.2016.02.001
更新日期:2016-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-02-01 00:00:00
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pub_type: 杂志文章
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doi:10.1016/j.jclinepi.2006.09.004
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pub_type: 杂志文章
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更新日期:2000-05-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of clinical epidemiology
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更新日期:2005-11-01 00:00:00
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更新日期:2018-02-01 00:00:00
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journal_title:Journal of clinical epidemiology
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更新日期:2013-06-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
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更新日期:2008-08-01 00:00:00