ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2020
Minimal important change in physical function in trauma patients: a study using the short musculoskeletal function assessment.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Surgical versus non-surgical treatment of intra-articular comminuted distal radius fractures (AO 23-C2/C3) is associated with better patient-reported outcomes: an instrumental variable analysis using a national Swedish cohort.BMC musculoskeletal disorders · 2026Observational
- A validated CT-based scoring system for lateral compression type one pelvic ring injuries provides insight into the spectrum of injury severity and guides treatment decisions; a prospective study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Tibial plateau fractures in the elderly have clinical outcomes similar to those in younger patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Measuring functional outcomes in major trauma: can we do better?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Review
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4 authors.
Funding
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Abstract
purposeThe Short Musculoskeletal Function Assessment (SMFA) questionnaire can be used to evaluate physical functioning in patients with traumatic injuries. It is not known what change in score reflects a meaningful change to patients. The aim was to determine minimal important change (MIC) values of the subscales (0-100) of the Dutch SMFA-NL in a sample of patients with a broad range of injuries.
methodsPatients between 18 and 65 years of age completed the SMFA-NL and the Global Rating of Effect (GRE) questions at 6-week and 12-month post-injury. Anchor-based MIC values were calculated using univariable logistic regression analyses.
resultsA total of 225 patients were included (response rate 67%). The MIC value of the Upper Extremity Dysfunction (UED) subscale was 8 points, with a misclassification rate of 43%. The Lower Extremity Dysfunction subscale MIC value was 14 points, with a misclassification rate of 29%. The MIC value of the Problems with Daily Activities subscale was 25 points, with a misclassification rate of 33%. The MIC value of the Mental and Emotional Problems (MEP) subscale was 7 points, with a misclassification rate 37%.
conclusionMIC values of the SMFA-NL were determined. The MIC values aid interpreting whether a change in physical functioning can be considered clinically important. Due to the considerable rates of misclassification, the MIC values of the UED and MEP subscales should be used with caution.
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