Evidence map›Paper›PMID 32718186›Full record

ArticleClinical rehabilitation2020

Minimal clinically important difference and minimal detectable change of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) amongst patients with chronic musculoskeletal pain.

Niina Katajapuu, Ari Heinonen, Mikhail Saltychev

Abstract read
In one paragraph

Article in Clinical rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Effects of Using High-Frequency TENS During an Exercise Therapy Program in Knee Osteoarthritis: A Randomized Sham-Controlled Trial.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Trial
  3. Trial
  4. Trial
  5. Functional improvement by behavioural activation for depressed older adults.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Trial
  6. Article
  7. Article
  8. WHODAS 2.0 to Assess Disability in the Rehabilitation of Individuals With Chronic Respiratory Conditions: Responsiveness and Interpretability.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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  19. Poorer Inhibitory Control Uniquely Contributes to Greater Functional Disability in Post-9/11 Veterans.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2023
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Niina KatajapuuFaculty of Sports and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.ORCID https://orcid.org/0000-0002-7416-8928
Ari HeinonenFaculty of Sports and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Mikhail SaltychevDepartment of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0003-1269-4743

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study is to estimate a minimal clinically important difference (MCID) and a minimal detectable change (MDC) of the 12-item WHODAS 2.0 amongst patients with chronic musculoskeletal pain.

designCross-sectional cohort study.

settingOutpatient Physical and Rehabilitation Medicine clinic. SUBJECTS: A total of 1988 consecutive patients with musculoskeletal pain.

interventionsA distribution-based approach was employed to estimate a minimal clinically important difference, a minimal detectable change, and a minimal detectable percent change (MDC%).

resultsThe mean age of the patients was 48 years, and 65% were women. The average intensity of pain was 6,3 (2.0) points (0-10 numeric rating scale) and the mean WHODAS 2.0 total score was 13 (9) points out of 48. The minimal clinically important difference ranged between 3.1 and 4.7 points. The minimal detectable change was 8.6 points and minimal detectable % change was unacceptably high 66%.

conclusionsAmongst patients with chronic musculoskeletal pain, the 12-item WHODAS 2.0 demonstrated a high minimal detectable change of almost nine points. As the minimal detectable change exceeded the level of minimal clinically important difference, nine points were considered to be the amount of change perceived by a respondent as clinically significant.

Indexed as

Disability EvaluationMinimal Clinically Important DifferenceChronic PainCohort StudiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedMusculoskeletal PainPain Measurementminimal clinically important differenceminimal detectable changemusculoskeletal painWhodas

Identifiers

PMID32718186
PMCPMC7649960

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.