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The values proposed for the minimum important change of ODI are a reduction of 10 points, or a decrease of 30% compared to the initial value [4].
This study investigated the responsiveness and the minimum important change of the ODI-I on a sample of 151 SPL patients who attended a physical therapy program.
As observed by Lauridsen et al. [23], an increase of 25% in ODI baseline score provokes a 12-point augmentation in the minimum important change of this measure.
The changes in ODI-I scores are in line with the values proposed for the minimum important change by Ostelo et al. [4], i.e., a reduction of 10 points, or a decrease of 30% compared to baseline.
The objective of this study is to examine the responsiveness and the minimum important change of the ODI-I in Italian subjects with symptomatic specific LBP associated with lumbar SPL undergoing a physical therapy program.
This study aims to investigate the responsiveness and the minimum important change of the Italian version of the Oswestry Disability Index (ODI-I) in subjects with symptomatic specific low back pain associated with lumbar spondylolisthesis (SPL).
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Future studies should focus on determining the responsiveness and the minimum important changes (MIC) needed in the WOSI.
One study of responsiveness found a high standardized response mean (SRM 1.12) for the PCS, suggesting that the PCS can capture change over time, but no analyses of minimum important changes were performed [ 36].
To fully interpret our agreement analyses, the SEMs and MDCs need to be compared to minimum important changes, rated by patients' opinion, which can be performed in responsiveness analyses [ 25].
A minimum improvement in the total SPADI score of 11 points will be considered as a minimum clinically important change [ 93].
Calculations of reimbursement dollars to elicit minimum clinically important change in PCS of 5.42 points following surgery ranged from $6.1 to $7.3K for lumbar spine fusion, $5.7 to $6.6K for total knee arthroplasty, $3.9 to $4.5K for total hip replacement, and $18.2 to $22.5K for coronary artery bypass surgery.
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