Responsiveness and MCID Estimates for CAT, CCQ, and HADS in Patients With COPD Undergoing Pulmonary Rehabilitation: A Prospective Analysis

Smid, Dionne E.; Franssen, Frits M.E.; Houben-Wilke, Sarah; Vanfleteren, Lowie E.G.W.; Janssen, Daisy J.A.; Wouters, Emiel F.M.; Spruit, Martijn A.

doi:10.1016/j.jamda.2016.08.002

Cited by 139 publications

(134 citation statements)

References 35 publications

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“…Moreover, our findings are consistent with studies that concluded that patients over 71 attained similar alleviation from depression, but also that elderly patients should not be excluded from pulmonary rehabilitation 20. Finally, the present study’s findings exactly match those of Smid et al,32 who concluded that older patients should not be excluded from pulmonary rehabilitation.…”

Section: Discussionsupporting

confidence: 92%

Does pulmonary rehabilitation alleviate depression in older patients with chronic obstructive pulmonary disease

Alsaraireh

Aloush

2017

SMJ

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Objectives:To identify if pulmonary rehabilitation can achieve a clinically significant alleviation in the level of depression among chronic obstructive pulmonary disease (COPD) patients older than 70 years.Methods:We conducted a retrospective secondary analysis of the patients’ electronic records from a major pulmonary rehabilitation center in Cleveland, OH, United States between 2010 and 2014. Profiles of 105 participants who had completed more than 6 pulmonary rehabilitation sessions and were older than 70 years at the time of enrollment in the program were included. The Beck Depression Inventory scores at the baseline and the end of the pulmonary rehabilitation sessions were compared.Results:There was a statistically and clinically significant reduction in mean scores of depression from the baseline to the end of pulmonary rehabilitation: mean± SD: 104±5.6; p=0.00. The mean±SD depression score at the end was 9±4.3 compared with the baseline 17±7.8. Seventy-seven (73%) participants showed clinically significant improvement in depression; however, 20 participants (27%) had no clinically significant improvement, and 8 (8%) had worse depression at the end of pulmonary rehabilitation. Participants with higher depression scores at the baseline were 1.3 times more likely to achieve clinically significant alleviation in depression at the end of rehabilitation (odds ratio = 1.3, p=0.00).Conclusion:Pulmonary rehabilitation induced clinically significant alleviation in depression among participants with COPD aged over 70 years.

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Section: Discussionsupporting

confidence: 92%

Does pulmonary rehabilitation alleviate depression in older patients with chronic obstructive pulmonary disease

Alsaraireh

Aloush

2017

SMJ

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“…7 A systematic review supported the reliability and validity of the CAT and found that the tool is responsive to interventions, although the minimal clinically important difference (MCID) of 2 points is not well established. 8,9 Regarding the evolution of the CAT over time, only little data is available. 10 Our aim was to investigate the evolution of CAT in our THC cohort of COPD patients and to evaluate the potential of repeated CAT measurements to predict exacerbations.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal change of COPD assessment test (CAT) in a telehealthcare cohort is associated with exacerbation risk

Rassouli

Baty

Widmer

et al. 2017

Monitoring Airway Disease

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“…At last, from T0 to T1, receiver operating characteristic curves (ROCs, within-subject) analysis were performed. Changes in the cutoff of RS-SCs that best discriminated between patients who increased or decreased their resilience levels by the established MCIDs in the EORTC QLQ-C30 (1-point change in global health status, QoL-GHS) [31], CD-RISC-10 (3-point change) [32], and HADS (1.5-point change for anxiety and depression each) were de ned as showing MCID [33]. The area under curve (AUC) and Youden index were adapted with equal weighting given to sensitivity and speci city [34].…”

Section: Discussionmentioning

confidence: 99%

Minimum Clinical Important Difference for Resilience Scale Specific to Cancer: A Prospective Analysis

Zhang

Tang

et al. 2020

Preprint

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Abstract Background: The minimum clinical important differences (MCIDs) of resilience instruments in patients with cancer have not been comprehensively described. This study was designed to evaluate MCIDs of 10-item and 25-item resilience scales specific to cancer (RS-SC-10 and RS-SC-25).Methods: From June 2015 to December 2018, RS-SCs were longitudinally measured in 765 patients with different cancer diagnoses at baseline (T0) and 3 months later (T1). The EORTC QLQ-C30, Connor-Davidson Resilience Scale, Hospital Anxiety and Depression Scale, and Allostatic Load Index were measured concurrently as anchors. Anchor-based methods (linear regression, within-group), distribution-based methods(within-group), and receiver operating characteristic curves (ROCs, within-subject) were performed to evaluate the MCIDs.Results: 623 of 765 (84.1%) patients had paired RS-SCs scores. Moderate correlations were identified between the change in RS-SCs and change in anchors (r= 0.38-0.44, all p<0.001). Linear regression estimated +8.9 and -6.7 as the MCIDs of RS-SC-25, and +3.4 and -2.5 for RS-SC-10. Distribution-based methods estimated +9.9 and -9.9 as the MCIDs of RS-SC-25, and +4.0 and -4.0 for RS-SC-10. ROC estimated +5.5 and -4.5 as the MCIDs of RS-SC-25, and +2.0 and -1.5 for RS-SC-10.Conclusions: The most reliable MCID is around 5 points for RS-SC-25 and 2 points for RS-SC-10. RS-SCs are more responsive to the worsening status of resilience in patients with cancer and these estimates could be useful in future resilience-based intervention trials.

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Responsiveness and MCID Estimates for CAT, CCQ, and HADS in Patients With COPD Undergoing Pulmonary Rehabilitation: A Prospective Analysis

Cited by 139 publications

References 35 publications

Does pulmonary rehabilitation alleviate depression in older patients with chronic obstructive pulmonary disease

Does pulmonary rehabilitation alleviate depression in older patients with chronic obstructive pulmonary disease

Longitudinal change of COPD assessment test (CAT) in a telehealthcare cohort is associated with exacerbation risk

Minimum Clinical Important Difference for Resilience Scale Specific to Cancer: A Prospective Analysis

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