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Linking Clinical Relevance and Statistical significance in Evaluating Intra-Individual Changes in Health-Related Quality of Life

Medical Care · 1999 · Vol. 37(5) · pp. 469–478
Kathleen W. WyrwichNancy A. NienaberWilliam M. TierneyFredric D. Wolinsky

Abstract

The use of the SEM to evaluate individual patient change should be explored among other health-related quality of life instruments with established standards for clinically relevant differences. Only then can it be determined whether the one-SEM criterion can be consistently applied as a proxy for clinically meaningful change.

Health Systems, Economic Evaluations, Quality of LifeHeart Failure Treatment and ManagementCardiac Health and Mental HealthMinimal clinically important differenceProxy (statistics)Quality of life (healthcare)Standard errorMedicinePopulationClinical significanceClinical trialPsychometricsPsychology

MeSH terms

AdultAgedAged, 80 and overAnalysis of VarianceChronic DiseaseCoronary DiseaseFemaleHealth Status IndicatorsHeart FailureHumansInterviews as TopicLung Diseases, ObstructiveMaleMiddle AgedQuality of Life
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Medical Care · 1992 · 29,431 citations
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