OE JOURNAL

OE Journal

Vol. 7 | Iss. 4 | February 2019 - 68 Studies

ORIGINAL ANALYSIS

The MID: If You Don’t Know, Now You Know!

The minimal important difference (MID) helps clarify whether a change in a patient-reported outcome is meaningful from the patient’s perspective, rather than just statistically significant. While distribution-based methods rely on statistics, anchor-based approaches link score changes to something patients can easily judge, such as feeling “a little improved.” This distinction matters because large trials can show statistically significant yet clinically trivial differences. When results are interpreted against an established MID, the true value of a treatment becomes clearer. Despite its importance, MIDs are often missing due to limited awareness, lack of established thresholds, or concern that reporting them may temper enthusiasm for statistically positive findings.

Read Original

Full Issue Content

Original Content 1

The MID: If You Don’t Know, Now You Know!

Arthroplasty 12

Assessment of cup inclination and anteversion placed with and without computer assistance in THA

Orthopedics. 2019 Jan 1;42(1):42-47. doi: 10.3928/01477447-20190103-02

Potentially lower migration with all-poly vs metal-backed tibia component in total knee arthroplasty

Acta Orthop. 2018 Aug;89(4):412-417. doi: 10.1080/17453674.2018.1464317

Gait and functional performance favoured with DA vs DL THA, but no difference in subjective function

Hip Int. 2018 Sep;28(5):478-484. doi: 10.1177/1120700018760262

Larger drop in Hb noted with closed suction drainage versus no drainage in total knee arthroplasty

J Knee Surg. 2018 Sep;31(8):804-810. doi: 10.1055/s-0037-1615297

Combined IV-IA TXA further reduces blood loss versus IV TXA alone, but does not reduce transfusion

BMC Musculoskelet Disord. 2018 Sep 7;19(1):321. doi: 10.1186/s12891-018-2181-9

NSAIDs associated with reduction in heterotopic ossification development versus placebo in THA

Bone Joint J. 2018 Jul;100-B(7):915-922. doi: 10.1302/0301-620X.100B7.BJJ-2017-1467.R1

Performance improved, but subjective function not altered by direct anterior vs transgluteal THA

BMC Musculoskelet Disord. 2018 Jul 19;19(1):241. doi: 10.1186/s12891-018-2133-4

Reduced transfusion rate without increase in VTE rate with erythropoietin in orthopaedic surgery

Ther Clin Risk Manag. 2018 Jul 10;14:1191-1204. doi: 10.2147/TCRM.S159134

No advantage of patient-specific instrumentation over conventional instruments in UKA

Knee Surg Sports Traumatol Arthrosc. 2018 Jun;26(6):1662-1670

Bone mineral density loss following total joint arthroplasty mitigated by bisphosphonate therapy

Osteoporos Int. 2018 Jul;29(7):1525-1537. doi: 10.1007/s00198-018-4488-7

No difference in 10-yr clinical outcome and survivorship between mobile- and fixed-bearing TKA

Bone Joint J. 2018 Jul;100-B(7):925-929. doi: 10.1302/0301-620X.100B7.BJJ-2017-1473.R1

Large-scale trial comparing topical and intravenous TXA efficacy in total knee arthroplasty

J Bone Joint Surg Am. 2018 Jun 20;100(12):1023-1029

Foot & Ankle 7

Tourniquet use in ankle fracture fixation has no significant effect on length of hospital stay

J Foot Ankle Surg. 2019 Jan;58(1):114-118. doi: 10.1053/j.jfas.2018.08.023

Comparing knotless suture button versus screw fixation of unstable syndesmosis injuries

Knee Surg Sports Traumatol Arthrosc. 2018 Oct;26(10):3156-3164. doi: 10.1007/s00167-017-4820-3

Network meta-analysis of nonoperative modalities in primary treatment of chronic ankle instability

J Sci Med Sport. 2018 Sep;21(9):873-879. doi: 10.1016/j.jsams.2018.01.017

Postoperative zoledronic acid has no effect on healing after Lapidus arthrodesis and Akin osteotomy

J Int Med Res. 2018 Aug;46(8):3251-3261. doi: 10.1177/0300060518760128

Assessing the effects of balance training on incidence of ankle sprain in athletes

Clin Rehabil. 2018 Dec;32(12):1581-1590.

No difference in 6-month efficacy of Polidocanol vs. lidocaine injection for Achilles tendinopathy

Knee Surg Sports Traumatol Arthrosc. 2018 Jul;26(7):2038-2044

Function over 52 weeks after Weber type B1 fracture noninferior with 3-wk vs. 6-wk immobilization

BMJ. 2019 Jan 23;364:k5432. doi: 10.1136/bmj.k543

General Orthopaedics 2

Postoperative multi-dose oral versus IV TXA in total knee arthroplasty without tourniquet control

Thromb Res. 2018 Nov;171:68-73. doi: 10.1016/j.thromres.2018.09.054

Routine MRI referral by GP not cost-effective among patients with traumatic knee pain complaints

Radiology. 2018 Jul;288(1):170-176. doi: 10.1148/radiol.2018171383

Hand & Wrist 2

Nonopioid analgesics demonstrate similar efficacy to oxycodone following carpal tunnel release

J Hand Surg Am. 2018 Oct;43(10):913-919. doi: 10.1016/j.jhsa.2018.08.011

C-arm fluoroscopy-guided versus standard closed reduction for distal radius fractures

J Hand Surg Am. 2018 Oct;43(10):927-931. doi: 10.1016/j.jhsa.2018.02.015

Metabolic Disorders 2

Periprosthetic bone loss post-total hip arthroplasty mitigated by bisphosphonate therapy

J Orthop Surg Res. 2018 Sep 4;13(1):225. doi: 10.1186/s13018-018-0918-7

Adherence to weekly oral BP therapy versus quarterly IV BP therapy at varying health literacy level

J Bone Miner Metab. 2018 Sep;36(5):589-595. doi: 10.1007/s00774-017-0867-y

Osteoarthritis 6

Nonopioid analgesia demonstrates better 12-month efficacy versus opioids for chronic OA pain and LBP

JAMA. 2018 Mar 6;319(9):872-882

Combined hyaluronic acid (HA) and platelet-rich plasma, HA alone, and placebo for knee OA

Exp Ther Med. 2018 Sep;16(3):2119-2125

Comparison of combined hyaluronic acid (HA) and corticosteroid vs. HA alone injection for knee OA

Exp Ther Med. 2018 Sep;16(3):1928-1934. doi: 10.3892/etm.2018.6371

Use of pulsed electromagnetic field therapy for the treatment of osteoarthritis

BMJ Open. 2018 Dec 14;8(12):e022879.

Low Intensity, Long Duration US for symptomatic relief of knee osteoarthritis

J Orthop Surg Res. 2018 Oct 16;13(1):257.

Potential efficacy of glucosamine or chondroitin for pain and functional improvement in OA

J Orthop Surg Res. 2018 Jul 6;13(1):170. doi: 10.1186/s13018-018-0871-5

Pediatric Orthopaedics 1

Redislocation rate reduced with primary operative repair for paediatric patellar dislocation

Am J Sports Med. 2018 Aug;46(10):2328-2340. doi: 10.1177/0363546518770616

Physical Therapy & Rehab 8

Scapular focused modalities versus standard therapies for patients with subacromial pain syndrome

Physiother Theory Pract. 2018 Sep;34(9):653-670. doi: 10.1080/09593985.2018.1423656

Text-messaging bot improves daily exercise and patient perception of care following THA and TKA

J Bone Joint Surg Am. 2019 Jan 16;101(2):145-151. doi: 10.2106/JBJS.17.01505

Addition of transcranial direct current stimulation to exercise beneficial over sham for chronic LBP

Clin Rehabil. 2018 Oct;32(10):1348-1356. doi: 10.1177/0269215518777881

Analyzing the effect of ESWT on pain associated with soft tissue knee disorders

BMC Musculoskelet Disord. 2018 Aug 2;19(1):278. doi: 10.1186/s12891-018-2204-6

Incidence of falls reduced following balance training in patients with osteoporosis

J Rehabil Med. 2018 Jul 17;50(7):577-581. doi: 10.2340/16501977-2334

Telerehabilitation demonstrates similar outcome to usual care following subacromial decompression

J Telemed Telecare. 2018 Jul;24(6):428-433. doi: 10.1177/1357633X17706583

Function favoured with arthroscopy versus physiotherapy after 8 months in FAI

BMJ. 2019 Feb 7;364:l185. doi: 10.1136/bmj.l185

Interferential current therapy in addition to standard of care for subacromial impingement syndrome

Eur J Phys Rehabil Med. 2018 Jun;54(3):351-357

Shoulder & Elbow 9

C. acnes decolonization with benzoyl peroxide vs chlorhexidine gluconate ahead of shoulder surgery

J Shoulder Elbow Surg. 2018 Sep;27(9):1539-1544. doi: 10.1016/j.jse.2018.06.012

Higher rate of injection accuracy with midlateral vs posterior subacromial injection

Orthopedics. 2019 Jan 1;42(1):e44-e50. doi: 10.3928/01477447-20181109-03

Similar functional outcome between nonoperative & operative treatment for proximal humerus fractures

J Shoulder Elbow Surg. 2018 Aug;27(8):1526-1534. doi: 10.1016/j.jse.2018.03.009

Function, strength, and retear rate do not differ between PRP- and non-augmented rotator cuff repair

J Shoulder Elbow Surg. 2018 Sep;27(9):1553-1563. doi: 10.1016/j.jse.2018.05.003

ECRB release not significantly different than sham surgery for improvement of lateral epicondylitis

Am J Sports Med. 2018 Apr;46(5):1106-1113

Short-term function better with arthroscopic release vs. hydrodilatation for primary frozen shoulder

J Shoulder Elbow Surg. 2018 Aug;27(8):1401-1406. doi: 10.1016/j.jse.2018.04.002

Single shot ISBPB vs patient-controlled interscalene infusion for analgesia in rotator cuff repair

J Shoulder Elbow Surg. 2018 Jul;27(7):1243-1250

Improved function and time to union with plating versus sling for mid-shaft clavicle fractures

Injury. 2018 Jun;49(6):1104-1107

Recombinant human growth hormone injection does not improve healing rate versus control in RC repair

J Shoulder Elbow Surg. 2018 May;27(5):777-785

Spine 4

Either intravenous or local steroid effective versus control to mitigate dysphagia after ACDF

J Bone Joint Surg Am. 2018 Sep 5;100(17):1461-1472. doi: 10.2106/JBJS.17.01540

Similar fusion success rate between i-Factor allograft and local autograft in single-level ACDF

Neurosurgery. 2018 Sep 1;83(3):377-384. doi: 10.1093/neuros/nyx432

Annular closure/repair devices reduce reherniation rate following discectomy vs discectomy alone

BMC Musculoskelet Disord. 2018 Aug 16;19(1):290. doi: 10.1186/s12891-018-2213-5

Feasibility demonstrated for larger trial comparing early PT to delayed PT for lumbar radicular pain

BMJ Open. 2018 Jul 28;8(7):e021631. doi: 10.1136/bmjopen-2018-021631

Sports Medicine 7

Comparison of analgesic efficacy between fascia iliaca vs. lumbar plexus block in hip arthroscopy

J Clin Anesth. 2018 Sep;49:26-29. doi: 10.1016/j.jclinane.2018.05.012

Comparing outcomes of standard & modified transtibial vs anteromedial portal tunnel drilling in ACLR

Exp Ther Med. 2018 Sep;16(3):1790-1799. doi: 10.3892/etm.2018.6395

Patient-reported function and knee laxity measures similar between SB and DB ACLR after 5 years

Arthroscopy. 2018 Sep;34(9):2647-2653. doi: 10.1016/j.arthro.2018.03.034

IA ketorolac has no significant analgesic effect relative to placebo for post-knee arthroscopy pain

Acta Anaesthesiol Scand. 2018 Jul;62(6):829-838

No significant difference in 2-year quality-of-life between SB and DB ACL reconstruction

Am J Sports Med. 2018 Aug;46(10):2341-2354. doi: 10.1177/0363546518782454

Percent tunnel widening reduced with cartilage fragment insertion within graft in ACL reconstruction

Arthroscopy. 2018 Jul;34(7):2218-2227. doi: 10.1016/j.arthro.2018.03.011

Hip arthroscopy improves hip function compared to PT for femoroacetabular impingement syndrome

Lancet. 2018 June 2;391(10136):2225-2235

Trauma 7

No difference with gabapentin versus placebo following rib fracture in critically ill patients

Injury. 2018 Sep;49(9):1693-1698. doi: 10.1016/j.injury.2018.06.002

No difference in 4-yr clinical outcome or stability between cemented & cementless hip arthroplasty

Bone Joint J. 2018 Aug;100-B(8):1087-1093. doi: 10.1302/0301-620X.100B8.BJJ-2017-1593.R1

1-3 week immobilization period following distal radius fracture improves early function vs 6 weeks

J Bone Joint Surg Am. 2018 Jul 5;100(13):1118-1125. doi: 10.2106/JBJS.17.00912

Prehospital peripheral nerve block reduces pain vs. IV analgesia in reduction of dislocation

PLoS One. 2018 Jul 2;13(7):e0199776. doi: 10.1371/journal.pone.0199776

Effect of platelet concentrate on union of long-bone delayed union versus no treatment control

Eur J Orthop Surg Traumatol. 2018 Jul;28(5):985-990. doi: 10.1007/s00590-017-2077-7

No difference in 12-mo functional outcome between nail and plate fixation for proximal humerus Frx

BMC Musculoskelet Disord. 2019 Jan 10;20(1):20. doi: 10.1186/s12891-019-2399-1

Suprapatellar IM nailing advantageous over infrapatellar IM nailing for tibial shaft fractures

J Orthop Surg Res. 2018 Jun 14;13(1):146

Overview

Editor's Pick

Questions

Full Issue

OE JOURNAL

OE Journal

Vol. 7 | Iss. 4 | February 2019 - 68 Studies

ORIGINAL ANALYSIS

The MID: If You Don’t Know, Now You Know!

Full Issue Content

Start your FREE trial today!

Free OrthoEvidence Access!

Forgot Password?

Please check your email

Please login to enable this feature

Overview

Editor's Pick

Questions

Full Issue

OE JOURNAL

OE Journal

Vol. 7 | Iss. 4 | February 2019 - 68 Studies

ORIGINAL ANALYSIS

The MID: If You Don’t Know, Now You Know!

Full Issue Content

Welcome Back!

Start your FREE trial today!

Free OrthoEvidence Access!

Forgot Password?

Please check your email

Please login to enable this feature