Journal of Clinical Epidemiology
Volume 53, Issue 3 , Pages 279-284 , March 2000

Identification of clinically important changes in health status using receiver operating characteristic curves

  • Michael M. Ward

      Affiliations

    • VA Palo Alto Health Care System, 111G, 3801 Miranda Ave., Palo Alto, CA 94304 USA
    • Division of Immunology and Rheumatology, Department of Medicine, Stanford Univeristy School of Medicine, Stanford, CA 94305 USA
    • Corresponding Author InformationCorresponding author. Tel.: (650) 493-5000 ext. 66133; fax: (650) 856-8024.(Michael M. Ward)
    • ,
  • Andrea S. Marx

      Affiliations

    • VA Palo Alto Health Care System, 111G, 3801 Miranda Ave., Palo Alto, CA 94304 USA
    • ,
  • N.Nicole Barry

      Affiliations

    • Division of Immunology and Rheumatology, Department of Medicine, Stanford Univeristy School of Medicine, Stanford, CA 94305 USA

Received 29 September 1998 ,Revised 1 June 1999 ,Accepted 23 June 1999.

References 

  1. Jaeschke R, Singer J, Guyatt GH. Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials. 1989;10:407–415
  2. Redelmeier DA, Lorig K. Assessing the clinical importance of symptomatic improvements. An illustration in rheumatology. Arch Intern Med. 1993;153:1337–1342
  3. Wells GA, Tugwell P, Kraag GR, Baker PRA, Groh J, Redelmeier DA. Minimum important difference between patients with rheumatoid arthritis (the patient's perspective). J Rheumatol. 1993;20:557–560
  4. Juniper EF, Guyatt GH, Willan A, Griffith LE. Determining a minimal important change in a disease-specific quality of life questionnaire. J Clin Epidemiol. 1994;47:81–87
  5. Naylor CD, Llewellyn-Thomas HA. Can there be a more patient-centered approach to determining clinically important effect sizes for randomized treatment trials?. J Clin Epidemiol. 1994;47:787–795
  6. Redelmeier DA, Guyatt GH, Goldstein RS. Assessing the minimal important difference in symptoms (a comparison of two techniques). J Clin Epidemiol. 1996;49:1215–1219
  7. Redelmeier DA, Bayoumi AM, Goldstein RS, Guyatt GH. Interpreting small differences in functional status (the six minute walk test in chronic lung disease patients). Am J Respir Crit Care Med. 1997;155:1278–1282
  8. Metz CE. Basic principles of ROC analysis. Semin Nucl Med. 1978;8:283–298
  9. Hanley JA, McNeil BJ. The meaning and use of the area under a receiving operating characteristic (ROC) curve. Radiology. 1982;143:29–36
  10. Tan EM, Cohen AS, Fries JF, et al.  The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1982;25:1271–1277
  11. Guyatt GH, Juniper EF, Walter SD, Griffith LE, Goldstein RS. Interpreting treatment effects in randomized trials. BMJ. 1998;316:690–693

PII: S0895-4356(99)00140-7

Journal of Clinical Epidemiology
Volume 53, Issue 3 , Pages 279-284 , March 2000

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