Using the Quality Outcomes Database to Identify Minimum Clinically Important Differences for Patients With Cervical Spondylotic Myelopathy
Using the Quality Outcomes Database SpineCORe data set, we defined optimal MCIDs for key PROMs in CSM. A ≥30% improvement from baseline was optimal in NDI and arm/neck NRS. An absolute numeric cutoff was superior for EQ-5D (0.149 at the 24-month follow-up). A severity-adjusted MCID performed best for mJOA score. These redefined benchmarks better capture the treatment impact and guide care decisions for patients with CSM.
Authors
- Anthony M. Asher (ORCID: https://orcid.org/0000-0003-0979-2422)
- Mark E. Shaffrey
- Maziyar A. Kalani
- Konstantinos Katsos
- Bisson Ef
- Mandeep S. Virk (ORCID: https://orcid.org/0000-0001-6294-2771)
- Cheerag D. Upadhyaya
- Oren N. Gottfried
- Sarah E. Johnson (ORCID: https://orcid.org/0000-0002-8452-3751)
- Luis M. Tumialán (ORCID: https://orcid.org/0000-0003-1180-8438)
- Kevin T. Foley (ORCID: https://orcid.org/0000-0002-3111-3943)
- Domagoj Coric (ORCID: https://orcid.org/0000-0001-8521-2691)
- John J. Knightly (ORCID: https://orcid.org/0000-0003-0917-9265)
- Eric A. Potts (ORCID: https://orcid.org/0000-0003-4349-2327)
- M. Wang (ORCID: https://orcid.org/0000-0002-4713-9646)
- Anthony L. Asher
- Paul J. Park (ORCID: https://orcid.org/0000-0002-8970-7103)
- Mohamad Bydon
- Kai-Ming Fu
- Regis W. Haid
- Nikita Lakomkin
- Praveen V. Mummaneni
- Dean Chou
- Christopher I. Shaffrey
- Jay D. Turner
- Juan S. Uribe
Institutions
- University of North Carolina at Chapel Hill (US)
- CARE USA (US)
- Barrow Neurological Institute (US)
- St. Joseph's Hospital and Medical Center (US)
- Mayo Clinic (US)
- NewYork–Presbyterian Hospital (US)
- University of Miami (US)
- University of Tennessee Health Science Center (US)
- University of California, San Francisco (US)
- Cornell University (US)
- University of Utah (US)
- Morristown Medical Center (US)
- University of Chicago (US)
- Carolina Neurosurgery and Spine Associates (US)
- St. Vincent Hospital (US)
- Duke Medical Center (US)
- Duke University Hospital (US)
- Neurological Surgery (US)
- University of Virginia (US)
Publication Details
- Journal
- Neurosurgery
- Published
- 2026-01-09
- DOI
- https://doi.org/10.1227/neu.0000000000003902
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 0.00