The minimally important difference for the Xerostomia Inventory among Sjögren's disease patients.

The minimally important difference for the Xerostomia Inventory among Sjögren's disease patients.
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干燥病患者口干症清单的最小重要差异。

DOI:
10.1111/odi.14841
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发表时间:
2023
期刊:
影响因子:
3.8
通讯作者:
Jager,DerkHendrikJan
Jager,DerkHendrikJan
中科院分区:
医学3区
文献类型:
--
作者:
Assy,Zainab;Thomson,WilliamMurray;Brand,HenkS;Cha,Seunghee;Susam,MerveM;Weisman,GaryA;Vissink,Arjan;Bikker,FlorisJ;Jager,DerkHendrikJan

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到目前为止,口干症量表(XI)的临床相关改善尚未确定。因此,我们的目的是确定XI对改善SjD患者口干症状的最小重要差异(MID)。方法该研究招募了34名接受大唾液腺唾液腺内窥镜检查的SjD患者,并招募了15名SjD患者作为非干预对照组。在几个时间点评估XI评分。MID是从XI评分的平均差异,组与组之间没有improvement.ResultsIn对照组,没有显着的XI评分变化。在涎腺内窥镜组中,1周后确定了临床相关的XI评分变化4个量表点。对于一个长期的持续时间(≥ 16周),在XI评分的最小减少7个量表点,需要表明临床相关的improvement.ConclusionIn SjD患者,在XI评分的最小变化4点表明临床相关的改善,用于评估短期效果。对于长期效应,临床相关改善需要MID为7分。在XI中确定MID可以帮助未来的研究评估口干症的变化。
ObjectiveUntil now, the clinically relevant improvement for the Xerostomia Inventory (XI) has not been defined. Therefore, our aim was to determine the Minimally Important Difference (MID) of the XI for improvement in dry‐mouth symptoms in SjD patients.MethodThe study recruited 34 SjD patients who underwent sialendoscopy of major salivary glands and 15 SjD patients in a nonintervention control group. XI scores were assessed at several time points. The MID was determined from the mean difference in XI scores between the groups with and without improvement.ResultsIn the control group, no significant XI score changes were seen. In the sialendoscopy group, a clinically relevant XI score change of four scale points was identified after 1 week. For a prolonged duration (≥16 weeks), a minimum reduction of seven scale points in the XI score was required to indicate clinically relevant improvement.ConclusionIn SjD patients, a minimum change of four points in the XI score indicates a clinically relevant improvement for evaluating short‐term effects. For prolonged effects, a clinically relevant improvement requires a MID of seven points. The determination of the MID in XI could assist in future studies that evaluate changes in xerostomia.
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