Evaluation of treatments effectiveness in a context of value-based health care is based on outcomes, and in their assessment. The patient perspective is gaining renovated interest, as demonstrated by the increasing diffusion of Patient Reported Outcome Measure (PROMs) collection initiatives. The concept of Minimal Clinically Important Dif-ference (MID) is generally seen as the basis to estimate the actual effect perceived by the patient after a treatment, like a surgical intervention, but a universally recognized threshold has not yet been established. At the Orthopedic Institute Galeazzi (Milan, Italy) we began a digitized program of PROM collection in spine surgery by means of a digital platform, called Datareg. In this work we aim to investigate MID in the treatment of degenerated disc in terms of patients' perceptions as these are collected through the above electronic registry. We proposed a computation of MID on the basis of two PROM scores, and a critical comparison with a domain expert's proposal.
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
Tel.: +1 703 830 6300
Fax: +1 703 830 2300 firstname.lastname@example.org
(Corporate matters and books only) IOS Press c/o Accucoms US, Inc.
For North America Sales and Customer Service
West Point Commons
Lansdale PA 19446
Tel.: +1 866 855 8967
Fax: +1 215 660 5042 email@example.com