Minimal important difference in outcome of disc degenerative disease treatment: The patients' perspective

Research output: Chapter in Book/Report/Conference proceedingConference contribution


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.

Original languageEnglish
Title of host publicationBuilding Continents of Knowledge in Oceans of Data
Subtitle of host publicationThe Future of Co-Created eHealth - Proceedings of MIE 2018
EditorsGunnar O. Klein, Daniel Karlsson, Anne Moen, Adrien Ugon
PublisherIOS Press
Number of pages5
ISBN (Electronic)9781614998518
Publication statusPublished - Jan 1 2018
Event40th Medical Informatics in Europe Conference, MIE 2018 - Gothenburg, Sweden
Duration: Apr 24 2018Apr 26 2018

Publication series

NameStudies in Health Technology and Informatics
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365


Conference40th Medical Informatics in Europe Conference, MIE 2018


  • MID
  • Minimal clinically important difference
  • Outcomes
  • Patient reported outcomes
  • PROs

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management


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