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Table 4 Responder analysis (patients achieving MCID)

From: Supervised physical therapy versus surgery for patients with lumbar spinal stenosis: a propensity score-matched analysis

 

Before matching

After matching

Patients achieving MCID at 1 year

(%)

Difference between groups

Patients achieving MCID at 1 year

(%)

Difference between groups

 

Physical therapy

(n = 38)

(95% CI)

Surgery

(n = 186)

(95% CI)

Physical therapy

minus Surgery

(95% CI)

Physical therapy

(n = 33)

(95% CI)

Surgery

(n = 33)

(95% CI)

Physical therapy

minus Surgery

(95% CI)

Zurich claudication questionnaire

 Symptom severity

57.9

66.1

−8.2 (− 25.2 to 8.3)

57.6

63.6

−6.1 (− 28.6 to 17.2)

 Physical function

42.1

67.2

−25.1 (− 41.3 to −7.8)*

42.4

60.6

−18.2 (− 40.2 to 5.9)

 Satisfaction

94.7

76.9

17.9 (5.7 to 26.1)*

93.9

78.8

15.2 (−2.4 to 31.0)

Numerical rating scale

 Back pain

29.0

52.7

−23.7 (−38.6 to −6.8)*

30.3

45.5

−15.1 (− 36.8 to 8.3)

 Leg pain

52.6

58.1

−5.4 (−22.5 to 11.5)

51.5

54.6

−3.0 (−26.2 to 20.5)

 Leg numbness

39.5

50.5

−11.1 (−27.3 to 6.2)

39.4

45.5

−6.0 (−28.9 to 17.4)

Japanese orthopedic association back pain evaluation questionnaire

 Pain-related disorders

47.1

70.2

−23.2 (−40.5 to −5.8)*

44.8

69.0

−24.1 (−46.6 to 1.5)

 Lumbar dysfunction

44.1

46.9

−2.7 (− 20.3 to 15.3)

44.8

25.8

19.0 (−5.3 to 41.1)

 Gait disturbance

45.7

68.9

−23.2 (−40.1 to −5.3)*

45.2

53.1

−8.0 (−31.3 to 16.4)

 Social life dysfunction

34.2

49.7

−15.5 (− 31.1 to 1.7)

36.4

39.4

−2.6 (− 25.7 to 20.0)

 Psychological disorders

13.2

32.8

−19.6 (−30.9 to −5.0)*

12.1

21.2

−9.1 (−26.7 to 9.5)

SF-36

 Physical functioning

29.0

58.6

−29.7 (−44.4 to −12.7)*

33.3

42.4

−9.1 (−31.2 to 14.1)

 Bodily pain

55.3

69.9

−14.6 (−31.4 to 2.1)

51.5

60.6

−9.1 (−31.8 to 14.6)

 Role physical

36.8

56.5

−19.6 (−35.5 to −2.3)*

34.4

48.4

−14.0 (−36.6 to 10.2)

 Role emotional

23.7

49.5

−25.8 (−39.7 to −9.3)*

19.4

44.8

−25.5 (−46.3 to −1.6)*

 Mental health

31.6

41.4

−9.8 (−25.1 to 7.1)

33.3

36.4

−3.0 (−25.3 to 19.6)

 Social functioning

23.7

45.7

−22.0 (−35.9 to −5.6)*

29.6

33.3

−3.7 (− 26.9 to 20.2)

 Vitality

34.2

44.1

−9.9 (−25.5 to 7.2)

36.4

30.3

6.1 (−16.5 to 27.9)

 General health

23.7

34.4

−10.7 (−24.6 to 5.5)

21.2

21.2

0 (−19.7 to 19.7)

  1. * P < 0.05
  2. MCID Minimal clinically important difference; CI Confidence interval; SF-36 Medical Outcomes Study 36-Item Short-Form General Health Survey