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Simple as Possible? Or Too Simple? Possible Limits to the Universality of the One Half Standard Deviation

Simple as Possible? Or Too Simple? Possible Limits to the Universality of the One Half Standard... MEDICAL CARE Volume 41, Number 5, pp 593–596 ©2003 Lippincott Williams & Wilkins, Inc. Point Simple as Possible? Or Too Simple? Possible Limits to the Universality of the One Half Standard Deviation DORCAS E. BEATON,BSCOT, PHD “Everything should be made as simple as pos- Losing the Individual in the Average sible, but not simpler.” In their article, the authors refer to using the —attributed to Albert Einstein MID/MD in individual patients. As such, it func- In this issue of Medical Care, Norman et al tions like a diagnostic test for whether the person present their observation that the minimally im- has changed for the better or worse. In 43/56 effect portant difference (MID) when divided by the SD size estimates used, the approach to determining is consistently close to the value 0.5, and suggest 19 MID/MD was that of Jaeschke et al or that that it may be a universal standard. This idea explained in Redelmeier and Lorig, Redelmeier contrasts the view that the MID or minimal clin- 21 22 et al, and Wells et al. These approaches take a ically important difference (MCID) is a context- subset of patients who have had small but “im- specific attribute dependent http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Medical Care Wolters Kluwer Health

Simple as Possible? Or Too Simple? Possible Limits to the Universality of the One Half Standard Deviation

Beaton, Dorcas E.
Medical Care , Volume 41 (5) – May 1, 2003
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References (34)

ISSN
0025-7079
eISSN
1537-1948
DOI
10.1097/01.MLR.0000064706.35861.B4
pmid
12719682
Publisher site
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Abstract

MEDICAL CARE Volume 41, Number 5, pp 593–596 ©2003 Lippincott Williams & Wilkins, Inc. Point Simple as Possible? Or Too Simple? Possible Limits to the Universality of the One Half Standard Deviation DORCAS E. BEATON,BSCOT, PHD “Everything should be made as simple as pos- Losing the Individual in the Average sible, but not simpler.” In their article, the authors refer to using the —attributed to Albert Einstein MID/MD in individual patients. As such, it func- In this issue of Medical Care, Norman et al tions like a diagnostic test for whether the person present their observation that the minimally im- has changed for the better or worse. In 43/56 effect portant difference (MID) when divided by the SD size estimates used, the approach to determining is consistently close to the value 0.5, and suggest 19 MID/MD was that of Jaeschke et al or that that it may be a universal standard. This idea explained in Redelmeier and Lorig, Redelmeier contrasts the view that the MID or minimal clin- 21 22 et al, and Wells et al. These approaches take a ically important difference (MCID) is a context- subset of patients who have had small but “im- specific attribute dependent

Journal

Medical Care – Wolters Kluwer Health

Published: May 1, 2003

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