TABLE 5

Anchor-based estimation of minimal clinically important difference (MCID)

Anchorp-value#Subjects nMean change in DTA score (95% CI)Effect sizeICC
FVC
 Much worse (≤ −10%)459.1 (7.0–11.3)0.75
 Slightly worse (> −10% to ≤ −5%)333.4 (0.5–6.3)0.28 
 Same (> −5% to ≤5%)<0.0001471.8 (0.1–3.6)0.130.91
 Slightly better (>5% to ≤10%)130.7 (−2.0–3.5)0.06
 Much better (>10%)31.1 (−12.2–14.4)0.15
DLCO
 Much worse (≤ −15%)477.6 (5.6–9.6)0.53
 Slightly worse (> −15% to ≤ −10%)105.1 (−1.6–11.8)0.48 
 Same (> −10% to ≤10%)0.0028663.1 (1.5–4.7)0.280.84
 Slightly better (>10% to ≤15%)63.4 (−10.8–17.6)0.21
 Much better (>15%)12−1.1 (−5.0–2.8)−0.09
6MWD m
 Much worse (≤ −60)337.7 (5.1–10.1)0.54
 Slightly worse (> −60 to ≤ −30)255.3 (3.0–7.5)0.40 
 Same (> −30 to ≤30)0.0002472.7 (0.3–5.1)0.230.78
 Slightly better (>30 to ≤60)185.1 (1.4–8.8)0.53
 Much better (>60)150.0 (−2.7–2.7)0.0
SGRQ total score
 Much worse (>12)317.4 (4.4–10.3)0.51
 Slightly worse (>7 to ≤12)245.4 (2.5–8.2)0.45 
 Same (> −7 to ≤7)0.0090573.7 (1.6–5.9)0.310.78
 Slightly better (> −12 to ≤ −7)112.2 (−1.1–5.5)0.12
 Much better (≤ −12)12−0.3 (−3.0–2.5)−0.24

DTA: data-driven texture analysis; ICC: intraclass correlation coefficient; FVC: forced vital capacity; DLCO: diffusing capacity of the lung for carbon monoxide; 6MWD: 6-min walk distance; SGRQ: St George's Respiratory Questionnaire. Mean change in DTA score (95% CI) and effect sizes stratified by changes in other measures. Stratification levels were selected to represent groups that were “much worse”, “slightly worse”, “same”, “slightly better” and “much better”. Cut-off values for each anchor were selected based on published MCIDs. Mean change in DTA in each “slightly worse” group (shown in italics) is an anchor-based estimate of MCID. ICC of baseline and follow-up DTA score in each “same” group is an estimate of reliability. #: one-way ANOVA; : percentage change relative to baseline (follow-up value minus baseline divided by baseline).