Six-minute-walk test in chronic obstructive pulmonary disease: Minimal clinically important difference for death or hospitalization

Jorgen Vestbo, Michael I. Polkey, Martijn A. Spruit, Lisa D. Edwards, Michael L. Watkins, Victor Pinto-Plata, Jørgen Vestbo, Peter M A Calverley, Ruth Tal-Singer, Alvar Agustí, Per S. Bakke, Harvey O. Coxson, David A. Lomas, William MacNee, Stephen Rennard, Edwin K. Silverman, Bruce E. Miller, Courtney Crim, Julie Yates, Emiel F M WoutersBartolome Celli

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Rationale: Outcomes other than spirometry are required to assess nonbronchodilator therapies for chronic obstructive pulmonary disease. Estimates of the minimal clinically important difference for the 6-minute-walk distance (6MWD) have been derived from narrow cohorts using nonblinded intervention. Objectives: To determine minimum clinically important difference for change in 6MWD over 1 year as a function of mortality and first hospitalization in an observational cohort of patients with COPD. Methods:Data fromtheECLIPSEcohortwereused(n=2,112).Death or first hospitalizationwere indexevents;wemeasured change in6MWDin the 12-month period before the event and related change in 6MWD to lungfunctionandSt. George'sRespiratoryQuestionnaire (healthstatus). Measurement and Main Results: Of subjects with change in the 6MWD data, 94 died, and 323 were hospitalized. 6MWD fell by 29.7 m (SD, 82.9 m) more among those who died than among survivors (P
    Original languageEnglish
    Pages (from-to)382-386
    Number of pages4
    JournalAmerican Journal of Respiratory and Critical Care Medicine
    Volume187
    Issue number4
    DOIs
    Publication statusPublished - 15 Feb 2013

    Keywords

    • 6MW
    • COPD
    • Death
    • Hospitalization
    • MCID

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