{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T10:07:29Z","timestamp":1790244449249,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The Obstetric Quality of Recovery\u201010 (ObsQoR\u201010) is a patient\u2010reported outcome measure for evaluating inpatient postpartum recovery. However, the minimal clinically important difference for ObsQoR\u201010 remains unknown, limiting clinical and research interpretability. The primary aim of this study was to determine the minimal clinically important difference of ObsQoR\u201010 through systematic review and network meta\u2010analysis of studies and to evaluate its psychometric properties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a systematic review and network meta\u2010analysis of studies and searched relevant databases using keywords relating to \u2018obstetric quality of recovery.\u2019 We included observational and interventional studies reporting more than one psychometric property of ObsQoR\u201010 at one or more inpatient time\u2010points. Two reviewers independently screened and evaluated study quality using the COnsensus\u2010based Standards for the selection of health Measurement INstruments (COSMIN) risk of bias checklist. Minimal clinically important difference was estimated through triangulation of distribution\u2010based (half of standard deviation of scores) and anchor\u2010based (differences in scores between vaginal delivery and caesarean delivery, and between planned and unplanned caesarean delivery) methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included 12 studies with a total of 2017 parturients. Mean (SD) ObsQoR\u201010 score ranged from 48 (16.3) (caesarean delivery) to 89 (9.3) (vaginal delivery). Distribution\u2010based estimates ranged from 6.7 (95%CI 6.0\u20137.6) to 8.7 (95%CI 7.9\u20139.6), while anchor\u2010based estimates ranged from 9.7 (95%CI 2.7\u201316.5) to 12.4 (95%CI 3.1\u201321.5). Most studies reported statistically significant differences in scores between delivery modes. Overall, there was moderate evidence for sufficient validity, reliability and responsiveness of ObsQoR\u201010 across the postpartum period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>We recommend using a minimal clinically important difference of 7\u201310 points for ObsQoR\u201010, with 7 points as the lower\u2010bound estimate. This can be used to help interpret ObsQoR\u201010 scores in clinical settings and to power future studies using ObsQoR\u201010 as a primary outcome measure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anae.70363","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:25:38Z","timestamp":1790241938000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Minimal clinically important difference and psychometric properties of the Obstetric Quality of Recovery\u201010 measure: a systematic review and network meta\u2010analysis"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0982-8528","authenticated-orcid":false,"given":"Moe","family":"Takenoshita","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine Stanford University  Stanford CA 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatine","family":"Karkri","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine Stanford University  Stanford CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay E.","family":"Blake","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences University of Arkansas  Little Rock AR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pervez","family":"Sultan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine Stanford University  Stanford CA 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