{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T04:37:11Z","timestamp":1793162231795,"version":"4.5.0"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100031557","name":"Diputaci\u00f3n de Albacete","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100031557","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The Wound\u2010QoL\u201014 questionnaire has proven to be a valid instrument for assessing patients with chronic wounds. However, cutoff scores are not established, and the smallest detectable change and the minimal important difference have not been defined. We aimed to assess the interpretability, smallest detectable change and the minimal important difference of the Wound\u2010QoL\u201014 questionnaire in a Spanish population with chronic wounds. At baseline, patients responded to a 5\u2010Likert global anchor question about how much their wounds had been a problem, and bands of severity were calculated. At a re\u2010test phase they responded to a 7\u2010Likert anchor question about the severity of the change in wound status, and smallest detectable change and minimal important difference were calculated using a combination of anchor\u2010based and distribution\u2010based methods. At baseline, stratification of 323 patients according to simplified bands of severity (0\u20130.25\/0.26\u20131.00\/1.01\u20132.00\/2.01\u20133.00\/3.01\u20134) showed a moderate correlation with the global anchor question (polychoric correlation\u2009=\u20090.653), but the level of agreement (41.5%) was poor (Krippendorff's alfa coefficient\u2009=\u20090.609). For 197 re\u2010test patients, the Wound\u2010QoL\u201014 individual smallest detectable change was lower than the weighted minimal important difference (0.39 vs. 0.53 points, respectively). These findings support the interpretability of the Spanish version of the Wound\u2010QoL\u201014 questionnaire for clinical and research use.<\/jats:p>","DOI":"10.1111\/iwj.71065","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T03:55:01Z","timestamp":1791172501000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Data to Clinical Decisions in Chronic Wound Care: Evaluation of the Interpretability, Minimal Important Difference, and Smallest Detectable Change of the Wound\u2010\n                    <scp>QoL<\/scp>\n                    \u201014 in a Spanish Population"],"prefix":"10.1111","volume":"23","author":[{"given":"Celia","family":"Horcajada\u2010Reales","sequence":"first","affiliation":[{"name":"Department of Dermatology Hospital Universitario de Fuenlabrada  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9911-7572","authenticated-orcid":false,"given":"Manuel","family":"Ger\u00f3nimo\u2010Pardo","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Integrated Care Management  Albacete Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4026-8728","authenticated-orcid":false,"given":"Matthias","family":"Augustin","sequence":"additional","affiliation":[{"name":"German Center for Health Services Research in Dermatology (CVderm), Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf (UKE)  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2672-8409","authenticated-orcid":false,"given":"Carmen","family":"Selva\u2010Sevilla","sequence":"additional","affiliation":[{"name":"Department of Applied Economy, Faculty of Economics University of Castilla La Mancha  Albacete Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12683"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000001170"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12193"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12901"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2006.03.012"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.02.006"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.70757"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj\u20102022\u2010073822"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955\u2010020\u201001344\u2010w"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S315822"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12957"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.70965"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0000000000000614"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2019.08.450"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mex.2023.102545"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.03.012"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010006\u20109109\u20109"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjd\/ljad247"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231152484"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.70051"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.17049\/jnursology.1607418"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.70816"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/02841851251319666"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895\u20104356(03)00044\u20101"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2020.11.024"}],"container-title":["International 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