Reply to determining MCID threshold for Knee Society Score to assess patient satisfaction in knee arthroplasty.

Liu, Xiaodi; Liu, Yingnan; Lee, Mong Li; Hsu, Wynne; Liow, Ming Han Lincoln · NPJ Digit Med · 2026

editorial · Level V

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Abstract

This reply addresses Wang et al.'s comments on our prior work and clarifies that the 34.5-point Knee Society Score threshold was derived from our previously validated, anchor-based approach. We agree that future research should refine predictive models by establishing consensus, standardised minimal clinically important difference cutoffs to enhance applicability and reliability in real-world clinical settings.