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Receiver operating characteristic curve analyses revealed MCICs of 17.8 for ODI, 0.18 for EQ-5D, and 1.6 for COMI in patients aged ≥ 75years, and 12.7 for ODI, 0.19 for EQ-5D, and 2.3 for COMI in patients aged 75years. In patients aged ≥ 75years, PCS may not be feasible for evaluation of health transition. The MCIC value for ODI score was higher and that for EQ-5D/COMI score was lower in patients aged ≥ 75years, compared with those in patients aged 75years. In patients aged ≥ 75 years, PCS may not be feasible for evaluation of h