PMID- 19535272 OWN - NLM STAT- MEDLINE DCOM- 20100203 LR - 20220409 IS - 1532-6500 (Electronic) IS - 1058-2746 (Linking) VI - 18 IP - 6 DP - 2009 Nov-Dec TI - Minimal clinically important differences (MCID) and patient acceptable symptomatic state (PASS) for visual analog scales (VAS) measuring pain in patients treated for rotator cuff disease. PG - 927-32 LID - 10.1016/j.jse.2009.03.021 [doi] AB - BACKGROUND: The MCID is the smallest difference in an outcome score which a patient perceives as beneficial. The PASS is the score below which patients consider themselves well. The purpose of this study was to determine the MCID and PASS for a visual analog scale (VAS) measuring pain in patients treated for rotator cuff disease. MATERIAL AND METHODS: 81 patients with rotator cuff disease were evaluated after 6 weeks of non-operative treatment with a VAS measuring pain and two transition questions utilized in determining the MCID and PASS. RESULTS: The MCID and PASS were estimated to be 1.4 cm (P = .0255) and 3 cm (95% CI - 22.69, 37.31) on a 10 cm VAS measuring pain, respectively. Age (P = .0492) and hand-dominance (P = .0325) affected the MCID while age (P = .0376) and duration of follow-up (P = .0131) affected the PASS. DISCUSSION: The MCID and PASS estimates provide the basis to determine if statistically significant changes in VAS pain scores after treatment are clinically important and if the treatment allowed patients to achieve a satisfactory state. LEVEL OF EVIDENCE: Level 3; Nonconsecutive series of patients, diagnostic study. FAU - Tashjian, Robert Z AU - Tashjian RZ AD - Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City, UT 84108, USA. Robert.Tashjian@hsc.utah.edu FAU - Deloach, Julia AU - Deloach J FAU - Porucznik, Christina A AU - Porucznik CA FAU - Powell, Amy P AU - Powell AP LA - eng PT - Journal Article DEP - 20090616 PL - United States TA - J Shoulder Elbow Surg JT - Journal of shoulder and elbow surgery JID - 9206499 SB - IM CIN - Acta Orthop. 2016 Jun;87(3):274-9. PMID: 27212102 MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - Humans MH - Male MH - Middle Aged MH - Muscular Diseases/*therapy MH - *Pain Measurement MH - *Patient Satisfaction MH - Prospective Studies MH - *Rotator Cuff MH - Shoulder Pain/*diagnosis MH - Surveys and Questionnaires MH - Young Adult EDAT- 2009/06/19 09:00 MHDA- 2010/02/04 06:00 CRDT- 2009/06/19 09:00 PHST- 2008/12/30 00:00 [received] PHST- 2009/03/23 00:00 [revised] PHST- 2009/03/30 00:00 [accepted] PHST- 2009/06/19 09:00 [entrez] PHST- 2009/06/19 09:00 [pubmed] PHST- 2010/02/04 06:00 [medline] AID - S1058-2746(09)00199-2 [pii] AID - 10.1016/j.jse.2009.03.021 [doi] PST - ppublish SO - J Shoulder Elbow Surg. 2009 Nov-Dec;18(6):927-32. doi: 10.1016/j.jse.2009.03.021. Epub 2009 Jun 16.