PMID- 27039669 OWN - NLM STAT- MEDLINE DCOM- 20170320 LR - 20220318 IS - 1532-6500 (Electronic) IS - 1058-2746 (Linking) VI - 25 IP - 6 DP - 2016 Jun TI - Preoperative patient-reported scores can predict postoperative outcomes after shoulder arthroplasty. PG - 913-9 LID - S1058-2746(16)00068-9 [pii] LID - 10.1016/j.jse.2016.01.029 [doi] AB - BACKGROUND: Total shoulder arthroplasty and reverse total shoulder arthroplasty are increasingly used to improve pain and function in patients with glenohumeral arthritis or cuff tear arthropathy. Our objective was to determine if preoperative patient-reported outcome measures predict which patients will achieve clinically meaningful improvements after shoulder arthroplasty. METHODS: Preoperative and 1-year postoperative 12-Item Short Form Health Survey (SF-12) Physical Component Summary (PCS) and Mental Component Summary (MCS) scores and American Shoulder and Elbow Surgeons (ASES) pain and function scores were prospectively collected from 107 patients who underwent total or reverse shoulder arthroplasty. The minimum clinically important difference (MCID) defined meaningful clinical improvement. Receiver operating characteristic analysis was used to calculate threshold values and C statistic. Multivariate logistic regression analysis was performed to determine preoperative measures that were indicative of achieving the MCID postoperatively. RESULTS: Threshold values below which patients were more likely to achieve MCID were 12 for ASES function, 25 for ASES pain, 46 for SF-12 PCS, and 42 for SF-12 MCS. Multivariate analysis revealed that preoperative ASES function (area under the curve, 0.79; P = .006) and ASES pain (area under the curve, 0.90; P < .001) measures were predictive of achieving the MCID postoperatively. Patients with higher preoperative SF-12 MCS scores had a higher likelihood of achieving MCID for each measure. CONCLUSION: We determined threshold values that predict clinically meaningful improvement after shoulder arthroplasty. Patients with higher preoperative mental health scores and lower physical function and pain scores were more likely to gain significant benefits from surgery. These results can be used to facilitate shared decision-making and to forecast expected benefits after shoulder arthroplasty. CI - Copyright (c) 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved. FAU - Wong, Stephanie E AU - Wong SE AD - Department of Orthopaedics, University of California, San Francisco, San Francisco, CA, USA. Electronic address: Stephanie.wong2@ucsf.edu. FAU - Zhang, Alan L AU - Zhang AL AD - Department of Orthopaedics, University of California, San Francisco, San Francisco, CA, USA. FAU - Berliner, Jonathan L AU - Berliner JL AD - Department of Orthopaedics, University of California, San Francisco, San Francisco, CA, USA. FAU - Ma, C Benjamin AU - Ma CB AD - Department of Orthopaedics, University of California, San Francisco, San Francisco, CA, USA. FAU - Feeley, Brian T AU - Feeley BT AD - Department of Orthopaedics, University of California, San Francisco, San Francisco, CA, USA. LA - eng PT - Journal Article DEP - 20160331 PL - United States TA - J Shoulder Elbow Surg JT - Journal of shoulder and elbow surgery JID - 9206499 SB - IM MH - Aged MH - *Arthroplasty, Replacement, Shoulder MH - Female MH - *Health Surveys MH - Humans MH - Joint Diseases/*surgery MH - Male MH - Middle Aged MH - Postoperative Period MH - Recovery of Function MH - Retrospective Studies MH - Self Report MH - Shoulder Joint/*surgery MH - Treatment Outcome OTO - NOTNLM OT - ASES score OT - SF-12 score OT - Total shoulder arthroplasty OT - patient-reported outcomes OT - reverse total shoulder arthroplasty OT - shoulder arthroplasty outcomes EDAT- 2016/04/05 06:00 MHDA- 2017/03/21 06:00 CRDT- 2016/04/05 06:00 PHST- 2015/11/17 00:00 [received] PHST- 2016/01/06 00:00 [revised] PHST- 2016/01/22 00:00 [accepted] PHST- 2016/04/05 06:00 [entrez] PHST- 2016/04/05 06:00 [pubmed] PHST- 2017/03/21 06:00 [medline] AID - S1058-2746(16)00068-9 [pii] AID - 10.1016/j.jse.2016.01.029 [doi] PST - ppublish SO - J Shoulder Elbow Surg. 2016 Jun;25(6):913-9. doi: 10.1016/j.jse.2016.01.029. Epub 2016 Mar 31.