PMID- 29471221
OWN - NLM
STAT- MEDLINE
DCOM- 20181113
LR  - 20220408
IS  - 2468-7812 (Electronic)
IS  - 2468-7812 (Linking)
VI  - 35
DP  - 2018 Jun
TI  - Estimating the Minimal Important Difference for the Western Ontario Rotator Cuff 
      Index (WORC) in adults with shoulder pain associated with partial-thickness 
      rotator cuff tears.
PG  - 30-33
LID - S2468-7812(18)30043-2 [pii]
LID - 10.1016/j.msksp.2018.02.003 [doi]
AB  - BACKGROUND: Knowledge about Minimal Important Differences (MIDs) is essential for 
      the interpretation of continuous outcomes, especially patient-reported outcome 
      measures (PROMS). OBJECTIVE: The aim of this study was to estimate the MID for 
      the Western Ontario Rotator Cuff Index (WORC: score 0 (best) to 2100 (worst 
      disability)) in adults with shoulder pain associated with partial-thickness 
      rotator cuff tears, 'symptomatic PTTs', undergoing conservative treatment with 
      physiotherapy. DESIGN: A prospectively-designed anchor-based MID analysis using 
      data from a prospective prognostic study with a three-month follow-up conducted 
      within an outpatient care setting in Germany. METHODS: The MID was estimated 
      using data from 64 adults with atraumatic symptomatic PTTs who underwent three 
      months of conservative treatment with physiotherapy. The anchor was a seven-point 
      Global Perceived Change (GPC) scale. RESULTS: Based on a definition of the MID 
      being the threshold of "being (at least slightly) improved" with a probability 
      nearest to 0.90 (i.e. 9 of 10 patients achieving the MID), the MID for the WORC 
      was estimated as -300 for 'improved' shoulder-related disability in 9 out of 10 
      patients (95% CI 8 out of 10 patients to everyone) undergoing three months of 
      exercise-based physiotherapy for symptomatic PTTs. CONCLUSIONS: This is the first 
      published MID estimate for the WORC in adults with symptomatic PTTs of the 
      rotator cuff undergoing typical treatment comprising conservative treatment with 
      physiotherapy. The conceptual framework for interpretation facilitates its use in 
      similar clinical contexts.
CI  - Copyright (c) 2018. Published by Elsevier Ltd.
FAU - Braun, Cordula
AU  - Braun C
AD  - School of Health and Social Care, Teesside University, Middlesbrough, United 
      Kingdom; Bereich Gesundheit/Physiotherapie, hochschule 21, Buxtehude, Germany. 
      Electronic address: braun@hs21.de.
FAU - Handoll, Helen H
AU  - Handoll HH
AD  - School of Health and Social Care, Teesside University, Middlesbrough, United 
      Kingdom.
LA  - eng
PT  - Journal Article
DEP - 20180212
PL  - Netherlands
TA  - Musculoskelet Sci Pract
JT  - Musculoskeletal science & practice
JID - 101692753
SB  - IM
MH  - Adult
MH  - Aged
MH  - Ambulatory Care
MH  - Cohort Studies
MH  - *Disability Evaluation
MH  - Exercise Therapy/*methods
MH  - Female
MH  - Germany
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - *Pain Measurement
MH  - Patient Reported Outcome Measures
MH  - Prospective Studies
MH  - Range of Motion, Articular/physiology
MH  - Risk Assessment
MH  - Rotator Cuff/*pathology
MH  - Rotator Cuff Injuries/classification/*diagnosis/*rehabilitation
MH  - Shoulder Pain/diagnosis/rehabilitation
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Minimal clinically important difference
OT  - Patient reported outcome measures
OT  - Physical therapy modalities
OT  - Shoulder pain
EDAT- 2018/02/23 06:00
MHDA- 2018/11/14 06:00
CRDT- 2018/02/23 06:00
PHST- 2017/11/23 00:00 [received]
PHST- 2018/02/05 00:00 [revised]
PHST- 2018/02/09 00:00 [accepted]
PHST- 2018/02/23 06:00 [pubmed]
PHST- 2018/11/14 06:00 [medline]
PHST- 2018/02/23 06:00 [entrez]
AID - S2468-7812(18)30043-2 [pii]
AID - 10.1016/j.msksp.2018.02.003 [doi]
PST - ppublish
SO  - Musculoskelet Sci Pract. 2018 Jun;35:30-33. doi: 10.1016/j.msksp.2018.02.003. 
      Epub 2018 Feb 12.