PMID- 30685283
OWN - NLM
STAT- MEDLINE
DCOM- 20190619
LR  - 20191210
IS  - 1532-6500 (Electronic)
IS  - 1058-2746 (Linking)
VI  - 28
IP  - 5
DP  - 2019 May
TI  - Establishing clinically significant outcome after arthroscopic rotator cuff 
      repair.
PG  - 939-948
LID - S1058-2746(18)30744-4 [pii]
LID - 10.1016/j.jse.2018.10.013 [doi]
AB  - BACKGROUND: Outcomes reporting in rotator cuff repair (RCR) literature has been 
      variable. The minimal clinical important difference (MCID), substantial clinical 
      benefit (SCB), and patient acceptable symptomatic state (PASS) bridge the gap 
      between statistical significance and clinical relevance. METHODS: The American 
      Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), Single 
      Assessment Numeric Evaluation (SANE), and Constant-Murley (Constant) scores were 
      collected preoperatively and 1 year postoperatively for patients undergoing RCR 
      between 2014 and 2017. An anchor-based approach was used to calculate the MCID, 
      SCB change, and PASS for the ASES questionnaire. RESULTS: The study included 288 
      patients who underwent RCR. The MCID, SCB, and PASS were, respectively, 11.1, 
      17.5, and 86.7 for ASES, 4.6, 5.5, and 23.3 for the Constant score, and 16.9, 
      29.8, and 82.5 for the SANE score. Factors associated with reduced odds of 
      achieving MCID were current smoking for ASES (odds ratio, 0.056) and single-row 
      repair for the Constant score (odds ratio, 0.310). Workers' compensation patients 
      had reduced odds of achieving ASES SCB (odds ratio, 0.267) and were associated 
      with reduced odds of achieving PASS by ASES (odds ratio, 0.244), SANE (OR, 
      0.452), and Constant (odds ratio, 0.313). Lower preoperative scores were 
      associated with achieving MCID and SCB and higher preoperative Constant scores 
      associated with PASS (P < .001). CONCLUSION: This study establishes MCID, SCB, 
      and PASS for ASES, Constant, and SANE scores in patients undergoing RCR. Factors 
      associated with failing to achieve clinically significant values included current 
      smoking, single-row repairs, high body mass index, and workers' compensation 
      status.
CI  - Copyright (c) 2018 Journal of Shoulder and Elbow Surgery Board of Trustees. 
      Published by Elsevier Inc. All rights reserved.
FAU - Cvetanovich, Gregory L
AU  - Cvetanovich GL
AD  - Department of Orthopedic Surgery, The Ohio State University, Columbus, OH, USA.
FAU - Gowd, Anirudh K
AU  - Gowd AK
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Liu, Joseph N
AU  - Liu JN
AD  - Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma 
      Linda, CA, USA.
FAU - Nwachukwu, Benedict U
AU  - Nwachukwu BU
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Cabarcas, Brandon C
AU  - Cabarcas BC
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Cole, Brian J
AU  - Cole BJ
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Forsythe, Brian
AU  - Forsythe B
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Romeo, Anthony A
AU  - Romeo AA
AD  - Department of Orthopedic Surgery, The Rothman Institute, New York, NY, USA.
FAU - Verma, Nikhil N
AU  - Verma NN
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA. Electronic address: nikhil.verma@rushortho.com.
LA  - eng
PT  - Journal Article
DEP - 20190124
PL  - United States
TA  - J Shoulder Elbow Surg
JT  - Journal of shoulder and elbow surgery
JID - 9206499
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Arthroscopy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Odds Ratio
MH  - Outcome Assessment, Health Care
MH  - Recovery of Function
MH  - Rotator Cuff Injuries/*surgery
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - Rotator cuff repair
OT  - minimally clinically important difference
OT  - patient acceptable symptom state
OT  - patient-reported outcome measures
OT  - quality-based care
OT  - substantial clinical benefit
EDAT- 2019/01/28 06:00
MHDA- 2019/06/20 06:00
CRDT- 2019/01/28 06:00
PHST- 2018/07/31 00:00 [received]
PHST- 2018/09/26 00:00 [revised]
PHST- 2018/10/05 00:00 [accepted]
PHST- 2019/01/28 06:00 [pubmed]
PHST- 2019/06/20 06:00 [medline]
PHST- 2019/01/28 06:00 [entrez]
AID - S1058-2746(18)30744-4 [pii]
AID - 10.1016/j.jse.2018.10.013 [doi]
PST - ppublish
SO  - J Shoulder Elbow Surg. 2019 May;28(5):939-948. doi: 10.1016/j.jse.2018.10.013. 
      Epub 2019 Jan 24.