PMID- 30713060
OWN - NLM
STAT- MEDLINE
DCOM- 20190508
LR  - 20190508
IS  - 1532-6500 (Electronic)
IS  - 1058-2746 (Linking)
VI  - 28
IP  - 4
DP  - 2019 Apr
TI  - Establishing minimal clinically important difference, substantial clinical 
      benefit, and patient acceptable symptomatic state after biceps tenodesis.
PG  - 639-647
LID - S1058-2746(18)30715-8 [pii]
LID - 10.1016/j.jse.2018.09.025 [doi]
AB  - BACKGROUND: The purposes of this study were to establish thresholds for 
      improvement in patient-reported outcome scores that signify the minimal 
      clinically important difference (MCID), substantial clinical benefit (SCB), and 
      patient acceptable symptomatic state (PASS) after biceps tenodesis (BT) and to 
      assess patient variables that are associated with these clinically important 
      outcomes. METHODS: A prospectively maintained institutional shoulder registry was 
      queried for patients undergoing isolated BT between 2014 and 2017. Anchor-based 
      and distribution-based approaches were used to calculate the MCID whereas an 
      anchor-based method was used to calculate the SCB and PASS for the 
      Constant-Murley score, Single Assessment Numerical Evaluation (SANE) score, and 
      American Shoulder and Elbow Surgeons score. RESULTS: A total of 123 patients who 
      underwent isolated BT were included for analysis. The MCID, SCB, and PASS 
      calculated for the American Shoulder and Elbow Surgeons score were 11.0, 16.8, 
      and 59.6, respectively. For the Constant-Murley score, the calculated MCID and 
      PASS were 3.8 and 19.5, respectively. The MCID, SCB, and PASS calculated for the 
      SANE score were 3.5, 5.8, and 65.5, respectively. The following patient variables 
      were significantly associated with decreased odds of achieving the MCID: workers' 
      compensation status, male sex, and higher preoperative SANE score. Patients with 
      a history of ipsilateral shoulder surgery had significantly reduced odds of 
      achieving SCB. The only factor significantly associated with failing to reach the 
      PASS was workers' compensation status. CONCLUSION: This study established values 
      for the MCID, SCB, and PASS after BT without concomitant rotator cuff repair. 
      Workers' compensation status, previous shoulder surgery, male sex, and higher 
      preoperative patient-reported outcome measure scores are associated with lower 
      odds of achieving clinically significant improvement after BT.
CI  - Copyright (c) 2018 Journal of Shoulder and Elbow Surgery Board of Trustees. 
      Published by Elsevier Inc. All rights reserved.
FAU - Puzzitiello, Richard N
AU  - Puzzitiello RN
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA.
FAU - Gowd, Anirudh K
AU  - Gowd AK
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA.
FAU - Liu, Joseph N
AU  - Liu JN
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA.
FAU - Agarwalla, Avinesh
AU  - Agarwalla A
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA.
FAU - Verma, Nikhil N
AU  - Verma NN
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA.
FAU - Forsythe, Brian
AU  - Forsythe B
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USA. 
      Electronic address: brian.forsythe@rushortho.com.
LA  - eng
PT  - Journal Article
DEP - 20190131
PL  - United States
TA  - J Shoulder Elbow Surg
JT  - Journal of shoulder and elbow surgery
JID - 9206499
SB  - IM
MH  - Adult
MH  - Arm
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - *Muscle, Skeletal
MH  - Patient Reported Outcome Measures
MH  - Reference Values
MH  - Sex Factors
MH  - Shoulder Joint/surgery
MH  - Symptom Assessment
MH  - Tendons/*surgery
MH  - *Tenodesis
MH  - Treatment Outcome
MH  - Workers' Compensation
OTO - NOTNLM
OT  - Biceps tenodesis
OT  - clinical significance
OT  - minimal clinically important difference
OT  - patient acceptable symptomatic state
OT  - shoulder
OT  - substantial clinical benefit
OT  - value
EDAT- 2019/02/05 06:00
MHDA- 2019/05/09 06:00
CRDT- 2019/02/05 06:00
PHST- 2018/06/11 00:00 [received]
PHST- 2018/09/15 00:00 [revised]
PHST- 2018/09/22 00:00 [accepted]
PHST- 2019/02/05 06:00 [pubmed]
PHST- 2019/05/09 06:00 [medline]
PHST- 2019/02/05 06:00 [entrez]
AID - S1058-2746(18)30715-8 [pii]
AID - 10.1016/j.jse.2018.09.025 [doi]
PST - ppublish
SO  - J Shoulder Elbow Surg. 2019 Apr;28(4):639-647. doi: 10.1016/j.jse.2018.09.025. 
      Epub 2019 Jan 31.