PMID- 31307894
OWN - NLM
STAT- MEDLINE
DCOM- 20200117
LR  - 20200117
IS  - 1532-6500 (Electronic)
IS  - 1058-2746 (Linking)
VI  - 28
IP  - 11
DP  - 2019 Nov
TI  - Single Assessment Numeric Evaluation (SANE) is a reliable metric to measure 
      clinically significant improvements following shoulder arthroplasty.
PG  - 2238-2246
LID - S1058-2746(19)30291-5 [pii]
LID - 10.1016/j.jse.2019.04.041 [doi]
AB  - BACKGROUND: Single Assessment Numeric Evaluation (SANE) offers a simple method of 
      evaluating patients' sense of functional improvement after shoulder arthroplasty. 
      METHODS: Patients receiving total shoulder arthroplasties were retrospectively 
      queried between 2014 and 2017. Patients completed questionnaires involving SANE, 
      American Shoulder and Elbow Surgeons (ASES) score, and Constant scores at the 
      1-year interval. Minimal clinically important difference (MCID), substantial 
      clinical benefit (SCB), and patient acceptable symptomatic state (PASS) were 
      calculated using the anchor-based methodology. RESULTS: A total of 207 patients 
      with an average age of 66.7 +/- 10.3 years and a body mass index of 31.5 +/- 7.3 were 
      available for analysis. The SANE score was the only score to have acceptable area 
      under curve (AUC) (70.5%) for achieving MCID with a cutoff of 28.8. In terms of 
      SCB, ASES (88%) and SANE (70.5%) had acceptable AUC with cutoffs of 20.7 and 
      50.2, respectively. All 3 scores had excellent AUC (>80%) for PASS with cutoffs 
      of 81.9, 75.5, and 24.5 for ASES, SANE, and Constant scores, respectively. 
      Normalized SANE scores were weakly correlated with ASES and Subjective Constant 
      after normalizing for scale (R2 < 0.4). Achieving MCID by SANE was correlated 
      with achieving MCID by Constant (P < .001). Achieving SCB and PASS by SANE was 
      correlated with achieving SCB and PASS by ASES and Constant (ASES: P = .007, P < 
      .001; Constant: P < .001, P < .001). CONCLUSION: The present study establishes 
      clinically significant outcomes for SANE. Achievement of clinically significant 
      outcomes in SANE was correlated with achieving meaningful outcomes with legacy 
      measures of ASES and Constant scores. SANE may be used as a simple and efficient 
      measure of patient outcome after total shoulder arthroplasty.
CI  - Copyright (c) 2019. Published by Elsevier Inc.
FAU - Gowd, Anirudh K
AU  - Gowd AK
AD  - Department of Orthopedic Surgery, Wake Forest University Baptist Medical Center, 
      Winston-Salem, NC, USA.
FAU - Charles, Michael D
AU  - Charles MD
AD  - Department of Orthopaedic Surgery, University of California San Francisco at 
      Fresno, Fresno, CA, USA.
FAU - Liu, Joseph N
AU  - Liu JN
AD  - Department of Orthopedic Surgery, Loma Linda University Medical Center, Loma 
      Linda, CA, USA.
FAU - Lalehzarian, Simon P
AU  - Lalehzarian SP
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Cabarcas, Brandon C
AU  - Cabarcas BC
AD  - Department of Orthopaedics and Sports Medicine, University of Southern Florida 
      Health, Tampa, FL, USA.
FAU - Manderle, Brandon J
AU  - Manderle BJ
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Nicholson, Gregory P
AU  - Nicholson GP
AD  - Department of Orthopedic Surgery, Wake Forest University Baptist Medical Center, 
      Winston-Salem, NC, USA.
FAU - Romeo, Anthony A
AU  - Romeo AA
AD  - Rothman Orthopaedic 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 - 20190712
PL  - United States
TA  - J Shoulder Elbow Surg
JT  - Journal of shoulder and elbow surgery
JID - 9206499
SB  - IM
MH  - Aged
MH  - Area Under Curve
MH  - *Arthroplasty, Replacement, Shoulder
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - Retrospective Studies
MH  - Shoulder Joint/*physiopathology/*surgery
MH  - *Surveys and Questionnaires
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Total shoulder arthroplasty
OT  - clinical outcomes
OT  - minimal clinically important difference
OT  - patient acceptable symptomatic state
OT  - single assessment numeric evaluation
OT  - substantial clinical benefit
EDAT- 2019/07/17 06:00
MHDA- 2020/01/18 06:00
CRDT- 2019/07/17 06:00
PHST- 2018/12/19 00:00 [received]
PHST- 2019/04/10 00:00 [revised]
PHST- 2019/04/15 00:00 [accepted]
PHST- 2019/07/17 06:00 [pubmed]
PHST- 2020/01/18 06:00 [medline]
PHST- 2019/07/17 06:00 [entrez]
AID - S1058-2746(19)30291-5 [pii]
AID - 10.1016/j.jse.2019.04.041 [doi]
PST - ppublish
SO  - J Shoulder Elbow Surg. 2019 Nov;28(11):2238-2246. doi: 10.1016/j.jse.2019.04.041. 
      Epub 2019 Jul 12.