PMID- 32249146
OWN - NLM
STAT- MEDLINE
DCOM- 20201111
LR  - 20201111
IS  - 1532-6500 (Electronic)
IS  - 1058-2746 (Linking)
VI  - 29
IP  - 7
DP  - 2020 Jul
TI  - Minimal clinically important difference (MCID) for patient-reported shoulder 
      outcomes.
PG  - 1484-1492
LID - S1058-2746(20)30036-7 [pii]
LID - 10.1016/j.jse.2019.12.033 [doi]
AB  - BACKGROUND: The minimal clinically important difference (MCID) is used when 
      interpreting the importance of outcome data. However, a consensus regarding the 
      MCID for commonly used patient-reported outcomes in shoulder surgery has not been 
      established. The purpose of this systematic review was to evaluate the available 
      literature on shoulder MCID to improve clinical interpretation of shoulder 
      outcome data. METHODS: A systematic review of the literature was conducted to 
      identify studies reporting anchor-based MCID values for the patient-reported 
      outcomes recommended by the American Shoulder and Elbow Surgeons (ASES): Veterans 
      Rand 12 score, ASES score, Single Assessment Numeric Evaluation (SANE) score, 
      Western Ontario Rotator Cuff (WORC) score, Western Ontario Osteoarthritis Score 
      (WOOS), Western Ontario Shoulder Instability Index (WOSI), Pennsylvania Shoulder 
      Score, and Oxford Shoulder Score (OSS). RESULTS: A total of 14 articles reporting 
      anchor-based MCID values were included in the final analysis. No studies 
      reporting the Western Ontario Osteoarthritis Score (WOOS) were identified. The 
      ASES score (6 studies), OSS (4 studies), and WORC score (2 studies) were the only 
      instruments investigated in more than 1 study. The average reported MCID values 
      for the ASES, OSS, and WORC scores were 15.5 (15% total difference), 275.7 (13% 
      total difference), and 6 (13% total difference), respectively. The vast majority 
      of studies failed to report information necessary to validate the credibility of 
      these MCID values. DISCUSSION AND CONCLUSION: The current utility of the MCID for 
      patient-report shoulder outcome instruments is limited by poor study methodology, 
      inadequate reporting, and a lack of data. Further research is needed to more 
      clearly define the MCID values for commonly used patient-reported outcomes in 
      shoulder surgery.
CI  - Copyright (c) 2020 Journal of Shoulder and Elbow Surgery Board of Trustees. 
      Published by Elsevier Inc. All rights reserved.
FAU - Jones, Ian A
AU  - Jones IA
AD  - School of Medicine, University of California Irvine, Irvine, CA, USA.
FAU - Togashi, Ryan
AU  - Togashi R
AD  - Department of Orthopaedic Surgery, Keck School of Medicine, University of 
      Southern California, Los Angeles, CA, USA.
FAU - Heckmann, Nathanael
AU  - Heckmann N
AD  - Department of Orthopaedic Surgery, Keck School of Medicine, University of 
      Southern California, Los Angeles, CA, USA.
FAU - Vangsness, C Thomas Jr
AU  - Vangsness CT Jr
AD  - Department of Orthopaedic Surgery, Keck School of Medicine, University of 
      Southern California, Los Angeles, CA, USA. Electronic address: Vangsness@usc.edu.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
DEP - 20200403
PL  - United States
TA  - J Shoulder Elbow Surg
JT  - Journal of shoulder and elbow surgery
JID - 9206499
SB  - IM
MH  - Humans
MH  - Joint Instability/surgery
MH  - *Minimal Clinically Important Difference
MH  - *Patient Reported Outcome Measures
MH  - Rotator Cuff Injuries/surgery
MH  - Shoulder Joint/physiopathology/*surgery
OTO - NOTNLM
OT  - MCID
OT  - Minimal clinically important difference
OT  - outcome measurement
OT  - rotator cuff
OT  - shoulder
EDAT- 2020/04/07 06:00
MHDA- 2020/11/12 06:00
CRDT- 2020/04/07 06:00
PHST- 2019/10/07 00:00 [received]
PHST- 2019/12/13 00:00 [revised]
PHST- 2019/12/21 00:00 [accepted]
PHST- 2020/04/07 06:00 [pubmed]
PHST- 2020/11/12 06:00 [medline]
PHST- 2020/04/07 06:00 [entrez]
AID - S1058-2746(20)30036-7 [pii]
AID - 10.1016/j.jse.2019.12.033 [doi]
PST - ppublish
SO  - J Shoulder Elbow Surg. 2020 Jul;29(7):1484-1492. doi: 10.1016/j.jse.2019.12.033. 
      Epub 2020 Apr 3.