PMID- 32624118
OWN - NLM
STAT- MEDLINE
DCOM- 20200810
LR  - 20200810
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 36
IP  - 7
DP  - 2020 Jul
TI  - Editorial Commentary: The Alphabet Soup of Understanding Clinical Shoulder 
      Research: MCID (Minimal Clinically Important Difference), PASS (Patient 
      Acceptable Symptomatic State), SCB (Substantial Clinical Benefit), and Now . . . 
      MOI (Maximal Outcome Improvement).
PG  - 1811-1812
LID - S0749-8063(20)30312-1 [pii]
LID - 10.1016/j.arthro.2020.04.004 [doi]
AB  - A variety of metrics have been developed for the purposes of understanding how to 
      use and interpret patient self-reported functional outcome scores after 
      treatment. Among these, the maximal outcome improvement (MOI) can now be added to 
      the list. Limitations of other metrics including the minimal clinically important 
      difference, patient acceptable symptomatic state, and substantial clinical 
      benefit are ceiling effects if starting function is relatively high. The MOI now 
      provides a measure of improvement based on the patient's total range of possible 
      improvement to determine whether a satisfactory state was achieved. The value of 
      the other measures, such as the minimal clinically important difference, is in 
      interpreting studies comparing treatments to determine clinical significance as 
      opposed to statistical significance, as well as performing sample size 
      calculation for prospective studies, but may be limited in interpreting the 
      outcomes of individual patients. The MOI provides a metric-in this case for 
      patients after arthroscopic rotator cuff repair-that can be easily used in the 
      clinic for assessment of improvement in an individual patient's function without 
      limitations resulting from how good or bad his or her initial function is.
CI  - Copyright (c) 2020 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Tashjian, Robert
AU  - Tashjian R
AD  - University of Utah.
LA  - eng
PT  - Comment
PT  - Editorial
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
CON - Arthroscopy. 2020 Jul;36(7):1805-1810. PMID: 32201303
MH  - *Arthroscopy
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - *Minimal Clinically Important Difference
MH  - Prospective Studies
MH  - Rotator Cuff
MH  - Shoulder
MH  - Treatment Outcome
EDAT- 2020/07/07 06:00
MHDA- 2020/08/11 06:00
CRDT- 2020/07/07 06:00
PHST- 2020/04/05 00:00 [received]
PHST- 2020/04/07 00:00 [accepted]
PHST- 2020/07/07 06:00 [entrez]
PHST- 2020/07/07 06:00 [pubmed]
PHST- 2020/08/11 06:00 [medline]
AID - S0749-8063(20)30312-1 [pii]
AID - 10.1016/j.arthro.2020.04.004 [doi]
PST - ppublish
SO  - Arthroscopy. 2020 Jul;36(7):1811-1812. doi: 10.1016/j.arthro.2020.04.004.