PMID- 32711106
OWN - NLM
STAT- MEDLINE
DCOM- 20210625
LR  - 20210625
IS  - 1532-6500 (Electronic)
IS  - 1058-2746 (Linking)
VI  - 30
IP  - 4
DP  - 2021 Apr
TI  - Establishing clinically significant outcome thresholds for the Single Assessment 
      Numeric Evaluation 2 years following total shoulder arthroplasty.
PG  - e137-e146
LID - S1058-2746(20)30604-2 [pii]
LID - 10.1016/j.jse.2020.07.011 [doi]
AB  - BACKGROUND: Single Assessment Numerical Evaluation (SANE) is a simple, 
      time-efficient patient-reported outcome measure (PROM) used to assess 
      postoperative shoulder function. Clinically significant outcome values and 
      ability to correlate with longer legacy PROM scores at 2 years following shoulder 
      arthroplasty are unknown. METHODS: A retrospective analysis was performed using 
      SANE, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form 
      (ASES), and Constant scores that were collected at a minimum 2-year follow-up. A 
      total of 153 patients who underwent anatomic total shoulder arthroplasty (TSA) or 
      reverse total shoulder arthroplasty (RTSA) were included. A distribution-based 
      method was used to determine the minimal clinically important difference (MCID). 
      An anchor-based method was used to determine substantial clinical benefit (SCB). 
      The following anchor question was collected alongside the PROMs and graded on a 
      15-point Likert-type scale to establish the SCB: "Since your surgery, has there 
      been any change in the pain in your shoulder?" Linear regression was used to 
      assess correlations between PROMs. RESULTS: SANE showed moderate correlation with 
      ASES (R(2) = 0.493) and Constant (R(2) = 0.586) scores (P < .001). The MCID value 
      was 14.9, and the SCB absolute value was 80.4 (area under the curve = 0.663) for 
      SANE. Multivariate logistic regression demonstrated that patients undergoing RTSA 
      were less likely to achieve SCB on all 3 outcome measures (P < .02). CONCLUSIONS: 
      This study establishes concurrent construct validity for SANE and suggests that 
      it is a valid metric to assess the MCID and SCB at 2 years following anatomic TSA 
      and RTSA. SANE demonstrated moderate correlations with ASES and Constant scores. 
      Patients undergoing RTSA demonstrated a lower propensity to achieve SCB at 2 
      years postoperatively compared with anatomic TSA.
CI  - Copyright (c) 2020 Journal of Shoulder and Elbow Surgery Board of Trustees. 
      Published by Elsevier Inc. All rights reserved.
FAU - Cohn, Matthew R
AU  - Cohn MR
AD  - Division of Sports Medicine & Shoulder, Department of Orthopedics, Midwest 
      Orthopedics at Rush, Rush University, Chicago, IL, USA.
FAU - Kunze, Kyle N
AU  - Kunze KN
AD  - Division of Sports Medicine & Shoulder, Department of Orthopedics, Midwest 
      Orthopedics at Rush, Rush University, Chicago, IL, USA.
FAU - Polce, Evan M
AU  - Polce EM
AD  - Division of Sports Medicine & Shoulder, Department of Orthopedics, Midwest 
      Orthopedics at Rush, Rush University, Chicago, IL, USA.
FAU - Nemsick, Michael
AU  - Nemsick M
AD  - Division of Sports Medicine & Shoulder, Department of Orthopedics, Midwest 
      Orthopedics at Rush, Rush University, Chicago, IL, USA.
FAU - Garrigues, Grant E
AU  - Garrigues GE
AD  - Division of Sports Medicine & Shoulder, Department of Orthopedics, Midwest 
      Orthopedics at Rush, Rush University, Chicago, IL, USA.
FAU - Forsythe, Brian
AU  - Forsythe B
AD  - Division of Sports Medicine & Shoulder, Department of Orthopedics, Midwest 
      Orthopedics at Rush, Rush University, Chicago, IL, USA.
FAU - Nicholson, Gregory P
AU  - Nicholson GP
AD  - Division of Sports Medicine & Shoulder, Department of Orthopedics, Midwest 
      Orthopedics at Rush, Rush University, Chicago, IL, USA.
FAU - Cole, Brian J
AU  - Cole BJ
AD  - Division of Sports Medicine & Shoulder, Department of Orthopedics, Midwest 
      Orthopedics at Rush, Rush University, Chicago, IL, USA.
FAU - Verma, Nikhil N
AU  - Verma NN
AD  - Division of Sports Medicine & Shoulder, Department of Orthopedics, Midwest 
      Orthopedics at Rush, Rush University, Chicago, IL, USA. Electronic address: 
      nikhil.verma@rushortho.com.
LA  - eng
PT  - Journal Article
DEP - 20200723
PL  - United States
TA  - J Shoulder Elbow Surg
JT  - Journal of shoulder and elbow surgery
JID - 9206499
SB  - IM
MH  - *Arthroplasty, Replacement, Shoulder
MH  - Humans
MH  - Minimal Clinically Important Difference
MH  - Retrospective Studies
MH  - *Shoulder Joint/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Clinical outcomes
OT  - Single Assessment Numeric Evaluation (SANE)
OT  - minimal clinically important difference (MCID)
OT  - patient-reported outcome instrument validation
OT  - substantial clinical benefit (SCB)
OT  - total shoulder arthroplasty
EDAT- 2020/07/28 06:00
MHDA- 2021/06/29 06:00
CRDT- 2020/07/26 06:00
PHST- 2020/04/13 00:00 [received]
PHST- 2020/06/28 00:00 [revised]
PHST- 2020/07/07 00:00 [accepted]
PHST- 2020/07/28 06:00 [pubmed]
PHST- 2021/06/29 06:00 [medline]
PHST- 2020/07/26 06:00 [entrez]
AID - S1058-2746(20)30604-2 [pii]
AID - 10.1016/j.jse.2020.07.011 [doi]
PST - ppublish
SO  - J Shoulder Elbow Surg. 2021 Apr;30(4):e137-e146. doi: 10.1016/j.jse.2020.07.011. 
      Epub 2020 Jul 23.