PMID- 33144235
OWN - NLM
STAT- MEDLINE
DCOM- 20210614
LR  - 20210614
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 37
IP  - 3
DP  - 2021 Mar
TI  - Preoperative Patient-Centric Predictors of Postoperative Outcomes in Patients 
      Undergoing Arthroscopic Meniscectomy.
PG  - 964-971
LID - S0749-8063(20)30898-7 [pii]
LID - 10.1016/j.arthro.2020.10.042 [doi]
AB  - PURPOSE: To determine the minimal clinically important difference (MCID) using 
      Patient-Reported Outcome Measurement Information System (PROMIS) 
      computer-adaptive testing assessments in patients undergoing arthroscopic partial 
      meniscectomy. The secondary purpose was to identify which preoperative patient 
      factors are associated with MCID achievement. METHODS: Three PROMIS 
      computer-adaptive testing assessments (Physical Function [PF], Pain Interference 
      [PI], and Depression [D]) were administered to all patients presenting to 1 of 2 
      board-certified, sports medicine orthopaedic surgeons. Patients with Current 
      Procedural Terminology codes of 29880 or 29881 were chart reviewed for a host 
      clinical and demographic factors. PROMIS scores were assessed for improvement and 
      patient characteristics were assessed for influence on any improvement. MCID was 
      calculated according to the distribution methodology and receiver operating 
      characteristics were used to assess preoperative scores predictive ability. 
      RESULTS: In total, 166 patients met inclusion criteria (58 exclusions). 
      Postoperative PROMIS-PF (45.6), PROMIS-PI (54.6), and PROMIS-D (44.1) 
      significantly improved at least 3 months after surgery when compared with 
      baseline (P = .002). MCID values for PROMIS-PF, PROMIS-PI, and PROMIS-D were 3.5, 
      3.3, and 4.4, respectively. Individuals with PROMIS-PF scores below 34.9 yielded 
      an 82% probability of achieving MCID, while PROMIS-PI scores above 67.5 yielded 
      an 86% probability of achieving MCID and a cutoff of 58.9 for PROMIS-D yielded a 
      60% probability of achieving MCID, with 90% specificity. CONCLUSIONS: PROMIS 
      scores, obtained preoperatively, were shown to be valid predictors of 
      postoperative clinical improvement in patients undergoing meniscectomy. Our 
      findings suggest that patients with physical function scores of 34.9 or less have 
      an increased probability of reaching a minimal clinically important difference. 
      Similarly, patients with pain interference scores of 67.5 and above have 
      increased probability of reaching MCID for pain interference. These cutoffs may 
      be used by physicians to aid in the counseling of patients considering 
      arthroscopic meniscectomy. LEVEL OF EVIDENCE: IV, Case Series.
CI  - Copyright (c) 2020. Published by Elsevier Inc.
FAU - Franovic, Sreten
AU  - Franovic S
AD  - Henry Ford Health System, Detroit, Michigan, U.S.A.
FAU - Kuhlmann, Noah A
AU  - Kuhlmann NA
AD  - Henry Ford Health System, Detroit, Michigan, U.S.A.
FAU - Pietroski, Alex
AU  - Pietroski A
AD  - Henry Ford Health System, Detroit, Michigan, U.S.A.
FAU - Schlosser, Collin T
AU  - Schlosser CT
AD  - Henry Ford Health System, Detroit, Michigan, U.S.A.
FAU - Page, Brendan
AU  - Page B
AD  - Henry Ford Health System, Detroit, Michigan, U.S.A.
FAU - Okoroha, Kelechi R
AU  - Okoroha KR
AD  - Henry Ford Health System, Detroit, Michigan, U.S.A.
FAU - Moutzouros, Vasilios
AU  - Moutzouros V
AD  - Henry Ford Health System, Detroit, Michigan, U.S.A.
FAU - Makhni, Eric C
AU  - Makhni EC
AD  - Henry Ford Health System, Detroit, Michigan, U.S.A.. Electronic address: 
      Emakhni1@hfhs.org.
LA  - eng
PT  - Journal Article
DEP - 20201102
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
CIN - Arthroscopy. 2021 Mar;37(3):972-975. PMID: 33673975
MH  - Adult
MH  - Aged
MH  - *Arthroscopy
MH  - Female
MH  - Humans
MH  - Male
MH  - *Meniscectomy
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - Odds Ratio
MH  - *Patient Reported Outcome Measures
MH  - *Patient-Centered Care
MH  - Postoperative Period
MH  - Probability
MH  - ROC Curve
EDAT- 2020/11/05 06:00
MHDA- 2021/06/16 06:00
CRDT- 2020/11/04 05:35
PHST- 2020/01/21 00:00 [received]
PHST- 2020/10/12 00:00 [revised]
PHST- 2020/10/16 00:00 [accepted]
PHST- 2020/11/05 06:00 [pubmed]
PHST- 2021/06/16 06:00 [medline]
PHST- 2020/11/04 05:35 [entrez]
AID - S0749-8063(20)30898-7 [pii]
AID - 10.1016/j.arthro.2020.10.042 [doi]
PST - ppublish
SO  - Arthroscopy. 2021 Mar;37(3):964-971. doi: 10.1016/j.arthro.2020.10.042. Epub 2020 
      Nov 2.