PMID- 33746073
OWN - NLM
STAT- MEDLINE
DCOM- 20220419
LR  - 20220606
IS  - 1877-0568 (Electronic)
IS  - 1877-0568 (Linking)
VI  - 108
IP  - 2
DP  - 2022 Apr
TI  - Establishing minimal clinically important difference for the UCLA and ASES scores 
      after rotator cuff repair.
PG  - 102894
LID - S1877-0568(21)00113-4 [pii]
LID - 10.1016/j.otsr.2021.102894 [doi]
AB  - BACKGROUND/HYPOTHESIS: Minimal clinically important difference (MCID) is a vital 
      tool in the analysis of clinical results. It allows the determination of clinical 
      relevance of statistical data. Our hypothesis was that specific differences 
      between preoperative and postoperative scores would be able to accurately predict 
      patient perception of improvement and satisfaction as reflected by anchor and 
      distribution-based questions. METHODS: Retrospective cohort with patients that 
      underwent rotator cuff repair. We evaluated the University of California at Los 
      Angeles Shoulder Rating Scale (UCLA) and the American Shoulder and Elbow Surgeons 
      Assessment Form (ASES) before and 12-months after surgery. Anchor-based, 
      distribution-based and minimum detectable change (MDC) approaches were utilized. 
      RESULTS: We evaluated 289 shoulders. The MCID for the UCLA scale was 4.5 points 
      using the anchor method, 2.5 by the distribution method and 3.6 by MDC. Patients 
      with a baseline score>20 presented a lower MCID (1.5, 1.1 and 1.7, respectively). 
      For the ASES score, the MCID was 6.1 by the anchor method, 10.5 based on the 
      distribution method and 26.3 by MDC. In the group of patients above the 60 point 
      cutoff, the obtained values were 2.4, 4.9 and 13.6, respectively. CONCLUSION: The 
      mean MCID value for the UCLA shoulder score is 3.5 points, ranging from 2.5 
      points (distribution method) to 4.5 points (anchor method). The mean MCID value 
      for the ASES score was 15.2 points, ranging from 6.1 (anchor method) to 26.3 
      (MDC). Patients groups presenting with higher preoperative scores showed lower 
      MCID values. This fact needs to be considered in postoperative comparisons 
      between treatment groups. LEVEL OF EVIDENCE: Basic Science Study, Validation of 
      Outcomes Instruments/Classification Systems.
CI  - Copyright (c) 2021 Elsevier Masson SAS. All rights reserved.
FAU - Malavolta, Eduardo A
AU  - Malavolta EA
AD  - Orthopedic and Traumatology Departament, Medicine School of University of Sao 
      Paulo, Rua Capote Valente 361, apto 212, 05409-001 Sao Paulo, SP, Brazil. 
      Electronic address: eduardomalavolta@gmail.com.
FAU - Yamamoto, Gustavo J
AU  - Yamamoto GJ
AD  - Orthopedic and Traumatology Departament, Medicine School of University of Sao 
      Paulo, Rua Capote Valente 361, apto 212, 05409-001 Sao Paulo, SP, Brazil.
FAU - Bussius, Daniel T
AU  - Bussius DT
AD  - Orthopedic and Traumatology Departament, Medicine School of University of Sao 
      Paulo, Rua Capote Valente 361, apto 212, 05409-001 Sao Paulo, SP, Brazil.
FAU - Assuncao, Jorge H
AU  - Assuncao JH
AD  - Orthopedic and Traumatology Departament, Medicine School of University of Sao 
      Paulo, Rua Capote Valente 361, apto 212, 05409-001 Sao Paulo, SP, Brazil.
FAU - Andrade-Silva, Fernando B
AU  - Andrade-Silva FB
AD  - Orthopedic and Traumatology Departament, Medicine School of University of Sao 
      Paulo, Rua Capote Valente 361, apto 212, 05409-001 Sao Paulo, SP, Brazil.
FAU - Gracitelli, Mauro E C
AU  - Gracitelli MEC
AD  - Orthopedic and Traumatology Departament, Medicine School of University of Sao 
      Paulo, Rua Capote Valente 361, apto 212, 05409-001 Sao Paulo, SP, Brazil.
FAU - Ferreira Neto, Arnaldo A
AU  - Ferreira Neto AA
AD  - Orthopedic and Traumatology Departament, Medicine School of University of Sao 
      Paulo, Rua Capote Valente 361, apto 212, 05409-001 Sao Paulo, SP, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20210318
PL  - France
TA  - Orthop Traumatol Surg Res
JT  - Orthopaedics & traumatology, surgery & research : OTSR
JID - 101494830
SB  - IM
MH  - Arthroscopy
MH  - Humans
MH  - *Minimal Clinically Important Difference
MH  - Retrospective Studies
MH  - Rotator Cuff/surgery
MH  - *Rotator Cuff Injuries/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - American Shoulder and Elbow Surgeons Assessment Form
OT  - Anchor-based methods
OT  - Distribution methods
OT  - Minimal clinically important difference (MCID)
OT  - University of California at Los Angeles Shoulder Rating Scale
EDAT- 2021/03/23 06:00
MHDA- 2022/04/20 06:00
CRDT- 2021/03/22 06:07
PHST- 2020/09/23 00:00 [received]
PHST- 2021/03/01 00:00 [revised]
PHST- 2021/03/12 00:00 [accepted]
PHST- 2021/03/23 06:00 [pubmed]
PHST- 2022/04/20 06:00 [medline]
PHST- 2021/03/22 06:07 [entrez]
AID - S1877-0568(21)00113-4 [pii]
AID - 10.1016/j.otsr.2021.102894 [doi]
PST - ppublish
SO  - Orthop Traumatol Surg Res. 2022 Apr;108(2):102894. doi: 
      10.1016/j.otsr.2021.102894. Epub 2021 Mar 18.