PMID- 34052377
OWN - NLM
STAT- MEDLINE
DCOM- 20220310
LR  - 20220311
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 38
IP  - 2
DP  - 2022 Feb
TI  - Two-Year Retrospective Patient-Reported Outcomes Following Superior Capsular 
      Reconstruction.
PG  - 262-266
LID - S0749-8063(21)00511-9 [pii]
LID - 10.1016/j.arthro.2021.05.025 [doi]
AB  - PURPOSE: The purpose of this study was to evaluate the short-term 
      patient-reported outcomes of superior capsular reconstruction (SCR) and identify 
      factors contributing to the success or failure of the procedure at 2 years. 
      METHODS: A retrospective review was performed on data prospectively collected 
      from the Surgical Outcomes System database. Patient-reported outcomes (PROMs) 
      including American Shoulder and Elbow Surgeons (ASES) score, Single Assessment 
      Numeric Evaluation (SANE) score, visual analog scale for pain, and Veterans RAND 
      12-Item Health Survey (VR-12) were evaluated at a minimum of 2 years 
      postoperatively and reported using a minimal clinically important difference 
      (MCID) and the percent of maximal possible improvement (MPI). In addition, 
      preoperative and intraoperative variables were evaluated in patients with and 
      without a postoperative improvement in ASES and SANE scores meeting the threshold 
      of MCID. RESULTS: Two-year follow-up data were available for 350 patients. 
      Statistically significant improvements were noted in all PROMs at 2-year 
      follow-up. In total, 240 patients (68.8%) achieved an MCID improvement of >17.5 
      in ASES score, and 185 patients (52.9%) achieved an MCID of >29.8 improvement in 
      the SANE score. Primary SCRs were associated with a higher MPI in the ASES score 
      (60.1% +/- 39.8% vs 40.4% +/- 47.9%; P = .025) and VR-12 physical score (14.0% +/- 
      13.8% vs 8.0% +/- 14.7%; P = .028) compared to revision repairs. Only diabetes was 
      identified as a predictor of SANE score improvement (64.5% vs 62.2%; P = .041). 
      CONCLUSIONS: SCR is associated with improvement in patient-reported outcomes at 
      short-term follow-up, with 53% to 69% of patients achieving an improvement 
      considered to meet the MCID. Greater improvement is expected when SCR is 
      performed as a primary procedure rather than as a revision procedure for failed 
      rotator cuff repair. LEVEL OF EVIDENCE: Level III, retrospective comparative 
      study.
CI  - Copyright (c) 2021 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Hammad, Ahmad M
AU  - Hammad AM
AD  - American University of Beirut, Beirut, Lebanon.
FAU - Phillips, Cameron
AU  - Phillips C
AD  - Oregon Shoulder Institute, Medford, Oregon, U.S.A.
FAU - Wijdicks, Coen A
AU  - Wijdicks CA
AD  - Arthrex, Inc., Naples, Florida, U.S.A.
FAU - Adams, Christopher R
AU  - Adams CR
AD  - Arthrex, Inc., Naples, Florida, U.S.A.; Naples Community Hospital, Naples, 
      Florida, U.S.A.
FAU - Denard, Patrick J
AU  - Denard PJ
AD  - Oregon Shoulder Institute, Medford, Oregon, U.S.A.. Electronic address: 
      pjdenard@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20210527
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
MH  - Arthroscopy
MH  - Humans
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - *Rotator Cuff Injuries/surgery
MH  - Treatment Outcome
EDAT- 2021/05/31 06:00
MHDA- 2022/03/11 06:00
CRDT- 2021/05/30 20:44
PHST- 2020/12/15 00:00 [received]
PHST- 2021/05/13 00:00 [revised]
PHST- 2021/05/16 00:00 [accepted]
PHST- 2021/05/31 06:00 [pubmed]
PHST- 2022/03/11 06:00 [medline]
PHST- 2021/05/30 20:44 [entrez]
AID - S0749-8063(21)00511-9 [pii]
AID - 10.1016/j.arthro.2021.05.025 [doi]
PST - ppublish
SO  - Arthroscopy. 2022 Feb;38(2):262-266. doi: 10.1016/j.arthro.2021.05.025. Epub 2021 
      May 27.