PMID- 34444415 OWN - NLM STAT- MEDLINE DCOM- 20210906 LR - 20210906 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 18 IP - 16 DP - 2021 Aug 17 TI - Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Pittsburgh Sleep Quality Index in Patients Who Underwent Rotator Cuff Tear Repair. LID - 10.3390/ijerph18168666 [doi] LID - 8666 AB - The Pittsburgh Sleep Quality Index (PSQI) is a valid patient-reported outcome measure developed to assess sleep quality and disturbances in clinical populations. This study aimed to calculate the minimum clinically important difference (MCID) and the patient acceptable symptom state (PASS) for the PSQI in patients who underwent rotator cuff repair (RCR). Preoperative and six-month postoperative follow-up questionnaires were completed by 50 patients (25 males and 25 females, mean age 58.7 +/- 11.1 years). The MCID of the PSQI was calculated using distribution-based and anchor methods. To calculate the PSQI's PASS, the 75th percentile approach and the receiver operating characteristic (ROC) curve were used. The MCID from preoperative to 6 months postoperative follow-up is 4.4. Patients who improved their PSQI score of 4.4 from baseline to 6 months follow-up had a clinically significant increase in their health status. The PASS is 5.5 for PSQI; therefore, a value of PSQI at least 5.5 at six months follow-up indicates that the symptom state can be considered acceptable by most patients. FAU - Longo, Umile Giuseppe AU - Longo UG AUID- ORCID: 0000-0003-4063-9821 AD - Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy. FAU - Berton, Alessandra AU - Berton A AUID- ORCID: 0000-0001-9767-7824 AD - Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy. FAU - De Salvatore, Sergio AU - De Salvatore S AUID- ORCID: 0000-0002-9111-3638 AD - Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy. FAU - Piergentili, Ilaria AU - Piergentili I AD - Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy. FAU - Casciani, Erica AU - Casciani E AD - Research Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy. FAU - Faldetta, Aurora AU - Faldetta A AD - Research Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy. FAU - De Marinis, Maria Grazia AU - De Marinis MG AD - Research Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy. FAU - Denaro, Vincenzo AU - Denaro V AD - Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy. LA - eng PT - Journal Article DEP - 20210817 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Female MH - Humans MH - Male MH - Middle Aged MH - Minimal Clinically Important Difference MH - *Rotator Cuff/surgery MH - *Rotator Cuff Injuries/surgery MH - Sleep MH - Treatment Outcome PMC - PMC8391581 OTO - NOTNLM OT - MCID OT - PASS OT - PSQI OT - Pittsburgh Sleep Quality Index OT - minimal clinically important difference OT - patient acceptable symptom state OT - rotator cuff repair COIS- The authors declare no conflict of interest. EDAT- 2021/08/28 06:00 MHDA- 2021/09/07 06:00 PMCR- 2021/08/17 CRDT- 2021/08/27 01:20 PHST- 2021/06/10 00:00 [received] PHST- 2021/08/11 00:00 [revised] PHST- 2021/08/14 00:00 [accepted] PHST- 2021/08/27 01:20 [entrez] PHST- 2021/08/28 06:00 [pubmed] PHST- 2021/09/07 06:00 [medline] PHST- 2021/08/17 00:00 [pmc-release] AID - ijerph18168666 [pii] AID - ijerph-18-08666 [pii] AID - 10.3390/ijerph18168666 [doi] PST - epublish SO - Int J Environ Res Public Health. 2021 Aug 17;18(16):8666. doi: 10.3390/ijerph18168666.