PMID- 34863902
OWN - NLM
STAT- MEDLINE
DCOM- 20220504
LR  - 20220602
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 38
IP  - 5
DP  - 2022 May
TI  - Defining Clinically Significant Outcomes Following Superior Capsular 
      Reconstruction With Acellular Dermal Allograft.
PG  - 1444-1453.e1
LID - S0749-8063(21)01048-3 [pii]
LID - 10.1016/j.arthro.2021.11.039 [doi]
AB  - PURPOSE: To define clinically significant outcomes (CSO) thresholds for minimal 
      clinically important difference (MCID), substantial clinical benefit (SCB), and 
      patient-acceptable symptomatic state (PASS) in patients undergoing superior 
      capsular reconstruction (SCR) with an acellular dermal allograft. We also 
      evaluated patient-specific variables predictive of achieving CSO thresholds. 
      METHODS: The American Shoulder and Elbow Surgeons Standardized Shoulder 
      Assessment Form (ASES), Single Assessment Numeric Evaluation (SANE), and 
      subjective Constant-Murley (Constant) scores were collected preoperatively and at 
      the most recent follow up for patients undergoing SCR from 2010 to 2019. A 
      distribution-based approach was used to calculate MCID, and an anchor-based 
      approach was used to calculate SCB and PASS. Logistic regression was used to 
      determine factors associated with CSO achievement. RESULTS: Fifty-eight patients 
      were identified (n = 39 males; n = 19 females) with a mean age of 53.4 +/- 14.1 
      years at surgery and an average follow-up of 23 months. The MCID, SCB, and PASS 
      were 11.2, 18.02, and 68.82 for ASES, 14.5, 23.13, and 69.9 for SANE, and 3.6, 
      10, and 18 for Constant, respectively. Subscapularis tear, female sex, and 
      workers compensation (WC) status reduced odds of achieving MCID. Reduced odds of 
      achieving Constant SCB were associated with older age, female sex, and WC status, 
      while concomitant distal clavicle excision during SCR and lower preoperative ASES 
      increased odds of achieving ASES SCB. Reduced odds for achieving ASES PASS were 
      associated with female sex and WC status, while reduced odds for achieving SANE 
      PASS were associated with subscapularis tearing preoperatively. CONCLUSION: On 
      the basis of calculated values for MCID, SCB, and PASS, subscapularis tearing, WC 
      status, age, and sex are associated with failure to achieve clinically 
      significant outcomes following SCR. Concomitant distal clavicle excision during 
      SCR and lower preoperative ASES was predictive for achievement of MCID and SCB. 
      By defining the thresholds and variables predictive of achieving CSOs following 
      SCR, surgeons may better counsel patients prior to SCR. LEVEL OF EVIDENCE: Level 
      IV, case series.
CI  - Copyright (c) 2021 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Evuarherhe, Aghogho Jr
AU  - Evuarherhe A Jr
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago Illinois, 
      U.S.A.
FAU - Condron, Nolan B
AU  - Condron NB
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago Illinois, 
      U.S.A.
FAU - Gilat, Ron
AU  - Gilat R
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago Illinois, 
      U.S.A.
FAU - Knapik, Derrick M
AU  - Knapik DM
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago Illinois, 
      U.S.A.
FAU - Patel, Sumit
AU  - Patel S
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago Illinois, 
      U.S.A.
FAU - Wagner, Kyle R
AU  - Wagner KR
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago Illinois, 
      U.S.A.
FAU - Garrigues, Grant E
AU  - Garrigues GE
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago Illinois, 
      U.S.A.
FAU - Romeo, Anthony
AU  - Romeo A
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago Illinois, 
      U.S.A.
FAU - Verma, Nikhil
AU  - Verma N
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago Illinois, 
      U.S.A.
FAU - Cole, Brian J
AU  - Cole BJ
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago Illinois, 
      U.S.A.. Electronic address: bcole@rushortho.com.
LA  - eng
PT  - Journal Article
DEP - 20211202
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. 2022 May;38(5):1454-1456. PMID: 35501012
MH  - Adult
MH  - Aged
MH  - Allografts
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - Retrospective Studies
MH  - *Rotator Cuff/surgery
MH  - Treatment Outcome
MH  - Workers' Compensation
EDAT- 2021/12/06 06:00
MHDA- 2022/05/06 06:00
CRDT- 2021/12/05 21:01
PHST- 2021/06/21 00:00 [received]
PHST- 2021/10/12 00:00 [revised]
PHST- 2021/11/20 00:00 [accepted]
PHST- 2021/12/06 06:00 [pubmed]
PHST- 2022/05/06 06:00 [medline]
PHST- 2021/12/05 21:01 [entrez]
AID - S0749-8063(21)01048-3 [pii]
AID - 10.1016/j.arthro.2021.11.039 [doi]
PST - ppublish
SO  - Arthroscopy. 2022 May;38(5):1444-1453.e1. doi: 10.1016/j.arthro.2021.11.039. Epub 
      2021 Dec 2.