PMID- 35494309
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 4
IP  - 2
DP  - 2022 Apr
TI  - Travel Distance Does Not Affect Outcomes After Arthroscopic Rotator Cuff Repair.
PG  - e511-e517
LID - 10.1016/j.asmr.2021.10.030 [doi]
AB  - PURPOSE: To determine the effect of travel distance on achieving the minimal 
      clinically important difference (MCID) on patient-reported outcome measures 
      (PROMs) at least 1 year after arthroscopic rotator cuff repair (RCR). METHODS: 
      Patients undergoing primary arthroscopic RCR with a minimum 1-year follow-up at a 
      high-volume tertiary referral center between May 2017 and June 2019 were 
      retrospectively reviewed. Patients were divided into two groups: driving distance 
      of >50 miles from the institution (referral group) and <50 miles (local group). 
      American Shoulder and Elbow Score (ASES), Single Assessment Numeric Evaluation 
      (SANE) score and Constant score at minimum 1-year follow-up were assessed. 
      Chi-square analysis was used to analyze achievement of MCID on any PROM. Subgroup 
      analysis by tear complexity (1 tendon vs. >2 tendons torn) was conducted. 
      Logistic regression was performed to determine whether travel distance and other 
      variables of interest had an effect on achieving MCID. RESULTS: Of 996 patients 
      reviewed, 385 patients (38.7%) had minimum 1-year follow-up. Of these, 62 (16%) 
      traveled >50 miles to their orthopedic provider, and 212 (55%) had a complex 
      tear. MCID for at least one PROM was reached by 305 (94%) patients in the local 
      group and 56 (90%) patients in the referral group. There was no significant 
      difference between groups in reaching MCID for any PROM. Subgroup analysis by 
      tear complexity revealed no significant difference in preoperative PROMs or 
      achieving MCID postoperatively between referral groups. There was no significant 
      difference between groups when controlling for age, sex, adjusted gross income 
      (AGI), primary health insurance, tear chronicity, and tear complexity. 
      CONCLUSIONS: When controlling for age, sex, AGI, primary health insurance, tear 
      chronicity, and tear complexity, distance to a high-volume shoulder arthroscopy 
      surgery center did not have an effect on achieving the MCID for any PROM at least 
      1 year after arthroscopic RCR. LEVEL OF EVIDENCE: Level III, retrospective cohort 
      study.
CI  - (c) 2021 The Authors.
FAU - Mehta, Nabil
AU  - Mehta N
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Lavoie-Gagne, Ophelie Z
AU  - Lavoie-Gagne OZ
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Cohn, Matthew R
AU  - Cohn MR
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Michalski, Joseph
AU  - Michalski J
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Fitch, Ashlyn
AU  - Fitch A
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Yanke, Adam B
AU  - Yanke AB
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Cole, Brian J
AU  - Cole BJ
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Verma, Nikhil N
AU  - Verma NN
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Forsythe, Brian
AU  - Forsythe B
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20211224
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC9042758
EDAT- 2022/05/03 06:00
MHDA- 2022/05/03 06:01
PMCR- 2021/12/24
CRDT- 2022/05/02 06:29
PHST- 2020/11/10 00:00 [received]
PHST- 2021/10/24 00:00 [accepted]
PHST- 2022/05/02 06:29 [entrez]
PHST- 2022/05/03 06:00 [pubmed]
PHST- 2022/05/03 06:01 [medline]
PHST- 2021/12/24 00:00 [pmc-release]
AID - S2666-061X(21)00240-6 [pii]
AID - 10.1016/j.asmr.2021.10.030 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2021 Dec 24;4(2):e511-e517. doi: 
      10.1016/j.asmr.2021.10.030. eCollection 2022 Apr.