PMID- 35850119
OWN - NLM
STAT- MEDLINE
DCOM- 20220803
LR  - 20220809
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 50
IP  - 10
DP  - 2022 Aug
TI  - Defining Minimal Clinically Important Difference and Patient Acceptable Symptom 
      State After the Latarjet Procedure.
PG  - 2761-2766
LID - 10.1177/03635465221107939 [doi]
AB  - BACKGROUND: The Latarjet procedure is one of the most well-established treatment 
      options for anterior shoulder instability. However, meaningful clinical outcomes 
      after this surgery have not been defined. PURPOSE: This study aimed to establish 
      the minimal clinically important difference (MCID) and Patient Acceptable Symptom 
      State (PASS) for commonly used outcome measures in patients undergoing the 
      Latarjet procedure and determine correlations between preoperative patient 
      characteristics and achievement of MCID or PASS. STUDY DESIGN: Case series; Level 
      of evidence, 4. METHODS: A multicenter retrospective review at 4 institutions was 
      performed to identify patients undergoing primary open Latarjet procedure with 
      minimum 2-year follow-up. Data collected included patient characteristics (age, 
      sex, sports participation), radiological parameters (glenoid bone loss, off-track 
      Hill-Sachs lesion), and 4 patient-reported outcome measures (collected 
      preoperatively and 2 years postoperatively): the American Shoulder and Elbow 
      Surgeons (ASES) score, the Single Assessment Numeric Evaluation (SANE), the 
      visual analog scale (VAS) for pain, and the Western Ontario Shoulder Instability 
      Index (WOSI). The MCID and PASS for each outcome measure were calculated, and 
      Pearson and Spearman coefficient analyses were used to identify correlations 
      between MCID or PASS and preoperative variables (age, sex, sports participation, 
      glenoid bone loss, off-track Hill-Sachs lesion). RESULTS: A total of 156 patients 
      were included in the study. The MCID values for ASES, SANE, VAS pain, and WOSI 
      were calculated to be 9.6, 12.4, 1.7, and 254.9, respectively. The PASS values 
      for ASES, SANE, VAS pain, and WOSI were 86.0, 82.5, 2.5, and 571.0, respectively. 
      The rates of patients achieving MCID were 61.1% for VAS pain, 71.6% for ASES, 
      74.1% for SANE, and 84.2% for WOSI. The rates of achieving PASS ranged from 78.4% 
      for WOSI to 84.0% for VAS pain. There was no correlation between any of the 
      studied preoperative variables and the likelihood of achieving MCID or PASS. 
      CONCLUSION: This study defined MCID and PASS values for 4 commonly used outcome 
      measures in patients undergoing the Latarjet procedure. These findings are 
      essential for incorporating patient perspectives into the clinical effectiveness 
      of the Latarjet procedure and provide valuable parameters for the design and 
      interpretation of future clinical trials.
FAU - Menendez, Mariano E
AU  - Menendez ME
AD  - Oregon Shoulder Institute at Southern Oregon Orthopedics, Medford, Oregon, USA.
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, 
      USA.
FAU - Sudah, Suleiman Y
AU  - Sudah SY
AD  - Department of Orthopedics, Monmouth Medical Center, Long Branch, New Jersey, USA.
FAU - Cohn, Matthew R
AU  - Cohn MR
AD  - Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, 
      USA.
FAU - Narbona, Pablo
AU  - Narbona P
AD  - Department of Shoulder Surgery, Sanatorio Allende, Cordoba, Argentina.
FAU - Ladermann, Alexandre
AU  - Ladermann A
AUID- ORCID: 0000-0002-2797-8936
AD  - Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, 
      Switzerland.
AD  - Faculty of Medicine, University of Geneva, Geneva, Switzerland.
AD  - Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva 
      University Hospitals, Geneva, Switzerland.
FAU - Barth, Johannes
AU  - Barth J
AD  - Centre Osteo-Articulaire des Cedres, Parc Sud Galaxie, Echirolles, France.
FAU - Denard, Patrick J
AU  - Denard PJ
AUID- ORCID: 0000-0002-2641-5920
AD  - Oregon Shoulder Institute at Southern Oregon Orthopedics, Medford, Oregon, USA.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20220718
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Arthroscopy/methods
MH  - *Bankart Lesions
MH  - Humans
MH  - *Joint Instability/surgery
MH  - Minimal Clinically Important Difference
MH  - Pain
MH  - Retrospective Studies
MH  - *Shoulder Joint/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - MCID
OT  - PASS
OT  - PROM
OT  - complications
OT  - glenohumeral joint
OT  - instability
OT  - outcome
OT  - shoulder
EDAT- 2022/07/20 06:00
MHDA- 2022/08/04 06:00
CRDT- 2022/07/19 07:21
PHST- 2022/07/20 06:00 [pubmed]
PHST- 2022/08/04 06:00 [medline]
PHST- 2022/07/19 07:21 [entrez]
AID - 10.1177/03635465221107939 [doi]
PST - ppublish
SO  - Am J Sports Med. 2022 Aug;50(10):2761-2766. doi: 10.1177/03635465221107939. Epub 
      2022 Jul 18.