PMID- 36041050
OWN - NLM
STAT- MEDLINE
DCOM- 20221003
LR  - 20221103
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 50
IP  - 12
DP  - 2022 Oct
TI  - Patient Acceptable Symptom State, Minimal Clinically Important Difference, and 
      Substantial Clinical Benefit After Arthroscopic Superior Capsular Reconstruction.
PG  - 3308-3317
LID - 10.1177/03635465221118582 [doi]
AB  - BACKGROUND: Patient Acceptable Symptom State (PASS), minimal clinically important 
      difference (MCID), and substantial clinical benefit (SCB) have rarely been 
      assessed after arthroscopic superior capsular reconstruction (ASCR) with fascia 
      lata autograft. PURPOSE: (1) To investigate PASS, MCID, and SCB values for pain 
      visual analog scale (pVAS), American Shoulder and Elbow Surgeons (ASES) score, 
      Constant score, and Single Assessment Numeric Evaluation (SANE) after ASCR with 
      fascia lata autograft, (2) to investigate factors for achieving PASS, MCID, and 
      SCB. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 2. METHODS: We 
      retrospectively collected data from patients who underwent ASCR between June 2013 
      and October 2020. A total of 88 patients were included, and anchor questions for 
      deriving PASS, MCID, and SCB values were applied at a minimum 1-year follow-up 
      postoperatively. PASS, MCID, and SCB were derived using sensitivity- and 
      specificity-based approaches. Univariable and multivariable logistic regression 
      analyses were performed to determine factors for achieving PASS, MCID, and SCB. 
      RESULTS: Based on receiver operating characteristic curves, all 4 scores had 
      acceptable area under the curve values (>0.7) for PASS, MCID, and SCB values. The 
      PASS, MCID, and SCB values were 1.5, 2.5, and 4.5 for pVAS; 81.0, 19.0, and 27.5 
      for the ASES score; 60.5, -0.5, and 5.5 for the Constant score; and 75.0, 27.5, 
      and 32.5 for SANE, respectively. Poor preoperative scores were related to 
      significantly higher odds ratios (ORs) for achieving MCID and SCB. Wide 
      acromiohumeral distance and dominant side were related to higher ORs for 
      achieving PASS for the ASES score, and subscapularis tear was related to lower 
      ORs for achieving PASS for pVAS and SCB for the Constant score. CONCLUSION: 
      Reliable PASS, MCID, and SCB values were achieved for at least 1 year after ASCR 
      surgery. Poor preoperative score, wide acromiohumeral distance, and dominant side 
      all demonstrated higher ORs for at least one value, but a subscapularis tear 
      demonstrated lower ORs for achieving PASS for pVAS and SCB for the Constant 
      score.
FAU - Yeom, Ji Woong
AU  - Yeom JW
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, Republic of Korea.
AD  - Department of Orthopaedic Surgery, Gangbook Yonsei Hospital, Seoul, Republic of 
      Korea.
FAU - Kim, Dong Min
AU  - Kim DM
AUID- ORCID: 0000-0002-4978-4999
AD  - Department of Orthopaedic Surgery, Sarang Plus Hospital, Seoul, Republic of 
      Korea.
FAU - Lee, Jun-Bum
AU  - Lee JB
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, Republic of Korea.
FAU - Ben, Hui
AU  - Ben H
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, Republic of Korea.
FAU - Alahmadi, Basim Masoud
AU  - Alahmadi BM
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, Republic of Korea.
FAU - Park, Jeong Hee
AU  - Park JH
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, Republic of Korea.
FAU - Koh, Kyoung Hwan
AU  - Koh KH
AUID- ORCID: 0000-0002-6181-9621
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, Republic of Korea.
FAU - Jeon, In-Ho
AU  - Jeon IH
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, Republic of Korea.
LA  - eng
PT  - Journal Article
DEP - 20220830
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - *Arthroscopy
MH  - Cohort Studies
MH  - Humans
MH  - *Minimal Clinically Important Difference
MH  - Retrospective Studies
MH  - Rupture
MH  - Treatment Outcome
OTO - NOTNLM
OT  - American Shoulder and Elbow Surgeons score
OT  - Constant score
OT  - Patient Acceptable Symptom State
OT  - Single Assessment Numeric Evaluation
OT  - irreparable rotator cuff tears
OT  - minimal clinically important difference
OT  - substantial clinical benefit
OT  - superior capsular reconstruction
OT  - visual analog scale
EDAT- 2022/08/31 06:00
MHDA- 2022/10/04 06:00
CRDT- 2022/08/30 14:23
PHST- 2022/08/31 06:00 [pubmed]
PHST- 2022/10/04 06:00 [medline]
PHST- 2022/08/30 14:23 [entrez]
AID - 10.1177/03635465221118582 [doi]
PST - ppublish
SO  - Am J Sports Med. 2022 Oct;50(12):3308-3317. doi: 10.1177/03635465221118582. Epub 
      2022 Aug 30.