PMID- 36547817 OWN - NLM STAT- MEDLINE DCOM- 20230126 LR - 20230202 IS - 1434-9949 (Electronic) IS - 0770-3198 (Linking) VI - 42 IP - 2 DP - 2023 Feb TI - Minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient acceptable symptomatic state (PASS) of upper extremity PROMIS scores in idiopathic adhesive capsulitis. PG - 579-589 LID - 10.1007/s10067-022-06479-3 [doi] AB - INTRODUCTION: The purpose of this study is to calculate the minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient acceptable symptom state (PASS) of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Computer Adaptive Testing v2.0 (UE), Pain Interference (P-Interference), and Pain Intensity (P-Intensity) in patients treated nonoperatively for idiopathic adhesive capsulitis (IAC). METHODS: The anchor-based MCID, SCB, and PASS were calculated as the change in PROMIS scores representing the optimal cutoff for a ROC curve with an area under the curve (AUC) analysis. The distribution-based MCID was calculated as a range between the average standard error of measurement multiplied by two different constants: 1 and 2.77. Effect sizes and standardized response means (SRM) were calculated to assess the responsiveness of each PROMIS instrument while regression analyses were performed to identify factors associated with achieving these thresholds. RESULTS: This study enrolled 115 patients. The anchor-based MCID for PROMIS UE, P-Interference, and P-Intensity was 5.11, 4.16, and 8.16, respectively. The respective SCB was 8.44, 6.65, and 10.05. The respective PASS was 8.47, 7.01, and 10.41. The odds of achieving MCID values in adhesive capsulitis were negatively affected by gender (male), higher forward elevation at the time of presentation, higher pain scores (P-Interference), need for >/= 2 corticosteroid injections, and a concomitant diagnosis of diabetes. CONCLUSION: The MCID, SCB, and PASS parameters for PROMIS scores can be utilized to determine the clinical meaningfulness of patient-reported improvements in these instruments during the nonoperative treatment and as a research tool to compare the efficacy of new treatments for adhesive capsulitis. LEVEL OF EVIDENCE: Level III, basic science study, validation of outcome instruments. Key points * This is the first study to calculate the minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient acceptable symptomatic state (PASS) for the Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity and Pain instruments in patients with idiopathic adhesive capsulitis (IAC) of the shoulder.* This study determined the impact of symptom severity, demographics, and comorbidities on achieving the MCID, SCB, and PASS for PROMIS instruments in IAC patients treated nonoperatively. CI - (c) 2022. The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR). FAU - Alben, Matthew G AU - Alben MG AUID- ORCID: 0000-0001-7398-4088 AD - Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, 246 East 20Th Street, New York, NY, 10003, USA. FAU - Gambhir, Neil AU - Gambhir N AUID- ORCID: 0000-0002-1571-0780 AD - Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, 246 East 20Th Street, New York, NY, 10003, USA. FAU - Shankar, Dhruv AU - Shankar D AUID- ORCID: 0000-0002-4153-9382 AD - Division of Sports Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, 246 East 20Th Street, New York, NY, 10003, USA. FAU - Gordon, Dan AU - Gordon D AD - Department of Orthopedic Surgery, Baylor University Medical Center Dallas, Dallas, TX, USA. FAU - Zuckerman, Joseph D AU - Zuckerman JD AUID- ORCID: 0000-0003-3072-9970 AD - Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, 246 East 20Th Street, New York, NY, 10003, USA. FAU - Virk, Mandeep S AU - Virk MS AUID- ORCID: 0000-0001-6294-2771 AD - Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, 246 East 20Th Street, New York, NY, 10003, USA. drmandeepvirk@gmail.com. LA - eng PT - Journal Article DEP - 20221222 PL - Germany TA - Clin Rheumatol JT - Clinical rheumatology JID - 8211469 SB - IM MH - Humans MH - Male MH - Treatment Outcome MH - *Minimal Clinically Important Difference MH - Upper Extremity MH - *Bursitis/therapy MH - Pain OTO - NOTNLM OT - Adhesive capsulitis OT - Effect size OT - MCID OT - PASS OT - PROMIS OT - SCB EDAT- 2022/12/23 06:00 MHDA- 2023/01/27 06:00 CRDT- 2022/12/22 11:21 PHST- 2022/08/08 00:00 [received] PHST- 2022/12/08 00:00 [accepted] PHST- 2022/12/04 00:00 [revised] PHST- 2022/12/23 06:00 [pubmed] PHST- 2023/01/27 06:00 [medline] PHST- 2022/12/22 11:21 [entrez] AID - 10.1007/s10067-022-06479-3 [pii] AID - 10.1007/s10067-022-06479-3 [doi] PST - ppublish SO - Clin Rheumatol. 2023 Feb;42(2):579-589. doi: 10.1007/s10067-022-06479-3. Epub 2022 Dec 22.