PMID- 36622420
OWN - NLM
STAT- MEDLINE
DCOM- 20230619
LR  - 20230619
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 31
IP  - 7
DP  - 2023 Jul
TI  - Minimal clinically important difference (MCID) and substantial clinical benefit 
      (SCB) of upper extremity PROMIS scores following arthroscopic rotator cuff 
      repairs.
PG  - 2602-2614
LID - 10.1007/s00167-022-07279-7 [doi]
AB  - PURPOSE: To calculate and determine what factors are associated with achieving 
      the Minimal Clinically Important Difference (MCID) and the Substantial Clinical 
      Benefit (SCB) 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 undergoing 
      arthroscopic rotator cuff repair (aRCR). METHODS: The change in PROMIS scores 
      representing the optimal cutoff for a ROC curve with an area under the curve 
      analysis was used to calculate the anchor-based MCID and SCB. To assess the 
      responsiveness of each PROM, effect sizes and standardized response means (SRM) 
      were calculated. To identify factors associated with attaining the MCID and SCB, 
      univariate and multivariate logistic regression analyses were performed. RESULTS: 
      A total of 323 patients with an average age of 59.9 +/- 9.5 were enrolled in this 
      study, of which, 187/323 [57.9%] were male and 136/323 [42.1%] were female. The 
      anchor-based MCID for PROMIS UE, P-Interference, and P-Intensity was: 9.0, 7.5, 
      and 11.2, respectively. The respective SCB was 10.9, 9.3, and 12.7. Effect size 
      and SRM were: PROMIS UE (1.4, 1.3), P-Interference (1.8, 1.5), and P-Intensity 
      (2.3, 2.0). Lower preoperative P-Intensity scores (p = 0.02), dominant arm 
      involvement (p = 0.03), and concomitant biceps tenodesis (p = 0.03) were 
      associated with patients achieving the SCB for PROMIS UE. CONCLUSION: A large 
      responsiveness for each of the PROMIS instruments due to the majority of patients 
      reporting great improvement after aRCR and a small standard deviation across all 
      outcome measures was shown in our study. Lower preoperative P-Intensity scores 
      and concomitant biceps tenodesis were associated with higher odds of achieving 
      the SCB for PROMIS UE. The knowledge of MCID and SCB values for PROMIS 
      instruments will allow the surgeon to determine whether the improvements in the 
      PROMIS scores after aRCR are clinically meaningful. LEVEL OF EVIDENCE: Level III.
CI  - (c) 2023. The Author(s) under exclusive licence to European Society of Sports 
      Traumatology, Knee Surgery, Arthroscopy (ESSKA).
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 - Gordon, Dan
AU  - Gordon D
AD  - Department of Orthopedic Surgery, Baylor University Medical Center Dallas, 
      Dallas, TX, 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 - Kim, Matthew T
AU  - Kim MT
AUID- ORCID: 0000-0003-2601-2969
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 - Romeo, Paul V
AU  - Romeo PV
AUID- ORCID: 0000-0002-2862-7855
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 - Rokito, Andrew S
AU  - Rokito AS
AUID- ORCID: 0000-0003-2614-8639
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 - 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 - 20230109
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Humans
MH  - Male
MH  - Female
MH  - Middle Aged
MH  - Aged
MH  - *Rotator Cuff/surgery
MH  - Treatment Outcome
MH  - *Minimal Clinically Important Difference
MH  - Upper Extremity
MH  - Outcome Assessment, Health Care
MH  - Patient Reported Outcome Measures
OTO - NOTNLM
OT  - Arthroscopic rotator cuff repair
OT  - Effect size
OT  - MCID
OT  - PROMIS
OT  - SCB
EDAT- 2023/01/10 06:00
MHDA- 2023/06/19 13:08
CRDT- 2023/01/09 11:13
PHST- 2022/07/30 00:00 [received]
PHST- 2022/12/07 00:00 [accepted]
PHST- 2023/06/19 13:08 [medline]
PHST- 2023/01/10 06:00 [pubmed]
PHST- 2023/01/09 11:13 [entrez]
AID - 10.1007/s00167-022-07279-7 [pii]
AID - 10.1007/s00167-022-07279-7 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2023 Jul;31(7):2602-2614. doi: 
      10.1007/s00167-022-07279-7. Epub 2023 Jan 9.