PMID- 36866296
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230304
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 5
IP  - 1
DP  - 2023 Feb
TI  - Approximately One Half of Patients Greater Than 40 Years Old Achieve Patient 
      Acceptable Symptomatic State 6 Months After Arthroscopic Partial Meniscectomy.
PG  - e51-e57
LID - 10.1016/j.asmr.2022.10.007 [doi]
AB  - PURPOSE: The purposes of this study were to 1) calculate the minimal clinically 
      important difference (MCID) in a population of patients undergoing arthroscopic 
      partial meniscectomy (APM) based on Knee Injury and Osteoarthritis Outcomes 
      Scores (KOOS), 2) quantify the difference between the proportion of patients 
      reaching MCID based on KOOS versus the proportion who considered surgery to be 
      successful based on a "yes" answer to a patient acceptable symptom state (PASS) 
      question, and 3) calculate the percentage of patients experiencing treatment 
      failure (TF). METHODS: A large, single-institution clinical database was queried 
      for patients undergoing isolated APM (>40 years of age). Data were collected at 
      regular time intervals, including KOOS and PASS outcome measures. Calculation of 
      MCID using a distribution-based model was performed using preoperative KOOS 
      scores as baseline. Comparison of the proportion of patients surpassing MCID was 
      made to the proportion of patients answering "yes" to a tiered PASS question at 6 
      months after APM. Proportion of patients experiencing TF was calculated using 
      patients who responded "no" to a PASS question and "yes" to a TF question. 
      RESULTS: Three-hundred and fourteen of 969 patients met inclusion criteria. At 6 
      months following APM, the percentage of patients meeting or exceeding the MCID 
      for each respective KOOS subscore ranged from 64 to 72% compared to 48% who 
      achieved a PASS (P < .0001 for each subscore). Fourteen percent of patients 
      experienced TF. CONCLUSIONS: Six months after APM, approximately one half of the 
      patients achieved a PASS and 15% experienced TF. The difference between achieving 
      MCID based on each of the KOOS subscores and achieving success via PASS ranged 
      from 16% to 24%. Thirty-eight percent of patients undergoing APM did not fit 
      neatly into overt success or failure categorization. LEVEL OF EVIDENCE: Level 
      III, retrospective cohort study.
CI  - (c) 2022 The Authors.
FAU - Bisson, Leslie J
AU  - Bisson LJ
AD  - Department of Orthopaedics, Jacobs School of Medicine and Biomedical Science, The 
      State University of New York at Buffalo, Buffalo, New York, U.S.A.
FAU - Goldstein, Brett S
AU  - Goldstein BS
AD  - Global Asset Allocation at Putnam Investments, Boston Massachusetts, U.S.A.
FAU - Levy, Benjamin J
AU  - Levy BJ
AD  - Department of Orthopaedic Surgery, Montefiore Medical Center / Albert Einstein 
      College of Medicine, Bronx, New York, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20221205
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC9971894
EDAT- 2023/03/04 06:00
MHDA- 2023/03/04 06:01
PMCR- 2022/12/05
CRDT- 2023/03/03 02:44
PHST- 2022/06/24 00:00 [received]
PHST- 2022/10/03 00:00 [accepted]
PHST- 2023/03/03 02:44 [entrez]
PHST- 2023/03/04 06:00 [pubmed]
PHST- 2023/03/04 06:01 [medline]
PHST- 2022/12/05 00:00 [pmc-release]
AID - S2666-061X(22)00166-3 [pii]
AID - 10.1016/j.asmr.2022.10.007 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2022 Dec 5;5(1):e51-e57. doi: 
      10.1016/j.asmr.2022.10.007. eCollection 2023 Feb.