PMID- 37394149
OWN - NLM
STAT- MEDLINE
DCOM- 20240202
LR  - 20240226
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 40
IP  - 2
DP  - 2024 Feb
TI  - Quantifying Threshold Scores for Patient Satisfaction After Massive Rotator Cuff 
      Repair for the Interpretation of Mid-Term Patient-Reported Outcomes.
PG  - 204-213
LID - S0749-8063(23)00509-1 [pii]
LID - 10.1016/j.arthro.2023.06.031 [doi]
AB  - PURPOSE: To establish minimal clinically important difference (MCID) and patient 
      acceptable symptomatic state (PASS) values for 4 patient-reported outcomes (PROs) 
      in patients undergoing arthroscopic massive rotator cuff repair (aMRCR): American 
      Shoulder and Elbow Surgeons (ASES) score, Subjective Shoulder Value (SSV), 
      Veterans Rand-12 (VR-12) score, and the visual analog scale (VAS) pain. In 
      addition, our study seeks to determine preoperative factors associated with 
      achieving clinically significant improvement as defined by the MCID and PASS. 
      METHODS: A retrospective review at 2 institutions was performed to identify 
      patients undergoing aMRCR with minimum 4-year follow-up. Data collected at the 
      1-year, 2-year, and 4-year time points included patient characteristics (age, 
      sex, length of follow-up, tobacco use, and workers' compensation status), 
      radiologic parameters (Goutallier fatty infiltration and modified Collin tear 
      pattern), and 4 PRO measures (collected preoperatively and postoperatively): ASES 
      score, SSV, VR-12 score, and VAS pain. The MCID and PASS for each outcome measure 
      were calculated using the distribution-based method and receiver operating 
      characteristic curve analysis, respectively. Pearson and Spearman coefficient 
      analyses were used to determine correlations between preoperative variables and 
      MCID or PASS thresholds. RESULTS: A total of 101 patients with a mean follow-up 
      of 64 months were included in the study. The MCID and PASS values at the 4-year 
      follow-up for ASES were 14.5 and 69.4, respectively; for SSV, 13.7 and 81.5; for 
      VR-12, 6.6 and 40.3; and for VAS pain, 1.3 and 1.2. Greater infraspinatus fatty 
      infiltration was associated with failing to reach clinically significant values. 
      CONCLUSIONS: This study defined MCID and PASS values for commonly used outcome 
      measures in patients undergoing aMRCR at the 1-year, 2-year, and 4-year 
      follow-up. At mid-term follow-up, greater preoperative rotator cuff disease 
      severity was associated with failure to achieve clinically significant outcomes. 
      LEVEL OF EVIDENCE: Level IV, case series.
CI  - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Hwang, Simon T
AU  - Hwang ST
AD  - Oregon Shoulder Institute, Medford, Oregon, U.S.A.
FAU - Ardebol, Javier
AU  - Ardebol J
AD  - Oregon Shoulder Institute, Medford, Oregon, U.S.A.
FAU - Ghayyad, Kassem
AU  - Ghayyad K
AD  - Oregon Shoulder Institute, Medford, Oregon, U.S.A.
FAU - Pak, Theresa
AU  - Pak T
AD  - Oregon Shoulder Institute, Medford, Oregon, U.S.A.
FAU - Gobezie, Reuben
AU  - Gobezie R
AD  - Cleveland Shoulder Institute, Beechwood, Ohio, U.S.A.
FAU - Menendez, Mariano E
AU  - Menendez ME
AD  - Oregon Shoulder Institute, Medford, Oregon, U.S.A.
FAU - Denard, Patrick J
AU  - Denard PJ
AD  - Oregon Shoulder Institute, Medford, Oregon, U.S.A.. Electronic address: 
      pjdenard@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20230630
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
CIN - Arthroscopy. 2024 Feb;40(2):214-216. PMID: 38296431
MH  - Humans
MH  - *Patient Satisfaction
MH  - Rotator Cuff/surgery
MH  - Treatment Outcome
MH  - Arthroscopy
MH  - Retrospective Studies
MH  - Patient Reported Outcome Measures
MH  - Pain
MH  - *Rotator Cuff Injuries/surgery
EDAT- 2023/07/03 00:41
MHDA- 2024/02/02 06:43
CRDT- 2023/07/02 19:27
PHST- 2022/11/07 00:00 [received]
PHST- 2023/05/18 00:00 [revised]
PHST- 2023/06/16 00:00 [accepted]
PHST- 2024/02/02 06:43 [medline]
PHST- 2023/07/03 00:41 [pubmed]
PHST- 2023/07/02 19:27 [entrez]
AID - S0749-8063(23)00509-1 [pii]
AID - 10.1016/j.arthro.2023.06.031 [doi]
PST - ppublish
SO  - Arthroscopy. 2024 Feb;40(2):204-213. doi: 10.1016/j.arthro.2023.06.031. Epub 2023 
      Jun 30.