PMID- 37716634
OWN - NLM
STAT- MEDLINE
DCOM- 20240319
LR  - 20240319
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 40
IP  - 4
DP  - 2024 Apr
TI  - Clinically Significant Outcome Scores in Orthopaedic Sports Medicine Shoulder and 
      Knee Surgery Are Increasing in Prevalence but Often Reported Incorrectly.
PG  - 1108-1116
LID - S0749-8063(23)00762-4 [pii]
LID - 10.1016/j.arthro.2023.08.076 [doi]
AB  - PURPOSE: To study the prevalence and quality of application of minimal clinically 
      important difference (MCID), substantial clinical benefit (SCB), 
      patient-acceptable symptomatic state (PASS), and maximum outcome improvement 
      (MOI), reported in the orthopaedic sports medicine knee and shoulder literature 
      in recent years and to bring awareness of proper use of such metrics. METHODS: A 
      literature review of all shoulder and knee articles published from the American 
      Journal of Sports Medicine (AJSM), Journal of Shoulder and Elbow Surgery (JSES), 
      and Arthroscopy from 2016 to 2020 was performed, specifically investigating 
      whether MCID, SCB, PASS, or MOI were used or reported. Additionally, the way 
      these metrics were reported and interpreted was recorded. RESULTS: Out of 5,039 
      studies, 889 shoulder and knee studies met the inclusion criteria. Overall, 16.7% 
      reported either MCID, PASS, or SCB. MCID was the most reported across all 3 
      journals. MCID was reported 12.4% of the time throughout the 5 years. PASS was 
      reported 3.2% and SCB 1.1% of the time over the 5 years. MOI was not reported by 
      any of the journals during this period. There was a statistically significant 
      increase in MCID reporting in 2 of the 3 journals over the 5-year course, 
      Arthroscopy (P = .02) and AJSM (P = .05). There was no statistically significant 
      increase in PASS or SCB reporting rates in all 3 journals. Only 39.1% of studies 
      reported MCID correctly (i.e., defined as the number of individual patients 
      meeting MCID/total patients in the study). CONCLUSIONS: This study shows an 
      increasing trend in the use of clinically significant outcome metrics, such as 
      MCID, for interpretation of patient-reported outcomes; however, these individual 
      metrics are often not being used on the individual level and subsequently not 
      reported accurately. We recommend determining whether the specific metric met the 
      threshold per individual patient and then reporting those as a percentage of the 
      sample population to achieve the full potential of these metrics and translate 
      them accurately across various studies. CLINICAL RELEVANCE: As the usage of 
      clinically significant outcome metrics rises, so does the need for accurate 
      reporting. These findings will encourage future studies to follow a more 
      standardized format.
CI  - Published by Elsevier Inc.
FAU - Son, Michelle M
AU  - Son MM
AD  - University of Arizona, Department of Orthopaedic Surgery, Tucson, Arizona, 
      U.S.A.. Electronic address: mson.ortho@gmail.com.
FAU - Abbas, Mohammed
AU  - Abbas M
AD  - University of Arizona, Department of Orthopaedic Surgery, Tucson, Arizona, U.S.A.
FAU - Tatusko, Megan
AU  - Tatusko M
AD  - University of Arizona, Department of Orthopaedic Surgery, Tucson, Arizona, U.S.A.
FAU - Winkel, Trenton
AU  - Winkel T
AD  - University of Arizona, Department of Orthopaedic Surgery, Tucson, Arizona, U.S.A.
FAU - Barton, Dane
AU  - Barton D
AD  - University of Arizona, Department of Orthopaedic Surgery, Tucson, Arizona, U.S.A.
FAU - Manoharan, Aditya
AU  - Manoharan A
AD  - University of Arizona, Department of Orthopaedic Surgery, Tucson, Arizona, U.S.A.
FAU - Feldman, Michael D
AU  - Feldman MD
AD  - University of Arizona, Department of Orthopaedic Surgery, Tucson, Arizona, U.S.A.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20230915
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
MH  - Humans
MH  - Treatment Outcome
MH  - *Shoulder
MH  - *Orthopedics
MH  - Prevalence
MH  - Activities of Daily Living
MH  - Minimal Clinically Important Difference
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
EDAT- 2023/09/17 00:41
MHDA- 2024/03/19 06:44
CRDT- 2023/09/16 19:17
PHST- 2023/03/13 00:00 [received]
PHST- 2023/08/15 00:00 [revised]
PHST- 2023/08/15 00:00 [accepted]
PHST- 2024/03/19 06:44 [medline]
PHST- 2023/09/17 00:41 [pubmed]
PHST- 2023/09/16 19:17 [entrez]
AID - S0749-8063(23)00762-4 [pii]
AID - 10.1016/j.arthro.2023.08.076 [doi]
PST - ppublish
SO  - Arthroscopy. 2024 Apr;40(4):1108-1116. doi: 10.1016/j.arthro.2023.08.076. Epub 
      2023 Sep 15.