PMID- 37737802
OWN - NLM
STAT- MEDLINE
DCOM- 20231211
LR  - 20240412
IS  - 1531-6564 (Electronic)
IS  - 0363-5023 (Print)
IS  - 0363-5023 (Linking)
VI  - 48
IP  - 12
DP  - 2023 Dec
TI  - The Relationship Between Patient-Reported Outcomes and Patient Satisfaction With 
      Ligament Reconstruction Tendon Interposition.
PG  - 1218-1228
LID - S0363-5023(23)00472-0 [pii]
LID - 10.1016/j.jhsa.2023.08.010 [doi]
AB  - PURPOSE: Achieving the minimal clinically important difference (MCID) on an 
      outcomes instrument and reporting satisfaction with surgical outcomes are not 
      equivalent. We hypothesized that improvement exceeding the QuickDASH and PROMIS 
      UE CAT MCID is associated with a greater likelihood of reporting satisfaction 
      with ligament reconstruction tendon interposition (LRTI) treatment. Our secondary 
      hypothesis was that a subset of patients failing to meet MCID would still be 
      satisfied. METHODS: Patients >/=1 year after LRTI at one academic tertiary 
      institution were included. QuickDASH and UE CAT v1.2 scores were obtained before 
      and after surgery. Postoperative satisfaction and levels of improvement in pain 
      and function were also obtained. RESULTS: A total of 93 patients completed the 
      QuickDASH, and of those, 90 also completed the UE CAT. At a mean of 2.6 +/- 1.0 
      years after surgery, QuickDASH and UE CAT score improvement exceeded the 
      previously published MCID estimates of 8.8 and 4.8. Although 90% (84/93) of the 
      patients reported satisfaction, only 85% (72/93) and 72% (59/90) achieved MCID on 
      the QuickDASH and UE CAT, respectively. Using the MCID estimate of 8.8, 96% 
      (72/75) of the patients meeting the MCID were satisfied with their treatment. 
      Those failing to achieve MCID reported significantly less physical function and 
      pain improvement; however, most were satisfied nonetheless (68% [13/19] for 
      QuickDASH, 77% [23/30] for UE CAT). CONCLUSIONS: Achieving published MCID 
      thresholds on the QuickDASH and PROMIS UE CAT v1.2 was predictive of patients 
      reporting general satisfaction with their LRTI outcome >/=1 year after surgery. 
      Most patients failing to achieve MCID still reported satisfaction with their 
      LRTI. Achieving MCID thresholds alone should not be used as a surrogate for 
      patient satisfaction with their treatment. Patient satisfaction is a complicated 
      construct that is potentially very different from that of high-quality care. TYPE 
      OF STUDY/LEVEL OF EVIDENCE: Prognostic IV.
CI  - Copyright (c) 2023 American Society for Surgery of the Hand. Published by Elsevier 
      Inc. All rights reserved.
FAU - Rogers, Miranda J
AU  - Rogers MJ
AD  - Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT.
FAU - Ou, Zhining
AU  - Ou Z
AD  - Division of Epidemiology, Department of Internal Medicine, University of Utah, 
      Salt Lake City, UT.
FAU - Clawson, Jordan W
AU  - Clawson JW
AD  - Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT.
FAU - Presson, Angela P
AU  - Presson AP
AD  - Division of Epidemiology, Department of Internal Medicine, University of Utah, 
      Salt Lake City, UT.
FAU - Stockburger, Christopher L
AU  - Stockburger CL
AD  - Orthopaedic & Spine Center of the Rockies, Fort Collins, CO.
FAU - Kazmers, Nikolas H
AU  - Kazmers NH
AD  - Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT. 
      Electronic address: nkazmers@gmail.com.
LA  - eng
GR  - UL1 RR025764/RR/NCRR NIH HHS/United States
GR  - UL1 TR000105/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20230922
PL  - United States
TA  - J Hand Surg Am
JT  - The Journal of hand surgery
JID - 7609631
SB  - IM
MH  - Humans
MH  - *Patient Satisfaction
MH  - *Pain
MH  - Ligaments
MH  - Tendons
MH  - Patient Reported Outcome Measures
MH  - Treatment Outcome
PMC - PMC10841050
MID - NIHMS1929333
OTO - NOTNLM
OT  - Improvement
OT  - LRTI
OT  - PROMIS UE CAT
OT  - QuickDASH/QDASH
OT  - ligament reconstruction tendon interposition
OT  - mid-term outcomes
OT  - satisfaction
EDAT- 2023/09/22 12:42
MHDA- 2023/12/11 12:41
PMCR- 2024/12/01
CRDT- 2023/09/22 10:43
PHST- 2022/11/10 00:00 [received]
PHST- 2023/08/10 00:00 [revised]
PHST- 2023/08/24 00:00 [accepted]
PHST- 2024/12/01 00:00 [pmc-release]
PHST- 2023/12/11 12:41 [medline]
PHST- 2023/09/22 12:42 [pubmed]
PHST- 2023/09/22 10:43 [entrez]
AID - S0363-5023(23)00472-0 [pii]
AID - 10.1016/j.jhsa.2023.08.010 [doi]
PST - ppublish
SO  - J Hand Surg Am. 2023 Dec;48(12):1218-1228. doi: 10.1016/j.jhsa.2023.08.010. Epub 
      2023 Sep 22.