PMID- 37813205
OWN - NLM
STAT- MEDLINE
DCOM- 20240319
LR  - 20240319
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 40
IP  - 4
DP  - 2024 Apr
TI  - One- and 2-Year American Shoulder and Elbow Surgeons Scores Do Not Vary 
      Significantly After Arthroscopic Rotator Cuff Repair: A Prospective Multicenter 
      Analysis of 1,567 Patients.
PG  - 1066-1072
LID - S0749-8063(23)00799-5 [pii]
LID - 10.1016/j.arthro.2023.09.024 [doi]
AB  - PURPOSE: To evaluate whether there are clinically significant changes in 
      patient-reported outcomes between 1 and 2 years' postoperatively after 
      arthroscopic rotator cuff repair (RCR). METHODS: A retrospective analysis of 
      prospective, multicenter registry was queried for all patients who underwent RCR. 
      Patients with preoperative, 6-month, 1-year, and 2-year postoperative American 
      Shoulder and Elbow Surgeons (ASES) scores were included. We evaluated mean 
      postoperative ASES scores, Delta (change from preoperative) ASES, and the %MOI (% 
      maximum outcome improvement). We also evaluated achievement of clinically 
      significant outcomes (CSOs) for the ASES score, including the minimal clinically 
      important difference (MCID), substantial clinical benefit, and patient-acceptable 
      symptom state. RESULTS: There were 1,567 patients with complete data through 
      2-year follow-up. There were small differences in achievement of CSOs from 1 to 2 
      years: 88% to 91% for MCID, 81% to 83% for substantial clinical benefit, and 65% 
      to 71% for patient-acceptable symptom state. There were statistically significant 
      differences from 1 to 2 years in mean ASES (87 to 88, P < .001), Delta ASES (37 to 
      39, P < .001), and %MOI (72% to 76%, P < .001); however, these changes were well 
      below the MCID of 11.1. From 1 to 2 years, the mean ASES improved only 1.7 points 
      (P < .001). At 1 year, patients achieved, on average, 97% of their 2-year ASES. 
      CONCLUSIONS: Both patient-reported outcomes and achievement of CSOs show small 
      differences at 1 and 2 years after RCR. Given the large sample size, there were 
      statistical differences, but these are unlikely to be clinically relevant. LEVEL 
      OF EVIDENCE: Level IV, case series.
CI  - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Patel, Midhat
AU  - Patel M
AD  - Department of Orthopaedic Surgery, University of Arizona College of Medicine, 
      Phoenix, Arizona, U.S.A.
FAU - McDaniel, Lea
AU  - McDaniel L
AD  - Department of Orthopaedic Surgery, University of Arizona College of Medicine, 
      Phoenix, Arizona, U.S.A.
FAU - Sekar, Molly
AU  - Sekar M
AD  - Department of Orthopaedic Surgery, University of Arizona College of Medicine, 
      Phoenix, Arizona, U.S.A.
FAU - Kisana, Haroon
AU  - Kisana H
AD  - Department of Orthopaedic Surgery, University of Arizona College of Medicine, 
      Phoenix, Arizona, U.S.A.
FAU - Sykes, Joshua B
AU  - Sykes JB
AD  - United Hospital Center, West Virginia University, Bridgeport, West Virginia, 
      U.S.A.
FAU - Amini, Michael H
AU  - Amini MH
AD  - The CORE Institute, Mesa, Arizona, U.S.A.. Electronic address: 
      amini.michael@gmail.com.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20231007
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  - United States
MH  - *Shoulder/surgery
MH  - Rotator Cuff/surgery
MH  - *Rotator Cuff Injuries/surgery
MH  - Retrospective Studies
MH  - Elbow
MH  - Prospective Studies
MH  - Treatment Outcome
MH  - Arthroscopy
EDAT- 2023/10/10 00:42
MHDA- 2024/03/19 06:43
CRDT- 2023/10/09 19:21
PHST- 2023/03/12 00:00 [received]
PHST- 2023/09/08 00:00 [revised]
PHST- 2023/09/13 00:00 [accepted]
PHST- 2024/03/19 06:43 [medline]
PHST- 2023/10/10 00:42 [pubmed]
PHST- 2023/10/09 19:21 [entrez]
AID - S0749-8063(23)00799-5 [pii]
AID - 10.1016/j.arthro.2023.09.024 [doi]
PST - ppublish
SO  - Arthroscopy. 2024 Apr;40(4):1066-1072. doi: 10.1016/j.arthro.2023.09.024. Epub 
      2023 Oct 7.