PMID- 37943329
OWN - NLM
STAT- MEDLINE
DCOM- 20231216
LR  - 20231216
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 31
IP  - 12
DP  - 2023 Dec
TI  - Time required to achieve clinically significant outcomes after arthroscopic 
      superior capsular reconstruction.
PG  - 5987-5993
LID - 10.1007/s00167-023-07649-9 [doi]
AB  - PURPOSE: To investigate the time-dependent nature of clinically significant 
      outcomes, including the minimal clinically important difference (MCID), 
      substantial clinical benefit, and Patient Acceptable Symptomatic State (PASS) 
      after arthroscopic superior capsular reconstruction, and the factors contributing 
      to the achievement of early clinically significant outcomes. METHODS: Patients 
      who underwent ASCR between March 2015 and September 2020 with complete 
      preoperative and postoperative 6-month, 1-year, and 2-year patient-reported 
      outcome measures (PROMs) were retrospectively analysed. Threshold values for 
      MCID, substantial clinical benefit, and PASS were obtained from the previous 
      literature for the PROMs. The time required to achieve clinically significant 
      outcomes was calculated using Kaplan-Meier analysis. Multivariate Cox regression 
      was performed to evaluate the variables predictive of an earlier or delayed 
      achievement of MCID. RESULTS: Fifty-nine patients with a mean age of 
      64.5 +/- 8.7 years old were included. The time of mean achievement of MCID, 
      substantial clinical benefit, and PASS for VAS was 11.2 +/- 0.9, 16.3 +/- 1.1, and 
      16.6 +/- 0.9 months, respectively. The time of mean achievement of MCID, 
      substantial clinical benefit, and PASS for ASES was 13.2 +/- 1.0, 16.8 +/- 1.0, and 
      18.3 +/- 0.9 months, respectively. The time of mean achievement of MCID, 
      substantial clinical benefit, and PASS for the Constant score was 11.6 +/- 0.9, 
      15.1 +/- 1.0, and 14.7 +/- 0.9 months, respectively. The time of mean achievement of 
      MCID, substantial clinical benefit, and PASS for SANE was 14.4 +/- 1.0, 16.1 +/- 1.0, 
      and 15.5 +/- 0.8 months, respectively. Patients with a higher preoperative VAS 
      score achieved an earlier MCID for VAS (P = 0.014). However, patients with a 
      higher preoperative ASES and SANE scores achieved delayed MCID for ASES and SANE 
      (P = 0.026, and P < 0.001, respectively). CONCLUSION: Most patients achieved 
      MCIDs around 1 year after arthroscopic superior capsular reconstruction. A higher 
      preoperative VAS score favours faster MCID achievement, while higher preoperative 
      ASES and SANE scores contribute to delayed MCID achievement. STUDY DESIGN: Cohort 
      study LEVEL OF EVIDENCE: Level IV.
CI  - (c) 2023. The Author(s) under exclusive licence to European Society of Sports 
      Traumatology, Knee Surgery, Arthroscopy (ESSKA).
FAU - Ben, Hui
AU  - Ben H
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05535, Korea.
FAU - Zeng, Chu Hui
AU  - Zeng CH
AD  - Department of Radiology and Research Institute of Radiology, Asan Medical Center, 
      University of Ulsan College of Medicine, Seoul, South Korea.
FAU - Kholinne, Erica
AU  - Kholinne E
AD  - Department of Orthopedic Surgery, Faculty of Medicine, Universitas Trisakti, St. 
      Carolus Hospital, Jakarta, Indonesia.
FAU - Ryu, Seung Min
AU  - Ryu SM
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05535, Korea.
FAU - Ling, Jian Loong
AU  - Ling JL
AD  - Department of Orthopaedic Surgery, Hospital Raja Permaisuri Bainun, Ipoh, 
      Malaysia.
FAU - Koh, Kyoung-Hwan
AU  - Koh KH
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05535, Korea.
FAU - Jeon, In-Ho
AU  - Jeon IH
AUID- ORCID: 0000-0002-4326-8205
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05535, Korea. 
      jeonchoi@gmail.com.
LA  - eng
GR  - 2022IL0023/Asan Institute for Life Sciences, Asan Medical Center/
PT  - Journal Article
DEP - 20231109
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Humans
MH  - Middle Aged
MH  - Aged
MH  - Cohort Studies
MH  - Treatment Outcome
MH  - Retrospective Studies
MH  - *Arthroscopy
MH  - *Minimal Clinically Important Difference
MH  - Patient Reported Outcome Measures
OTO - NOTNLM
OT  - Minimal clinically important difference
OT  - Patient Acceptable Symptomatic State
OT  - Substantial clinical benefit
OT  - Superior capsular reconstruction
OT  - Time to achieve clinical significance
EDAT- 2023/11/09 12:42
MHDA- 2023/12/17 13:19
CRDT- 2023/11/09 11:06
PHST- 2023/07/17 00:00 [received]
PHST- 2023/10/24 00:00 [accepted]
PHST- 2023/12/17 13:19 [medline]
PHST- 2023/11/09 12:42 [pubmed]
PHST- 2023/11/09 11:06 [entrez]
AID - 10.1007/s00167-023-07649-9 [pii]
AID - 10.1007/s00167-023-07649-9 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2023 Dec;31(12):5987-5993. doi: 
      10.1007/s00167-023-07649-9. Epub 2023 Nov 9.