PMID- 37969490
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231117
IS  - 2666-6383 (Electronic)
IS  - 2666-6383 (Linking)
VI  - 7
IP  - 6
DP  - 2023 Nov
TI  - Many patients fail to achieve MCID for PROMIS upper extremity and pain 
      interference following nonoperative management of rotator cuff tears.
PG  - 2337-2343
LID - 10.1016/j.jseint.2023.06.014 [doi]
AB  - BACKGROUND: Efficacy of nonoperative treatment for rotator cuff tears has been 
      debated, especially for full-thickness tears. The purpose of this study was to a) 
      define the minimal clinically important difference (MCID) of nonoperative 
      treatment with regard to Patient-Reported Outcomes Measurement Information System 
      (PROMIS) pain interference (PI) and upper extremity (UE), and b) determine the 
      proportion of patients with both partial and full-thickness tears (PTRCT, FTRCT) 
      who achieve this improvement following initial nonoperative treatment. We 
      hypothesized that >75% of PTRCT and FTRTC patients would achieve MCID for PROMIS 
      PI and UE. METHODS: We performed a retrospective cohort study evaluating 
      nonoperatively managed patients with image-confirmed PTRCT and FTRCT. Treatment 
      modalities and follow-up PROMIS scores at least 6 months after their initial 
      visit were recorded. Using a distribution technique, MCID was calculated. 
      RESULTS: A total of 111 FTRCT and 68 PTRCT patients were included with at least 6 
      months of follow-up. At 6 months from initial presentation, the MCID for PROMIS 
      UE was 3.75 and 3.95 for FTRCT and PTRCT patients, respectively. For PROMIS PI, 
      the MCID was 3.35 and 3.90 for FTRCT and PTRCT, respectively. In total, 41% of 
      FTRCT and 41% of PTRCT achieved MCID for PROMIS UE. Thirty-four percent of FTRCT 
      and 35% of PTRCT achieved MCID for PROMIS PI. CONCLUSION: The majority of 
      patients undergoing nonoperative treatment for supraspinatus/infraspinatus 
      rotator cuff tears did not achieve MCID at 6 months for PROMIS PI (34% for FTRCT 
      and 35% for PTRCT) or UE (41% for FTRCT and 41% for PTRCT).
CI  - (c) 2023 Published by Elsevier Inc. on behalf of American Shoulder and Elbow 
      Surgeons.
FAU - Keith, Katherine M
AU  - Keith KM
AD  - Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA.
FAU - Castle, Joshua P
AU  - Castle JP
AD  - Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA.
FAU - Abed, Varag
AU  - Abed V
AD  - Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA.
FAU - Wager, Susan G
AU  - Wager SG
AD  - Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA.
FAU - Patel, Mit
AU  - Patel M
AD  - Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA.
FAU - Gaudiani, Michael A
AU  - Gaudiani MA
AD  - Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA.
FAU - Yedulla, Nikhil R
AU  - Yedulla NR
AD  - Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA.
FAU - Makhni, Eric C
AU  - Makhni EC
AD  - Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA.
LA  - eng
PT  - Journal Article
DEP - 20230714
PL  - United States
TA  - JSES Int
JT  - JSES international
JID - 101763461
PMC - PMC10638566
OTO - NOTNLM
OT  - MCID
OT  - Nonoperative
OT  - PROMIS
OT  - PROMIS PI
OT  - PROMIS UE
OT  - Rotator cuff
EDAT- 2023/11/16 06:45
MHDA- 2023/11/16 06:46
PMCR- 2023/07/14
CRDT- 2023/11/16 04:22
PHST- 2023/11/16 06:46 [medline]
PHST- 2023/11/16 06:45 [pubmed]
PHST- 2023/11/16 04:22 [entrez]
PHST- 2023/07/14 00:00 [pmc-release]
AID - S2666-6383(23)00160-3 [pii]
AID - 10.1016/j.jseint.2023.06.014 [doi]
PST - epublish
SO  - JSES Int. 2023 Jul 14;7(6):2337-2343. doi: 10.1016/j.jseint.2023.06.014. 
      eCollection 2023 Nov.