PMID- 38318661
OWN - NLM
STAT- Publisher
LR  - 20240206
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
DP  - 2024 Feb 6
TI  - Variability of MCID, SCB, and PASS Thresholds in Studies Assessing 
      Patient-Reported Outcomes After Rotator Cuff Repair: A Systematic Review.
PG  - 3635465231202019
LID - 10.1177/03635465231202019 [doi]
AB  - BACKGROUND: An increasing reliance on patient-reported outcomes has led to 
      greater emphasis on minimal clinically important difference (MCID), substantial 
      clinical benefit (SCB), and Patient Acceptable Symptom State (PASS) thresholds in 
      assessing rotator cuff repairs. PURPOSE: To review the MCID, SCB, and PASS 
      thresholds reported for patient-reported outcome measures (PROMs) after rotator 
      cuff repair. STUDY DESIGN: Systematic review; Level of evidence, 4. METHODS: The 
      PubMed, Embase, Ovid, Cochrane, and Google Scholar databases were queried for 
      full-text journal articles in English published between January 1, 2000, and May 
      31, 2022. Studies with MCID, SCB, and PASS thresholds reported for patients with 
      rotator cuff repair and a minimum of 12 months of follow-up were included. 
      Reported MCID, SCB, and PASS thresholds and associated calculation methods were 
      extracted. RESULTS: There were 41 unique studies (6331 shoulders) that met the 
      inclusion criteria. Of these, 37 (90%) reported MCID; 16 (39%), PASS; and 11 
      (27%), SCB values. The most common PROMs were the American Shoulder and Elbow 
      Surgeons score and the Constant-Murley score. In total, 71% (29/41) of these 
      studies referenced values in the literature, usually studies of patients 
      undergoing rotator cuff repair (21/29). Twelve studies calculated MCID, SCB, or 
      PASS thresholds using anchor-based approaches, whereas 6 studies also calculated 
      thresholds using distribution-based methods. The use of MCID, SCB, and PASS in 
      the rotator cuff repair literature is increasing, with half of the included 
      studies published within the final 17 months of the studied period. CONCLUSION: 
      Significant variability was seen in the reporting of MCID, SCB, and PASS 
      threshold values after rotator cuff repair. Researchers should prioritize studies 
      that report clinical outcome thresholds calculated using anchor-based methods and 
      should critically review both the anchor question and its response choices. 
      Standardization of MCID, SCB, and PASS values and calculation methods will allow 
      for a more reliable assessment of PROMs in rotator cuff repair moving forward.
FAU - Lee, Alexander C
AU  - Lee AC
AUID- ORCID: 0000-0001-6237-5498
AD  - Perelman School of Medicine, University of Pennsylvania, Philadelphia, 
      Pennsylvania, USA.
FAU - Gupta, Radhika
AU  - Gupta R
AD  - Perelman School of Medicine, University of Pennsylvania, Philadelphia, 
      Pennsylvania, USA.
FAU - Kelly, John D 4th
AU  - Kelly JD 4th
AD  - Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, 
      Pennsylvania, USA.
FAU - Li, Xinning
AU  - Li X
AD  - Department of Orthopaedic Surgery, Boston University School of Medicine, Boston, 
      Massachusetts, USA.
FAU - Parisien, Robert L
AU  - Parisien RL
AUID- ORCID: 0000-0002-7562-8375
AD  - Department of Orthopaedic Surgery & Sports Medicine, Mount Sinai Health System, 
      New York, New York, USA.
LA  - eng
PT  - Journal Article
DEP - 20240206
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
OTO - NOTNLM
OT  - Patient Acceptable Symptom State
OT  - minimal clinically important difference
OT  - patient-reported outcome measure
OT  - rotator cuff
OT  - shoulder
OT  - substantial clinical benefit
COIS- One or more of the authors has declared the following potential conflict of 
      interest or source of funding: J.D.K. has received consulting fees from Heron 
      Therapeutics and Flexion Therapeutics and support for education and speaking fees 
      from Arthrex. R.L.P. has received support for education from Gotham Surgical 
      Solutions & Devices and Arthrex and a grant from Arthrex. AOSSM checks author 
      disclosures against the Open Payments Database (OPD). AOSSM has not conducted an 
      independent investigation on the OPD and disclaims any liability or 
      responsibility relating thereto.
EDAT- 2024/02/06 06:42
MHDA- 2024/02/06 06:42
CRDT- 2024/02/06 04:05
PHST- 2024/02/06 06:42 [medline]
PHST- 2024/02/06 06:42 [pubmed]
PHST- 2024/02/06 04:05 [entrez]
AID - 10.1177/03635465231202019 [doi]
PST - aheadofprint
SO  - Am J Sports Med. 2024 Feb 6:3635465231202019. doi: 10.1177/03635465231202019.