PMID- 38386062
OWN - NLM
STAT- MEDLINE
DCOM- 20240327
LR  - 20240413
IS  - 1434-3916 (Electronic)
IS  - 0936-8051 (Print)
IS  - 0936-8051 (Linking)
VI  - 144
IP  - 4
DP  - 2024 Apr
TI  - Estimating the minimal clinically important difference of shoulder functional 
      scores after arthroscopic rotator cuff repair: a prospective study.
PG  - 1693-1701
LID - 10.1007/s00402-024-05222-8 [doi]
AB  - INTRODUCTION: The minimal clinically important difference (MCID) is a valuable 
      tool for patient-based outcome analysis, for which limited data is available in 
      the literature, especially after arthroscopic rotator cuff repair (ARCR). 
      Although several studies have reported MCID after ARCR, few have studied the 
      impact of various clinical factors such as Diabetes, pseudoparalysis, type of 
      cuff repair, and retear over MCID. This study attempts to determine the MCID in 
      shoulder functional scores after ARCR and the impact of various factors on MCID. 
      METHODS: 144 patients undergoing ARCR were prospectively evaluated at six and 12 
      months by ASES and UCLA scores. MCID for American Shoulder and Elbow Surgeons 
      (ASES) and the University of California and Los Angeles (UCLA) scores were 
      calculated using an anchor-based and distribution-based approach. MCID was also 
      calculated for diabetic and non-diabetic patients, smokers vs. non-smokers, 
      presence or absence of pseudoparalysis, type of cuff repair (single row vs. 
      suture bridge), and presence of retears. Uni- and multivariate analysis was 
      performed to identify factors affecting the MCID of both scores. RESULTS: Mean 
      MCID for ASES score was 13.3 and 16.6 using an anchor-based and 
      distribution-based approach, respectively. For the UCLA score, the mean MCID was 
      10.0 and 12.6 by anchor-based and 12.6 by distribution-based approach, 
      respectively. Patients with higher pre-operative ASES scores demonstrated lower 
      MCID values. No significant difference was observed in MCID scores of diabetic 
      vs. non-diabetic patients, smoker vs. non-smoker, patients with or without 
      pseudoparalysis, and type of cuff repair. The age, gender, and presence of retear 
      did not affect MCID values. CONCLUSION: This study establishes the MCID values of 
      ASES and UCLA scores for rotator cuff repair by anchor and distribution methods. 
      No patient or surgical factors appear to affect the MCID except pre-operative 
      ASES scores. STUDY DESIGN: Prospective cohort, Level II.
CI  - (c) 2024. The Author(s).
FAU - Mukadam, Aditya A
AU  - Mukadam AA
AD  - Department of Orthopedics, Kasturba Medical College, Manipal, Manipal Academy of 
      Higher Education, Udupi, Karnataka, 576104, India.
FAU - Nayak, Shalini
AU  - Nayak S
AD  - Department of Physiotherapy, Manipal College of Health Professions, Manipal 
      Academy of Higher Education, Udupi, Karnataka, 576104, India.
FAU - Willems, Jaap
AU  - Willems J
AD  - International Knee and Joint Centre, Abu Dhabi, UAE.
FAU - Pandey, Vivek
AU  - Pandey V
AUID- ORCID: 0000-0003-0984-6566
AD  - Department of Orthopedics, Kasturba Medical College, Manipal, Manipal Academy of 
      Higher Education, Udupi, Karnataka, 576104, India. vivekortho@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20240222
PL  - Germany
TA  - Arch Orthop Trauma Surg
JT  - Archives of orthopaedic and trauma surgery
JID - 9011043
SB  - IM
MH  - Humans
MH  - *Rotator Cuff Injuries/surgery
MH  - Shoulder
MH  - Rotator Cuff/surgery
MH  - Prospective Studies
MH  - Minimal Clinically Important Difference
MH  - Treatment Outcome
MH  - Arthroscopy
MH  - *Diabetes Mellitus
PMC - PMC10965714
OTO - NOTNLM
OT  - American shoulder and elbow surgeons score
OT  - Anchor-based approach
OT  - Distribution-based approach
OT  - Minimal clinically important difference (MCID)
OT  - Rotator cuff repair
OT  - University of California and Los Angeles score
COIS- None.
EDAT- 2024/02/22 12:42
MHDA- 2024/03/27 06:44
PMCR- 2024/02/22
CRDT- 2024/02/22 11:05
PHST- 2023/03/18 00:00 [received]
PHST- 2024/02/10 00:00 [accepted]
PHST- 2024/03/27 06:44 [medline]
PHST- 2024/02/22 12:42 [pubmed]
PHST- 2024/02/22 11:05 [entrez]
PHST- 2024/02/22 00:00 [pmc-release]
AID - 10.1007/s00402-024-05222-8 [pii]
AID - 5222 [pii]
AID - 10.1007/s00402-024-05222-8 [doi]
PST - ppublish
SO  - Arch Orthop Trauma Surg. 2024 Apr;144(4):1693-1701. doi: 
      10.1007/s00402-024-05222-8. Epub 2024 Feb 22.