PMID- 38477103
OWN - NLM
STAT- MEDLINE
DCOM- 20240403
LR  - 20240403
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 32
IP  - 4
DP  - 2024 Apr
TI  - Effect of age and gender in rates of achieving minimal clinically important 
      difference and patient-acceptable symptom state 2 years after arthroscopic 
      superior capsular reconstruction.
PG  - 1038-1048
LID - 10.1002/ksa.12128 [doi]
AB  - PURPOSE: This study aimed to evaluate patient-reported outcome measures (PROMs) 
      and the effects of gender and age on achieving clinically significant outcomes in 
      patients undergoing arthroscopic superior capsular reconstruction (ASCR) with a 
      minimum 2-year follow-up. METHODS: Patients undergoing ASCR for irreparable 
      rotator cuff tear between 2013 and 2020 were reviewed. Preoperative and minimum 
      2-year postoperative PROMs were collected, including American Shoulder and Elbow 
      Surgeons (ASES), Constant, single assessment numeric evaluation (SANE), and 
      visual analog scale (VAS) scores. Minimal clinically important difference (MCID) 
      and patient-acceptable symptomatic state (PASS) were calculated for each 
      functional score and analyzed according to age and gender. The percentages of 
      patients achieving MCID and PASS were recorded. RESULTS: The study included 83 
      patients, with a mean follow-up of 3.5 +/- 1.4 years. Significant improvements were 
      found in ASES, Constant, SANE, and VAS for all groups based on gender and age. 
      Based on receiver-operating characteristic curves, all scores had acceptable 
      areas under the curve for PASS. Values for PASS and MCID were 81.5 and 10.3 for 
      ASES; 61.5 and 6.2 for Constant; 82.5 and 11.5 for SANE and 1.5 and 1.1 for VAS, 
      respectively. Analysis of achieving MCID and PASS showed no difference between 
      the groups in the majority of outcome measures. However, female patients achieved 
      the SANE thresholds for PASS at significantly higher rates than male patients. 
      Patients >/=65 years old achieved ASES and Constant thresholds for MCID at 
      significantly higher rates than patients <65 years old. CONCLUSION: Most patients 
      achieved MCID and PASS at a 2-year follow-up. Patients showed comparable rates of 
      MCID and PASS achievement on most outcome tools based on age and gender. Female 
      patients achieved PASS on SANE at significantly higher rates than male patients 
      and older patients achieved MCID on ASES and Constant at higher rates than young 
      patients. Thus, age is a stronger factor for achieving MCID than gender. LEVEL OF 
      EVIDENCE: Level II.
CI  - (c) 2024 European Society of Sports Traumatology, Knee Surgery and Arthroscopy.
FAU - Ben, Hui
AU  - Ben H
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, South Korea.
FAU - Yeom, Ji Woong
AU  - Yeom JW
AD  - Department of Orthopaedic Surgery, Gangbook Yonsei Hospital, Seoul, South Korea.
FAU - Kholinne, Erica
AU  - Kholinne E
AD  - Department of Orthopedic Surgery, St. Carolus Hospital, Faculty of Medicine, 
      Universitas Trisakti, Jakarta, Indonesia.
FAU - Guo, Jia
AU  - Guo J
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, South Korea.
FAU - Park, Ji Yeon
AU  - Park JY
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, South Korea.
FAU - Ryu, Seung Min
AU  - Ryu SM
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, South Korea.
FAU - Koh, Kyoung-Hwan
AU  - Koh KH
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, South Korea.
FAU - Jeon, In-Ho
AU  - Jeon IH
AUID- ORCID: 0000-0002-9289-9193
AD  - Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, South Korea.
LA  - eng
GR  - 2022IL0023/Asan Institute for Life Sciences, Asan Medical Center/
PT  - Journal Article
DEP - 20240313
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  - Male
MH  - Female
MH  - Aged
MH  - Treatment Outcome
MH  - *Minimal Clinically Important Difference
MH  - Shoulder
MH  - *Rotator Cuff Injuries/surgery
MH  - Outcome Assessment, Health Care
MH  - Retrospective Studies
MH  - Arthroscopy
OTO - NOTNLM
OT  - age
OT  - gender
OT  - minimal clinically important difference
OT  - patient-acceptable symptom state
OT  - superior capsular reconstruction
EDAT- 2024/03/13 06:46
MHDA- 2024/04/03 06:44
CRDT- 2024/03/13 04:43
PHST- 2024/02/19 00:00 [revised]
PHST- 2023/10/10 00:00 [received]
PHST- 2024/02/21 00:00 [accepted]
PHST- 2024/04/03 06:44 [medline]
PHST- 2024/03/13 06:46 [pubmed]
PHST- 2024/03/13 04:43 [entrez]
AID - 10.1002/ksa.12128 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2024 Apr;32(4):1038-1048. doi: 
      10.1002/ksa.12128. Epub 2024 Mar 13.