Establishing minimal clinically important difference for the UCLA and ASES scores after rotator cuff repair

Malavolta, Eduardo Angeli; Yamamoto, Gustavo Jum; Bussius, Daniel; Assunção, Jorge Henrique; Andrade-Silva, Fernando Brandão; Gracitelli, Mauro Emílio Conforto; Neto, Arnaldo Amado Ferreira

doi:10.1016/j.otsr.2021.102894

Cited by 29 publications

(22 citation statements)

References 24 publications

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“…The utility of clinical practice is usually assessed by the difference between preoperative and postoperative PROMs. While this variation can reflect a change in sleep quality following RCT repair, it does not indicate the magnitude of the effect size [15]. A clinically significant mean change should not reflect a real change for the patient [14].…”

Section: Introductionmentioning

confidence: 96%

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Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Pittsburgh Sleep Quality Index in Patients Who Underwent Rotator Cuff Tear Repair

Longo

Berton

Salvatore

et al. 2021

IJERPH

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The Pittsburgh Sleep Quality Index (PSQI) is a valid patient-reported outcome measure developed to assess sleep quality and disturbances in clinical populations. This study aimed to calculate the minimum clinically important difference (MCID) and the patient acceptable symptom state (PASS) for the PSQI in patients who underwent rotator cuff repair (RCR). Preoperative and six-month postoperative follow-up questionnaires were completed by 50 patients (25 males and 25 females, mean age 58.7 ± 11.1 years). The MCID of the PSQI was calculated using distribution-based and anchor methods. To calculate the PSQI’s PASS, the 75th percentile approach and the receiver operating characteristic (ROC) curve were used. The MCID from preoperative to 6 months postoperative follow-up is 4.4. Patients who improved their PSQI score of 4.4 from baseline to 6 months follow-up had a clinically significant increase in their health status. The PASS is 5.5 for PSQI; therefore, a value of PSQI at least 5.5 at six months follow-up indicates that the symptom state can be considered acceptable by most patients.

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Section: Introductionmentioning

confidence: 96%

“…MCID is the difference in PSQI scores between patients with no sleep quality changes and patients with "small" improvements after RCR. The term MCID is often confused or interchangeably used with the minimum important change (MIC) [15].…”

Section: Introductionmentioning

confidence: 99%

Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Pittsburgh Sleep Quality Index in Patients Who Underwent Rotator Cuff Tear Repair

Longo

Berton

Salvatore

et al. 2021

IJERPH

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“…Two studies used the ASES score with a preoperative mean of 30.4 improving to 71.7 a total difference of 41.3 which is well above the MCID of 15.2 points for this outcome measurement. 47 This change however, was not statistically significant with a p-value= 0.12 however, there were only two studies using this outcome score. Lastly, 1 study reported outcomes on the DASH score with an improvement of 35.2 points (69.5 to 35.3), again above the reported MCID average of 13 points.…”

Section: Functional and Patient Reported Outcomesmentioning

confidence: 85%

Arthroscopic debridement for management of massive, irreparable rotator cuff tears: a systematic review of outcomes

Soderlund

Boren

O’Reilly

et al. 2022

JSES Reviews, Reports, and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…1 ). We finally included 24 studies 3 , 4 , 6 , 12 , 17 , 18 , 19 , 20 , 22 , 25 , 27 , 36 , 37 , 43 , 48 , 49 , 51 , 54 , 56 , 61 , 65 , 66 , 68 , 69 representing 5830 patients. We excluded two recent studies including patients with revision repairs or nonoperative treatment.…”

Section: Resultsmentioning

confidence: 99%

Prognostic factors for improvement of shoulder function after arthroscopic rotator cuff repair: a systematic review

et al. 2023

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Establishing minimal clinically important difference for the UCLA and ASES scores after rotator cuff repair

Cited by 29 publications

References 24 publications

Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Pittsburgh Sleep Quality Index in Patients Who Underwent Rotator Cuff Tear Repair

Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Pittsburgh Sleep Quality Index in Patients Who Underwent Rotator Cuff Tear Repair

Arthroscopic debridement for management of massive, irreparable rotator cuff tears: a systematic review of outcomes

Prognostic factors for improvement of shoulder function after arthroscopic rotator cuff repair: a systematic review

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