Determining minimal clinically important difference and patient-acceptable symptom state after arthroscopic isolated subscapularis repair

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dc.contributor.authorKilic, Ali Ihsan
dc.contributor.authorZuk, Nicholas A.
dc.contributor.authorArdebol, Javier
dc.contributor.authorPak, Theresa
dc.contributor.authorMenendez, Mariano E.
dc.contributor.authorDenard, Patrick J.
dc.date.accessioned2025-03-20T09:44:56Z
dc.date.available2025-03-20T09:44:56Z
dc.date.issued2024
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractBackground: Minimal Clinically Important Difference (MCID) and Patient-Acceptable Symptomatic State (PASS) have emerged as patient-based treatment assessments. However, these have not been investigated in patients undergoing arthroscopic isolated subscapularis repair (AISR). The primary purpose of this study was to determine the MCID and PASS for commonly used patient-reported outcomes in individuals who underwent AISR. The secondary purpose was to assess potential associations between preoperative and intraoperative patient characteristics and the MCID and PASS. Methods: A retrospective analysis was conducted on prospectively collected data for patients who underwent primary AISR between 2011 and 2021 at a single institution, with minimum 2-year postoperative follow-up. Functional outcomes were assessed using the American Shoulder and Elbow Surgeons (ASES) score, Subjective Shoulder Value (SSV), and Visual Analog Scale (VAS) pain scale. The MCID was determined using the distribution-based method, while PASS was evaluated using area under the curve analysis. To investigate the relationship between preoperative variables and the achievement of MCID and PASS thresholds, Pearson and Spearman coefficient analyses were employed for continuous and noncontinuous variables, respectively. Results: A total of 77 patients with a mean follow-up of 58.1 months were included in the study. The calculated MCID values for VAS pain, ASES, and SSV were 1.2, 10.2, and 13.2, respectively. The PASS values for VAS pain, ASES, and SSV were 2.1, 68.8, and 68, respectively. There was no significant correlation between tear characteristics and the likelihood of achieving a MCID or PASS. Female sex, worker's compensation status, baseline VAS pain score, and baseline ASES score, exhibited weak negative correlations for achieving PASS for VAS pain and ASES. Conclusion: This study defined the MCID and PASS values for commonly used outcome measures at short-term follow-up in patients undergoing AISR. Tear characteristics do not appear to impact the ability to achieve a MCID or PASS after AISR. Female sex, worker's compensation claim, and low baseline functional scores have weak negative correlations with the achievement of PASS for VAS pain and ASES scores. © 2024 The Author(s)
dc.identifier.doi10.1016/j.jseint.2024.01.014
dc.identifier.endpage477
dc.identifier.issn2666-6383
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85189944897
dc.identifier.scopusqualityQ2
dc.identifier.startpage472
dc.identifier.urihttps://doi.org/10.1016/j.jseint.2024.01.014
dc.identifier.urihttps://hdl.handle.net/20.500.14034/2072
dc.identifier.volume8
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherElsevier B.V.
dc.relation.ispartofJSES International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_Scopus_20250319
dc.subjectArthroscopy
dc.subjectBasic Science Study
dc.subjectIsolated subscapularis
dc.subjectMCID
dc.subjectPASS
dc.subjectPatient-reported outcomes
dc.subjectRotator cuff
dc.subjectSubscapularis
dc.subjectValidation of Outcome Instruments
dc.titleDetermining minimal clinically important difference and patient-acceptable symptom state after arthroscopic isolated subscapularis repair
dc.typeArticle

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