دورية أكاديمية
أعرض في EDS

Many patients fail to achieve MCID for PROMIS upper extremity and pain interference following nonoperative management of rotator cuff tears.

التفاصيل البيبلوغرافية
العنوان: Many patients fail to achieve MCID for PROMIS upper extremity and pain interference following nonoperative management of rotator cuff tears.
المؤلفون: Keith KM; Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA., Castle JP; Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA., Abed V; Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA., Wager SG; Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA., Patel M; Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA., Gaudiani MA; Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA., Yedulla NR; Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA., Makhni EC; Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI USA.
المصدر: JSES international [JSES Int] 2023 Jul 14; Vol. 7 (6), pp. 2337-2343. Date of Electronic Publication: 2023 Jul 14 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier, Inc Country of Publication: United States NLM ID: 101763461 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-6383 (Electronic) Linking ISSN: 26666383 NLM ISO Abbreviation: JSES Int Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [New York] : Elsevier, Inc., [2020]-
مستخلص: Background: Efficacy of nonoperative treatment for rotator cuff tears has been debated, especially for full-thickness tears. The purpose of this study was to a) define the minimal clinically important difference (MCID) of nonoperative treatment with regard to Patient-Reported Outcomes Measurement Information System (PROMIS) pain interference (PI) and upper extremity (UE), and b) determine the proportion of patients with both partial and full-thickness tears (PTRCT, FTRCT) who achieve this improvement following initial nonoperative treatment. We hypothesized that >75% of PTRCT and FTRTC patients would achieve MCID for PROMIS PI and UE.
Methods: We performed a retrospective cohort study evaluating nonoperatively managed patients with image-confirmed PTRCT and FTRCT. Treatment modalities and follow-up PROMIS scores at least 6 months after their initial visit were recorded. Using a distribution technique, MCID was calculated.
Results: A total of 111 FTRCT and 68 PTRCT patients were included with at least 6 months of follow-up. At 6 months from initial presentation, the MCID for PROMIS UE was 3.75 and 3.95 for FTRCT and PTRCT patients, respectively. For PROMIS PI, the MCID was 3.35 and 3.90 for FTRCT and PTRCT, respectively. In total, 41% of FTRCT and 41% of PTRCT achieved MCID for PROMIS UE. Thirty-four percent of FTRCT and 35% of PTRCT achieved MCID for PROMIS PI.
Conclusion: The majority of patients undergoing nonoperative treatment for supraspinatus/infraspinatus rotator cuff tears did not achieve MCID at 6 months for PROMIS PI (34% for FTRCT and 35% for PTRCT) or UE (41% for FTRCT and 41% for PTRCT).
(© 2023 Published by Elsevier Inc. on behalf of American Shoulder and Elbow Surgeons.)
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فهرسة مساهمة: Keywords: MCID; Nonoperative; PROMIS; PROMIS PI; PROMIS UE; Rotator cuff
تواريخ الأحداث: Date Created: 20231116 Latest Revision: 20231117
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10638566
DOI: 10.1016/j.jseint.2023.06.014
PMID: 37969490
قاعدة البيانات: MEDLINE
الوصف
تدمد:2666-6383
DOI:10.1016/j.jseint.2023.06.014