1. Two-Year Retrospective Patient-Reported Outcomes Following Superior Capsular Reconstruction
- Author
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Patrick J. Denard, Ahmad M. Hammad, Christopher R. Adams, Cameron Phillips, and Coen A. Wijdicks
- Subjects
030222 orthopedics ,medicine.medical_specialty ,business.industry ,Revision procedure ,Visual analogue scale ,Minimal clinically important difference ,Elbow ,030229 sport sciences ,Rotator Cuff Injuries ,Surgery ,Arthroscopy ,03 medical and health sciences ,Treatment Outcome ,0302 clinical medicine ,medicine.anatomical_structure ,medicine ,Humans ,Orthopedics and Sports Medicine ,Patient-reported outcome ,Rotator cuff ,In patient ,Patient Reported Outcome Measures ,Level iii ,business ,Retrospective Studies - Abstract
Purpose The purpose of this study was to evaluate the short-term patient-reported outcomes of superior capsular reconstruction (SCR) and identify factors contributing to the success or failure of the procedure at 2 years. Methods A retrospective review was performed on data prospectively collected from the Surgical Outcomes System database. Patient-reported outcomes (PROMs) including American Shoulder and Elbow Surgeons (ASES) score, Single Assessment Numeric Evaluation (SANE) score, visual analog scale for pain, and Veterans RAND 12-Item Health Survey (VR-12) were evaluated at a minimum of 2 years postoperatively and reported using a minimal clinically important difference (MCID) and the percent of maximal possible improvement (MPI). In addition, preoperative and intraoperative variables were evaluated in patients with and without a postoperative improvement in ASES and SANE scores meeting the threshold of MCID. Results Two-year follow-up data were available for 350 patients. Statistically significant improvements were noted in all PROMs at 2-year follow-up. In total, 240 patients (68.8%) achieved an MCID improvement of >17.5 in ASES score, and 185 patients (52.9%) achieved an MCID of >29.8 improvement in the SANE score. Primary SCRs were associated with a higher MPI in the ASES score (60.1% ± 39.8% vs 40.4% ± 47.9%; P = .025) and VR-12 physical score (14.0% ± 13.8% vs 8.0% ± 14.7%; P = .028) compared to revision repairs. Only diabetes was identified as a predictor of SANE score improvement (64.5% vs 62.2%; P = .041). Conclusions SCR is associated with improvement in patient-reported outcomes at short-term follow-up, with 53% to 69% of patients achieving an improvement considered to meet the MCID. Greater improvement is expected when SCR is performed as a primary procedure rather than as a revision procedure for failed rotator cuff repair. Level of Evidence Level III, retrospective comparative study.
- Published
- 2022