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April 1, 2023Orthopaedic Journal of Sports MedicineOpen Access

Determining the Time Required to Achieve Clinically Significant Outcomes on the PROMIS Upper Extremity Questionnaire After Arthroscopic Rotator Cuff Repair

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Authors

EPEvan M. PolceAVAmar S. VadheraMFMichael C. Fu

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Overview

Case-control study reveals most patients achieve clinically significant outcomes within 12 months after rotator cuff repair, highlighting expected recovery timelines.

Key Points

  • To establish the time required to achieve meaningful clinical outcome thresholds on the PROMIS-UE following arthroscopic rotator cuff repair and identify patient factors linked to recovery pace.
  • Retrospectively reviewed a prospective institutional registry of consecutive patients who underwent arthroscopic rotator cuff repair between January 2018 and January 2019.
  • Evaluated PROMIS-UE questionnaires preoperatively and at standardized postoperative intervals of 6 months (5-7 months), 1 year (11-13 months), and 2 years (≥23 months).
  • Calculated cumulative achievement of MCID, SCB, and PASS using interval-censored Kaplan-Meier survival curves and identified predictor variables using Weibull parametric survival regression.
  • By 2 years postoperatively, cumulative achievement rates were 86.7% for MCID, 76.2% for SCB, and 74.3% for PASS, with mean times to achievement of 9.5 ± 3.8, 10.3 ± 4.4, and 9.8 ± 4.6 months, respectively.
  • Higher baseline PROMIS-UE scores were associated with earlier achievement of PASS, but delayed achievement of MCID and SCB.
  • Workers' compensation insurance status was significantly associated with delayed achievement of the PASS threshold.

Cite This Study

Polce et al. (2023) studied this question.

synapsesocial.com/papers/6a95032cb7c083589ab2c4a7https://doi.org/10.1177/23259671231157038
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