Stratification of the minimal clinically important difference, substantial clinical benefit, and patient acceptable symptomatic state after total shoulder arthroplasty by implant type, preoperative diagnosis, and sex.
Ryan W SimovitchJosie ElwellChristopher A ColasantiKevin A HaoRichard J FriedmanPierre-Henri FlurinThomas W WrightBradley S SchochChristopher P RocheJoseph D ZuckermanPublished in: Journal of shoulder and elbow surgery (2024)
MCID, SCB, and PASS thresholds vary depending on implant type, preoperative diagnosis, and sex. A comprehensive understanding of these differences as well as identification of clinically relevant thresholds for legacy and novel metrics is essential to assist surgeons in evaluating their patient's outcomes, interpreting the literature, and counseling their patients preoperatively regarding expectations for improvement. Given that PASS thresholds are fragile and vary greatly depending on cohort variability, caution should be exercised in conflating them across different studies.