Factors associated with clinically significant patient-reported outcomes after primary arthroscopic partial meniscectomy
Arthroscopy Apr 22, 2019
Gowd AK, et al. - Researchers assessed all patients undergoing isolated arthroscopic partial meniscectomy from a prospectively maintained institutional registry, to ascertain minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient-acceptable symptom state (PASS) after meniscectomy. Further, they sought for factors associated with achieving these goals. Using the anchor-based methodology and nonparametric receiver operating characteristic curves, they calculated MCID, SCB, and PASS for the International Knee Documentation Committee (IKDC) and Knee Injury and Osteoarthritis Outcome Score (KOOS) subscores. In the study, they analyzed a total of 269 patients, which reported outcomes between 6 and 7 months after surgery. Patient self-assessment was used to establish clinically meaningful outcomes. Preoperative score (positively correlated with MCID/SCB, negatively correlated with PASS); workers' compensation; degenerative, medial-sided tears; and root tears (remaining negatively correlated with MCID/SCB/PASS) were the variables associated with achieving these outcomes.
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