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How is maximum outcome improvement defined in patients undergoing shoulder arthroscopy for rotator cuff repair? a 1-year follow-up study

Arthroscopy Mar 25, 2020

Beck EC, Gowd AK, Liu JN, et al. - This study seeks to distinguish the American Shoulder and Elbow Surgeons (ASES), Single Assessment Numeric Evaluation (SANE), and Constant-Murley subjective score thresholds for achieving maximal outcome improvement (MOI) after arthroscopic rotator cuff repair and to determine preoperative predictors of reaching the ASES threshold for achieving MOI. Researchers carried out a retrospective cohort study to distinguish individuals undergoing rotator cuff repair at a high volume institution from 01/2014 to 01/2017 with a 1-year minimum follow-up. The total number of individuals included in the study were 220. After arthroscopic rotator cuff repair, achieving 69.5% of maximal ASES score improvement or 75% of maximal SANE score improvement is indicative of achieving patient satisfaction. It was noted that preoperative variables involving workers compensation cases and surgery to the dominant side were prognosticators of not achieving maximal improvement.

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