{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T21:14:02Z","timestamp":1774991642399,"version":"3.50.1"},"reference-count":23,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.arth.2026.03.066","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T08:03:53Z","timestamp":1774857833000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Minimal Clinically Importance Difference and Substantial Clinical Benefit in Total Knee Arthroplasty: Delayed Achievers and Maintaining Improvement"],"prefix":"10.1016","author":[{"given":"Darren Z.","family":"Nin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ya-Wen","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan-Hsin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl T.","family":"Talmo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian L.","family":"Hollenbeck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Travers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikhail","family":"Kuznetsov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruijia","family":"Niu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C.","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1609-7639","authenticated-orcid":false,"given":"Eric L.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2026.03.066_bib1","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.2106\/JBJS.17.01617","article-title":"Projected volume of primary total joint arthroplasty in the U.S., 2014 to 2030","volume":"100","author":"Sloan","year":"2018","journal-title":"J Bone Jt Surg - Am"},{"key":"10.1016\/j.arth.2026.03.066_bib2","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1001\/archinternmed.2009.136","article-title":"Cost-effectiveness of total knee arthroplasty in the United States: patient risk and hospital volume","volume":"169","author":"Losina","year":"2009","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.arth.2026.03.066_bib3","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s11999-009-1119-9","article-title":"Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?","volume":"468","author":"Bourne","year":"2010","journal-title":"Clin Orthop"},{"key":"10.1016\/j.arth.2026.03.066_bib4","doi-asserted-by":"crossref","first-page":"3854","DOI":"10.1016\/j.arth.2017.07.021","article-title":"Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature","volume":"32","author":"Gunaratne","year":"2017","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.066_bib5","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1007\/s10067-019-04811-y","article-title":"Total joint replacement improves pain, functional quality of life, and health utilities in patients with late-stage knee and hip osteoarthritis for up to 5 years","volume":"39","author":"Neuprez","year":"2020","journal-title":"Clin Rheumatol"},{"key":"10.1016\/j.arth.2026.03.066_bib6","article-title":"Does Early-Period Patient Dissatisfaction Turn Into Satisfaction Over Time After Total Knee Replacement?","volume":"28","author":"\u00d6zdemir","year":"2022","journal-title":"Med Sci Monit Int Med J Exp Clin Res"},{"key":"10.1016\/j.arth.2026.03.066_bib7","doi-asserted-by":"crossref","first-page":"1461","DOI":"10.1007\/s11999-016-4719-1","article-title":"Validation of the KOOS, JR: A Short-form Knee Arthroplasty Outcomes Survey","volume":"474","author":"Lyman","year":"2016","journal-title":"Clin Orthop"},{"key":"10.1016\/j.arth.2026.03.066_bib8","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1001\/jama.2014.13128","article-title":"Minimal clinically important difference: defining what really matters to patients","volume":"312","author":"McGlothlin","year":"2014","journal-title":"JAMA"},{"key":"10.1016\/j.arth.2026.03.066_bib9","doi-asserted-by":"crossref","first-page":"41","DOI":"10.5312\/wjo.v9.i3.41","volume":"9","author":"Hung","year":"2018","journal-title":"World J Orthop"},{"key":"10.1016\/j.arth.2026.03.066_bib10","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1001\/jamasurg.2020.0024","article-title":"Comparing Methods to Determine the Minimal Clinically Important Differences in Patient-Reported Outcome Measures for Veterans Undergoing Elective Total Hip or Knee Arthroplasty in Veterans Health Administration Hospitals","volume":"155","author":"Kuo","year":"2020","journal-title":"JAMA Surg"},{"key":"10.1016\/j.arth.2026.03.066_bib11","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1016\/j.arth.2024.01.038","article-title":"Implementation of the New Medicare-Mandated Patient-Reported Outcomes After Joint Arthroplasty Performance Measure","volume":"39","author":"Plate","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2026.03.066_bib12","doi-asserted-by":"crossref","first-page":"1461","DOI":"10.1007\/s11999-016-4719-1","article-title":"Validation of the KOOS, JR: A Short-form Knee Arthroplasty Outcomes Survey","volume":"474","author":"Lyman","year":"2016","journal-title":"Clin Orthop"},{"key":"10.1016\/j.arth.2026.03.066_bib13","doi-asserted-by":"crossref","DOI":"10.5435\/JAAOSGlobal-D-19-00142","article-title":"Achieving Validated Thresholds for Clinically Meaningful Change on the Knee Injury and Osteoarthritis Outcome Score After Total Knee Arthroplasty: Findings From a University-based Orthopaedic Tertiary Care Safety Net Practice","volume":"3","author":"Haydel","year":"2019","journal-title":"JAAOS Glob Res Rev"},{"key":"10.1016\/j.arth.2026.03.066_bib14","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.1302\/0301-620X.94B8.28786","article-title":"The effect of surgical factors on early patient-reported outcome measures (PROMS) following total knee replacement","volume":"94","author":"Baker","year":"2012","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.arth.2026.03.066_bib15","article-title":"Predictors of outcomes of total knee replacement surgery","volume":"51","author":"A","year":"2012","journal-title":"Rheumatol Oxf Engl"},{"key":"10.1016\/j.arth.2026.03.066_bib16","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1007\/s00167-018-4979-2","article-title":"Increased symptoms of stiffness 1 year after total knee arthroplasty are associated with a worse functional outcome and lower rate of patient satisfaction","volume":"27","author":"Clement","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arth.2026.03.066_bib17","doi-asserted-by":"crossref","first-page":"3019","DOI":"10.1007\/s00590-023-03526-w","article-title":"Preoperative stiffness is the most important predictor of postoperative patient\u2019s satisfaction after total knee arthroplasty","volume":"33","author":"Abdelhameed","year":"2023","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"10.1016\/j.arth.2026.03.066_bib18","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1186\/s12891-017-1479-3","article-title":"Improved knee biomechanics among patients reporting a good outcome in knee-related quality of life one year after total knee arthroplasty","volume":"18","author":"Naili","year":"2017","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.arth.2026.03.066_bib19","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1055\/s-0038-1635114","article-title":"More Severe Preoperative Kellgren-Lawrence Grades of Knee Osteoarthritis were Partially Associated with Better Postoperative Patient-Reported Outcomes in TKA Patients","volume":"32","author":"Hoorntje","year":"2019","journal-title":"J Knee Surg"},{"issue":"Suppl 3","key":"10.1016\/j.arth.2026.03.066_bib20","doi-asserted-by":"crossref","first-page":"iii40","DOI":"10.1136\/ard.2007.079798","article-title":"Minimal clinically important improvement\/difference (MCII\/MCID) and patient acceptable symptom state (PASS): what do these concepts mean?","volume":"66","author":"Kvien","year":"2007","journal-title":"Ann Rheum Dis"},{"key":"10.1016\/j.arth.2026.03.066_bib21","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s43019-024-00210-z","article-title":"Minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient-acceptable symptom state (PASS) in patients who have undergone total knee arthroplasty: a systematic review","volume":"36","author":"Migliorini","year":"2024","journal-title":"Knee Surg Relat Res"},{"key":"10.1016\/j.arth.2026.03.066_bib22","doi-asserted-by":"crossref","first-page":"345","DOI":"10.2106\/JBJS.21.00550","article-title":"Defining the Patient Acceptable Symptom State for the HOOS JR and KOOS JR After Primary Total Joint Arthroplasty","volume":"104","author":"Kunze","year":"2022","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2026.03.066_bib23","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.1016\/j.arth.2022.04.017","article-title":"The Paradox of Patient-Reported Outcome Measures: Should We Prioritize \u201cFeeling Better\u201d or \u201cFeeling Good\u201d After Total Knee Arthroplasty?","volume":"37","author":"Goh","year":"2022","journal-title":"J Arthroplasty"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S088354032600269X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S088354032600269X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T20:08:26Z","timestamp":1774987706000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S088354032600269X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":23,"alternative-id":["S088354032600269X"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2026.03.066","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Minimal Clinically Importance Difference and Substantial Clinical Benefit in Total Knee Arthroplasty: Delayed Achievers and Maintaining Improvement","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2026.03.066","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}