{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T14:32:07Z","timestamp":1786458727849,"version":"build-2736575974"},"reference-count":26,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T00:00:00Z","timestamp":1714089600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Purpose: Minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient acceptable symptomatic state (PASS) serve as metrics to gauge orthopedic treatment efficacy based on anchoring questions that do not account for a patient\u2019s satisfaction with their surgical outcome. This study evaluates if reaching MCID, SCB, or PASS values for American Shoulder and Elbow Surgeons score (ASES), Single Alpha Numeric Evaluation (SANE), Simple Shoulder Test (SST), and Visual Analog Score (VAS) for pain following arthroscopic rotator cuff repair (RCR) correlates with overall patient satisfaction. Methods: This was a single-institution, retrospective study of patients who underwent RCR from 2015 to 2019. Pre-operative and 2 year postoperative ASES, SANE, SST, and VAS scores were recorded. Patients underwent a survey to assess: (1) what is your overall satisfaction with your surgical outcome? (scale 1 to 10); (2) if you could go back in time, would you undergo this operation again? (yes\/no); (3) for the same condition, would you recommend this operation to a friend or family member? (yes\/no). Spearman correlation coefficients were run to assess relationship between reaching MCID, SCB, or PASS and satisfaction. Results: Ninety-two patients were included. Mean preoperative ASES was 51.1 \u00b1 16.9, SANE was 43.3 \u00b1 20.9, SST was 5.4 \u00b1 2.9, and VAS was 4.6 \u00b1 2.1. Mean 2 year ASES was 83.9 \u00b1 18.5, SANE was 81.7 \u00b1 27.0, SST was 9.8 \u00b1 3.2, and VAS was 1.4 \u00b1 1.9. Mean patient satisfaction was 9.0 \u00b1 1.9; 89 (96.7%) patients would undergo surgery again and recommend surgery. Correlation for reaching PASS for SANE and satisfaction was moderate. Correlation coefficients were very weak for all other outcome metrics. Conclusions: Reaching MCID, SCB, and PASS in ASES, SANE, SST, or VAS following RCR did not correlate with a patient\u2019s overall satisfaction or willingness to undergo surgery again or recommend surgery. Further investigation into the statistical credibility and overall clinical value of MCID, SCB, and PASS is necessary.<\/jats:p>","DOI":"10.3390\/jcm13092550","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T08:18:27Z","timestamp":1714119507000},"page":"2550","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Reaching Minimal Clinically Important Difference, Substantial Clinical Benefit, and Patient-Acceptable Symptomatic State for Patient-Reported Outcome Measures following Arthroscopic Rotator Cuff Repair Does Not Correlate with Patient Satisfaction"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7251-6503","authenticated-orcid":false,"given":"Adam Z.","family":"Khan","sequence":"first","affiliation":[{"name":"Southern California Permanente Medical Group, 13652 Cantara Street, Bldg 2, Panorama City, CA 91402, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alayna K.","family":"Vaughan","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedics, 925 Chestnut Street, 5<sup>th<\/sup> Floor, Philadelphia, PA 19107, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary S.","family":"Aman","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedics, 925 Chestnut Street, 5<sup>th<\/sup> Floor, Philadelphia, PA 19107, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D.","family":"Lazarus","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedics, 925 Chestnut Street, 5<sup>th<\/sup> Floor, Philadelphia, PA 19107, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald R.","family":"Williams","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedics, 925 Chestnut Street, 5<sup>th<\/sup> Floor, Philadelphia, PA 19107, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surena","family":"Namdari","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedics, 925 Chestnut Street, 5<sup>th<\/sup> Floor, Philadelphia, PA 19107, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1016\/j.jse.2019.11.018","article-title":"Minimal clinically important differences in the American Shoulder and Elbow Surgeons, Simple Shoulder Test, and visual analog scale pain scores after arthroscopic rotator cuff repair","volume":"29","author":"Tashjian","year":"2020","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1177\/1753193419864900","article-title":"Minimal clinically important difference of patient-rated outcome measures in surgically treated distal radial fractures","volume":"45","author":"Kim","year":"2019","journal-title":"J. Hand Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"296","DOI":"10.2106\/JBJS.H.01296","article-title":"Minimal clinically important differences in ASES and simple shoulder test scores after nonoperative treatment of rotator cuff disease","volume":"92","author":"Tashjian","year":"2010","journal-title":"J. Bone Jt. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1016\/j.jse.2009.03.021","article-title":"Minimal clinically important differences (MCID) and patient acceptable symptomatic state (PASS) for visual analog scales (VAS) measuring pain in patients treated for rotator cuff disease","volume":"18","author":"Tashjian","year":"2009","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1016\/j.jse.2018.10.013","article-title":"Establishing clinically significant outcome after arthroscopic rotator cuff repair","volume":"28","author":"Cvetanovich","year":"2019","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2650","DOI":"10.1177\/0363546520943862","article-title":"Minimal Clinically Important Difference, Substantial Clinical Benefit, and Patient Acceptable Symptomatic State After Arthroscopic Rotator Cuff Repair","volume":"48","author":"Kim","year":"2020","journal-title":"Am. J. Sports Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1484","DOI":"10.1016\/j.jse.2019.12.033","article-title":"Minimal clinically important difference (MCID) for patient-reported shoulder outcomes","volume":"29","author":"Jones","year":"2020","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2542","DOI":"10.1016\/j.jse.2022.05.017","article-title":"Can the Single Assessment Numeric Evaluation be used as a stand-alone subjective outcome instrument in patients undergoing rotator cuff repair?","volume":"31","author":"Baumgarten","year":"2022","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.jse.2006.07.003","article-title":"Reliability, validity, and responsiveness of the simple shoulder test: Psychometric properties by age and injury type","volume":"16","author":"Godfrey","year":"2007","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1067\/mse.2002.127096","article-title":"American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, patient self-report section: Reliability, validity, and responsiveness","volume":"11","author":"Michener","year":"2002","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1016\/j.jse.2007.02.136","article-title":"Factors influencing patient satisfaction after rotator cuff repair","volume":"16","author":"Tashjian","year":"2007","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/j.jse.2005.02.002","article-title":"Arthroscopic versus mini-open rotator cuff repair: A comparison of clinical outcomes and patient satisfaction","volume":"14","author":"Youm","year":"2005","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.physio.2020.02.008","article-title":"Psychometric properties of the Single Assessment Numeric Evaluation (SANE) in patients with shoulder conditions. A systematic review","volume":"109","author":"Nazari","year":"2020","journal-title":"Physiotherapy"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1016\/j.jse.2020.01.067","article-title":"Correlation between Oxford Elbow Score and Single Assessment Numeric Evaluation: Is one simple question enough?","volume":"29","author":"Razaeian","year":"2020","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"80","DOI":"10.2106\/JBJS.N.00811","article-title":"Measuring Patient Satisfaction in Orthopaedic Surgery","volume":"97","author":"Graham","year":"2015","journal-title":"J. Bone Jt. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e69","DOI":"10.2106\/JBJS.L.01048","article-title":"Patient Satisfaction: Implications and Predictors of Success","volume":"95","author":"Shirley","year":"2013","journal-title":"J. Bone Jt. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e83","DOI":"10.2106\/JBJS.15.01216","article-title":"Measuring Quality of Care with Patient Satisfaction Scores","volume":"98","author":"Shirley","year":"2016","journal-title":"J. Bone Jt. Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"23743735211043392","DOI":"10.1177\/23743735211043392","article-title":"Factors Affecting the Satisfaction Levels of Patients who Underwent Orthopedic Knee Surgery in the Early Postoperative Period","volume":"8","author":"Erden","year":"2021","journal-title":"J. Patient Exp."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1186\/s12955-021-01772-2","article-title":"Resilience and pain catastrophizing among patients with total knee arthroplasty: A cohort study to examine psychological constructs as predictors of post-operative outcomes","volume":"19","author":"Nwankwo","year":"2021","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.jajs.2020.06.003","article-title":"Association among patient satisfaction, functional outcomes, and physiotherapy approaches after arthroscopic rotator cuff repair","volume":"7","author":"Ruggiero","year":"2020","journal-title":"J. Arthrosc. Jt. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1016\/j.jseint.2022.04.008","article-title":"Preoperative factors associated with patient satisfaction 2 years after elective shoulder surgery","volume":"6","author":"Ventimiglia","year":"2022","journal-title":"JSES Int."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"123","DOI":"10.3928\/01477447-20230922-02","article-title":"Surprise Billing in Elective Shoulder Surgery and Its Effect on Patient Satisfaction","volume":"47","author":"McCahon","year":"2024","journal-title":"Orthopedics"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"2698","DOI":"10.1016\/j.arthro.2019.03.043","article-title":"The Effect of Psychosocial Factors on Outcomes in Patients with Rotator Cuff Tears: A Systematic Review","volume":"35","author":"Kennedy","year":"2019","journal-title":"Arthrosc. J. Arthrosc. Relat. Surg."},{"key":"ref_24","first-page":"160","article-title":"Can Patients Accurately Recall their Preoperative Pain and Functional Scores Following Rotator Cuff Repair and Total Shoulder Arthroplasty?","volume":"11","author":"Gutman","year":"2023","journal-title":"Arch. Bone Jt. Surg."},{"key":"ref_25","first-page":"e36810","article-title":"Do Patients Accurately Recall Their Preoperative Symptoms After Elective Orthopedic Procedures?","volume":"15","author":"Masud","year":"2023","journal-title":"Cureus"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.jses.2017.03.003","article-title":"Impact of rotator cuff tendon reparability on patient satisfaction","volume":"1","author":"Razmjou","year":"2017","journal-title":"JSES Open Access"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/9\/2550\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:33:46Z","timestamp":1760106826000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/9\/2550"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,26]]},"references-count":26,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2024,5]]}},"alternative-id":["jcm13092550"],"URL":"https:\/\/doi.org\/10.3390\/jcm13092550","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,26]]}}}