{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T01:10:04Z","timestamp":1749690604706,"version":"3.41.0"},"reference-count":30,"publisher":"National Athletic Trainers' Association","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n          <jats:title>Context<\/jats:title>\n          <jats:p>The Single Assessment Numeric Evaluation (SANE) is a widely used patient-reported outcome (PRO) measure that provides an efficient but limited view of patient perceptions of health. Knowledge of what throwing athletes with upper extremity injury consider when answering the SANE would inform score interpretation and increase its value for clinical decision-making in this patient population.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Objective<\/jats:title>\n          <jats:p>To investigate the global rating of the SANE and its ability to capture constructs of health reflected in PRO measures that are commonly used in throwing athletes with upper extremity sport-related injury.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Design<\/jats:title>\n          <jats:p>Cross-sectional study.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Setting<\/jats:title>\n          <jats:p>Retrospective database review.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Patients or Other Participants<\/jats:title>\n          <jats:p>De-identified patient records of baseball and softball athletes diagnosed with upper extremity sport-related injury between October 2009 and June 2021 were reviewed.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Main Outcome Measure(s)<\/jats:title>\n          <jats:p>Primary outcomes were scores on the SANE; Functional Arm Scale for Throwers total; Disabilities of the Arm, Shoulder, and Hand total; and Global Rating of Daily Activities. The first administration of all PROs that patients completed postinjury was analyzed as a potential predictor of SANE scores. The proportion of variance uniquely accounted for in the SANE by each predictor (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>) variable was estimated.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results<\/jats:title>\n          <jats:p>Fifty-five patients completed PRO measures. The Functional Arm Scale for Throwers total uniquely accounted for 32.9% (<jats:italic>P<\/jats:italic> &lt; .001), the Global Rating of Daily Activities uniquely accounted for 11.6% (<jats:italic>P<\/jats:italic> &lt; .001), and the Disabilities of the Arm, Shoulder, and Hand total uniquely accounted for 4.6% (<jats:italic>P<\/jats:italic> = .036) of the variance in the SANE score. Overall, the predictors accounted for 49.2% of the variance in the SANE score (<jats:italic>P<\/jats:italic> &lt; .001).<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusions<\/jats:title>\n          <jats:p>Given that the SANE captures multiple constructs of health, it may be useful in gathering a quick, broad view of throwing athletes\u2019 perception of their health. When SANE scores suggest diminished health, then multi-item PROs should be considered to further explore constructs of health most affected.<\/jats:p>\n        <\/jats:sec>","DOI":"10.4085\/1062-6050-0466.23","type":"journal-article","created":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T17:25:22Z","timestamp":1726593922000},"page":"154-160","source":"Crossref","is-referenced-by-count":0,"title":["Considerations of Throwing Athletes With Upper Extremity Injury When Completing the Single Assessment Numeric Evaluation (SANE): A Report From the Athletic Training Practice-Based Research Network"],"prefix":"10.4085","volume":"60","author":[{"given":"Kellie C.","family":"Huxel Bliven","sequence":"first","affiliation":[{"name":"Department of Interdisciplinary Health Sciences and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Curtis","family":"Bay","sequence":"additional","affiliation":[{"name":"Biostatistics, Department of Interdisciplinary Health Sciences, A.T. Still University\u2014Arizona School of Health Sciences, Mesa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kayla A.","family":"Pavelski","sequence":"additional","affiliation":[{"name":"Department of Athletic Training and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison R.","family":"Snyder Valier","sequence":"additional","affiliation":[{"name":"Athletic Training Programs, Research Support, School of Osteopathic Medicine Arizona, A.T. Still University, Mesa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","reference":[{"issue":"2","key":"i1938-162X-60-2-154-b01","series-title":"J Shoulder Elbow Surg","first-page":"357","article-title":"Selection, implementation, and interpretation of patient-centered shoulder and elbow outcomes","volume":"27","author":"Hawkins","year":"2018","unstructured":"Hawkins\n              RJ,\n            \n            \n              Thigpen\n              CA.\n            \n          \n          Selection, implementation, and interpretation of patient-centered shoulder and elbow outcomes. 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J Athl Train. 2014;49(5):674\u2013683. doi:10.4085\/1062-6050-49.3.15"},{"issue":"6","key":"i1938-162X-60-2-154-b03","series-title":"Int J Athl Ther Train","first-page":"12","article-title":"Selecting patient-based outcome measures","volume":"12","author":"Snyder","year":"2007","unstructured":"Snyder\n              AR,\n            \n            \n              Valovich McLeod\n              TC.\n            \n          \n          Selecting patient-based outcome measures. Int J Athl Ther Train. 2007;12(6):12\u201315. doi:10.1123\/att.12.6.12"},{"issue":"4","key":"i1938-162X-60-2-154-b04","series-title":"J Athl Train","first-page":"437","article-title":"Using disablement models and clinical outcomes assessment to enable evidence-based athletic training practice, part II: clinical outcomes assessment","volume":"43","author":"Valovich McLeod","year":"2008","unstructured":"Valovich McLeod\n              TC,\n            \n            \n              Snyder\n              AR,\n            \n            \n              Parsons\n              JT,\n            \n            \n              Bay\n              RC,\n            \n            \n              Michener\n              LA,\n            \n            \n              Sauers\n              EL.\n            \n          \n          Using disablement models and clinical outcomes assessment to enable evidence-based athletic training practice, part II: clinical outcomes assessment. J Athl Train. 2008;43(4):437\u2013445. doi:10.4085\/1062-6050-43.4.437"},{"issue":"4","key":"i1938-162X-60-2-154-b05","series-title":"J Athl Train","first-page":"449","article-title":"Use of patient-reported outcome measures in athletic training: common measures, selection considerations, and practical barriers","volume":"54","author":"Lam","year":"2019","unstructured":"Lam\n              KC,\n            \n            \n              Harrington\n              KM,\n            \n            \n              Cameron\n              KL,\n            \n            \n              Valier\n              ARS.\n            \n          \n          Use of patient-reported outcome measures in athletic training: common measures, selection considerations, and practical barriers. J Athl Train. 2019;54(4):449\u2013458. doi:10.4085\/1062-6050-108-17"},{"issue":"1","key":"i1938-162X-60-2-154-b06","series-title":"Athl Train Educ J","first-page":"91","article-title":"Beyond the basics of clinical outcomes assessment: selecting appropriate patient-rated outcomes instruments for patient care","volume":"10","author":"Valier","year":"2015","unstructured":"Valier\n              AR,\n            \n            \n              Lam\n              KC.\n            \n          \n          Beyond the basics of clinical outcomes assessment: selecting appropriate patient-rated outcomes instruments for patient care. Athl Train Educ J. 2015;10(1):91\u2013100. doi:10.4085\/100191"},{"issue":"6","key":"i1938-162X-60-2-154-b07","series-title":"J Shoulder Elbow Surg","first-page":"1397","article-title":"Measure what matters: Single Assessment Numeric Evaluation (SANE) score as the critical measure for shoulder outcomes","volume":"33","author":"Hawkins","year":"2024","unstructured":"Hawkins\n              RJ,\n            \n            \n              Boes\n              N,\n            \n            \n              Thigpen\n              CA,\n            \n            \n              Shanley\n              E,\n            \n            \n              Pill\n              SG,\n            \n            \n              Kissenberth\n              MJ.\n            \n          \n          Measure what matters: Single Assessment Numeric Evaluation (SANE) score as the critical measure for shoulder outcomes. J Shoulder Elbow Surg. 2024;33(6):1397\u20131403. doi:10.1016\/j.jse.2023.12.001"},{"issue":"1","key":"i1938-162X-60-2-154-b08","series-title":"Am J Sports Med","first-page":"37","article-title":"Epidemiology of shoulder and elbow injuries among United States high school baseball players: school years 2005\u20132006 through 2014\u20132015","volume":"46","author":"Saper","year":"2018","unstructured":"Saper\n              MG,\n            \n            \n              Pierpoint\n              LA,\n            \n            \n              Liu\n              W,\n            \n            \n              Comstock\n              RD,\n            \n            \n              Polousky\n              JD,\n            \n            \n              Andrews\n              JR.\n            \n          \n          Epidemiology of shoulder and elbow injuries among United States high school baseball players: school years 2005\u20132006 through 2014\u20132015. Am J Sports Med. 2018;46(1):37\u201343. doi:10.1177\/0363546517734172"},{"issue":"1","key":"i1938-162X-60-2-154-b09","series-title":"J Sport Rehabil","first-page":"100","article-title":"Upper extremity injury history, current pain rating, and health-related quality of life in female softball pitchers","volume":"20","author":"Sauers","year":"2011","unstructured":"Sauers\n              EL,\n            \n            \n              Dykstra\n              DL,\n            \n            \n              Bay\n              RC,\n            \n            \n              Bliven\n              KH,\n            \n            \n              Snyder\n              AR.\n            \n          \n          Upper extremity injury history, current pain rating, and health-related quality of life in female softball pitchers. J Sport Rehabil. 2011;20(1):100\u2013114. doi:10.1123\/jsr.20.1.100"},{"issue":"2","key":"i1938-162X-60-2-154-b10","series-title":"J Hand Ther","first-page":"128","article-title":"Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremity","volume":"14","author":"Beaton","year":"2001","unstructured":"Beaton\n              DE,\n            \n            \n              Katz\n              JN,\n            \n            \n              Fossel\n              AH,\n            \n            \n              Wright\n              JG,\n            \n            \n              Tarasuk\n              V,\n            \n            \n              Bombardier\n              C.\n            \n          \n          Measuring the whole or the parts? Validity, reliability, and responsiveness of the Disabilities of the Arm, Shoulder and Hand outcome measure in different regions of the upper extremity. J Hand Ther. 2001;14(2):128\u2013146. doi:10.1016\/S0894-1130(01)80043-0"},{"issue":"6","key":"i1938-162X-60-2-154-b11","series-title":"Am J Ind Med","first-page":"602","article-title":"Development of an upper extremity outcome measure: the DASH (Disabilities of the Arm, Shoulder and Hand) [corrected]. The Upper Extremity Collaborative Group (UECG)","volume":"29","author":"Hudak","year":"1996","unstructured":"Hudak\n              PL,\n            \n            \n              Amadio\n              PC,\n            \n            \n              Bombardier\n              C.\n            \n          \n          Development of an upper extremity outcome measure: the DASH (Disabilities of the Arm, Shoulder and Hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996;29(6):602\u2013608. doi:10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L. 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Orthop J Sports Med. 2017;5(3):2325967117698455. doi:10.1177\/2325967117698455"},{"issue":"4","key":"i1938-162X-60-2-154-b14","series-title":"Arch Bone Jt Surg","first-page":"303","article-title":"Correlation of Single Assessment Numeric Evaluation (SANE) with other patient reported outcome measures (PROMs)","volume":"7","author":"O\u2019Connor","year":"2019","unstructured":"O\u2019Connor\n              CM,\n            \n            \n              Ring\n              D.\n            \n          \n          Correlation of Single Assessment Numeric Evaluation (SANE) with other patient reported outcome measures (PROMs). 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