Evidence map›Paper›PMID 39479460›Full record

ArticleShoulder & elbow2024

Changes and thresholds in the Oxford Shoulder Score following shoulder arthroplasty: Minimal clinically important difference, minimal important and detectable changes, and patient-acceptable symptom state.

Perry Liu, Irrum Afzal, Vipin Asopa, Nick D Clement, Vipul Patel

Abstract read
In one paragraph

Article in Shoulder & elbow, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Perry LiuSouth West London Elective Orthopaedic Centre, Epsom, UK.ORCID https://orcid.org/0000-0003-1375-914X
Irrum AfzalSouth West London Elective Orthopaedic Centre, Epsom, UK.
Vipin AsopaSouth West London Elective Orthopaedic Centre, Epsom, UK.
Nick D ClementSouth West London Elective Orthopaedic Centre, Epsom, UK.
Vipul PatelSouth West London Elective Orthopaedic Centre, Epsom, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The minimal clinically important difference, minimal important change, minimal detectable change and patient-acceptable symptom state are poorly defined for the Oxford Shoulder Score following shoulder arthroplasty. The study's aim was to calculate their values. Methods: One hundred patients underwent shoulder arthroplasty and completed pre and 1-year postoperative Oxford Shoulder Score. Patient satisfaction was assessed at 1-year using a visual analogue scale from 0 to 100: 'very satisfied' (>80), 'satisfied' (>60-80), and 'unsatisfied' (≤60). The difference between patients recording 'unsatisfied' ( Results: The minimal clinically important difference was 6.9 (95% confidence interval 0.7-13.1, Discussion: The minimal clinically important difference and minimal important change can assess whether there is a clinical difference between two groups and whether a cohort/patient has had a meaningful change in their Oxford Shoulder Score, respectively. These were greater than measurement error (minimal detectable change), suggesting a real change. The patient-acceptable symptom state can be used as a marker of achieving satisfaction.

Indexed as

diagnostic study.minimal clinically important differenceminimal detectable changeminimal important changeOxford Shoulder Scorepatient-acceptable symptom state Level of evidence: level IIIshoulder arthroplasty

Identifiers

PMID39479460
PMCPMC11520022

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.