Evidence map›Paper›PMID 40502718›Full record

ArticleOrthopaedic journal of sports medicine2025

Establishing Threshold Values for the Patient Acceptable Symptom State After Anterior Cruciate Ligament Reconstruction for the Self Knee Value and the Anterior Cruciate Ligament-Return to Sport after Injury Scale.

Alexis Gerfroit, Thibault Marty-Diloy, Pierre Laboudie, Nicolas Graveleau, Nicolas Bouguennec

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Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Alexis GerfroitSports Clinic of Bordeaux-Mérignac, Bordeaux-Mérignac, France.ORCID https://orcid.org/0009-0003-1199-9681
Thibault Marty-DiloySports Clinic of Bordeaux-Mérignac, Bordeaux-Mérignac, France.
Pierre LaboudieSports Clinic of Bordeaux-Mérignac, Bordeaux-Mérignac, France.
Nicolas GraveleauSports Clinic of Bordeaux-Mérignac, Bordeaux-Mérignac, France.
Nicolas BouguennecSports Clinic of Bordeaux-Mérignac, Bordeaux-Mérignac, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Patient Acceptable Symptom State (PASS) has become a useful indicator, but to date, no threshold value has been defined for the Self Knee Value (SKV) and the Anterior Cruciate Ligament-Return to Sport after Injury (ALC-RSI) scale. Purpose: To define the PASS thresholds for the SKV and ACL-RSI scale in patients 1 to 5 years after anterior cruciate ligament reconstruction (ACLR). Study Design: Case-control study; Level of evidence, 3. Methods: The authors conducted a retrospective analysis based on data from a prospective cohort study of patients who underwent primary ACLR. Patients <50 years completed a survey at the end of follow-up, ranging from 1 to 5 years after reconstruction. The survey covered the SKV, the ACL-RSI scale, and a PASS question for each patient-reported outcome (PRO). The PASS was calculated using the area under the receiver operating characteristic (ROC) curve and absolute postoperative PROs. Results: A total of 890 patients answered the questionnaire, at a mean follow-up of 39.2 ± 16.8 months after primary ACLR. Among them, 85.8% achieved an acceptable symptom state based on the SKV, and 76% based on the ACL-RSI scale. The ROC curve analysis allowed determination of PASS thresholds at 71% (sensitivity, 0.86; specificity, 0.80) for the SKV and 60% (sensitivity, 0.84; specificity, 0.74) for the ACL-RSI scale. Those who achieved the PASS were younger: SKV-PASS-Y = 28.0 ± 9.7 years vs. 30.1 ± 10.3 years ( Conclusion: Although the PASS has been validated in several previous studies, this is the first study to determine PASS thresholds for the SKV and ACL-RSI scale with excellent sensitivity and excellent to acceptable specificity, at 1 to 5 years after primary ACLR. This should allow practitioners to extend the use of the PASS to PROs such as the SKV and the ACL-RSI scale, and thus facilitate the assessment of large cohorts of patients in future studies.

Indexed as

ACLACL-RSIanterior cruciate ligament reconstructionPASSPatient Acceptable Symptom StateSKV

Identifiers

PMID40502718
PMCPMC12152394

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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.