Evidence map›Paper›PMID 40905284›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2026

Thresholds for minimum clinically important difference, minimal important change and patient acceptable symptom state for the ACL-RSI and the K-SES in patients after anterior cruciate ligament reconstruction.

Ramana Piussi, Jakob Lindskog, Rebecca Hamrin Senorski, Roland Thomeé, Kristian Samuelsson, Eric Hamrin Senorski

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In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Ramana PiussiDepartment of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-7586-5293
Jakob LindskogDepartment of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Rebecca Hamrin SenorskiDepartment of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Roland ThomeéDepartment of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Kristian SamuelssonSahlgrenska Sports Medicine Center, Sahlgrenska Academy, Gothenburg, Sweden.
Eric Hamrin SenorskiDepartment of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to calculate and provide Patient Acceptable Symptom State (PASS) thresholds, Minimum Clinically Important Difference (MCID), and Minimal Important Change (MIC) values for the ACL-Return to Sport after Injury (ACL-RSI) scale and the Knee Self-Efficacy Scale (K-SES) in patients treated with ACL reconstruction.

methodData were extracted from a rehabilitation specific registry, Project ACL. The registry prospectively collects patient-reported outcomes (PROs). PASS, MCID and MIC were calculated using receiver operating characteristic (ROC) curve analysis and anchor-based methods. Calculations were made for patients who completed the ACL-RSI and K-SES

resultsA total of 704 patients aged 15-50 year, who underwent ACL reconstruction were included. The PASS thresholds increased over time, with AUC values indicating acceptable discrimination at all follow-ups, especially at 18 months. The MCID values ranged from 1.6 to 4.1 for the K-SES

conclusionThe PASS, MCID and MIC values for the K-SES LEVEL OF EVIDENCE: Level III.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionMinimal Clinically Important DifferencePatient Reported Outcome MeasuresReturn to SportAdolescentAdultFemaleHumansMaleMiddle AgedProspective StudiesRegistriesROC CurveYoung Adultevaluationkneepsychometricquestionnaires

Identifiers

PMID40905284
PMCPMC13418423

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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.