Evidence map›Paper›PMID 40975734›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Defining "completely better" status through patient-reported outcome measures after arthroscopic rotator cuff repair.

Seyedeh Zahra Mousavi, Dominic J Ventimiglia, Michael A McCurdy, Samir Kaveeshwar, Justin E Kung, Matheus B Schneider, Logan Kolakowski, Mohit N Gilotra, S Ashfaq Hasan, R Frank Henn Iii

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 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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5 · Who and what money

Authors and funding

10 authors.

Seyedeh Zahra MousaviDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Baltimore, USA. smousavi@som.umaryland.edu.
Dominic J VentimigliaDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Baltimore, USA.
Michael A McCurdyDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Baltimore, USA.
Samir KaveeshwarDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Baltimore, USA.
Justin E KungDepartment of Orthopaedics, University of South Carolina School of Medicine Columbia, Prisma Health, United States, Columbia, USA.
Matheus B SchneiderDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Baltimore, USA.
Logan KolakowskiDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Baltimore, USA.
Mohit N GilotraDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Baltimore, USA.
S Ashfaq HasanDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Baltimore, USA.
R Frank Henn IiiDepartment of Orthopaedics, School of Medicine, University of Maryland, Baltimore, Baltimore, USA. fhenn@som.umaryland.edu.

Funding

The James Lawrence Kernan Hospital Endowment Fund, Incorporated BL1941007WS
6 · The paper itself

Abstract

purposeA novel clinical interpretation of patient-reported outcomes (PROs) is "completely better" (CB) status, which has not been thoroughly investigated after arthroscopic rotator cuff repair (RCR). The purpose of this study was to identify patient characteristics and PROs associated with achieving CB status after arthroscopic RCR.

methodsPatients who underwent arthroscopic RCR were retrospectively identified from a prospectively enrolled orthopaedic registry. Patients completed surveys at baseline and 2-years postoperatively. PROs included Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF), Pain Interference (PI), and American Shoulder and Elbow Surgeons (ASES) score. To determine CB status, a question asked, "Is the condition for which you underwent surgery completely better now?", with answers "Yes" or "No".

resultsOf 86 patients, 60 (70%) completed their 2-year survey. 47 (78%) responded "Yes" and 13 (22%) responded "No" to the CB question. Preoperatively, patients achieving CB status had significantly better PROMIS PI (p = .005) and ASES (p = .024). Postoperatively, 2-year PROMIS PF (p = .027), PROMIS PI (p = .001), and ASES (p < .001) were better in the CB group. The combination of threshold scores that best determined CB status was 2-year PROMIS PI ≤ 52.2 AND 2-year ASES ≥ 73.3.

conclusionCB status is a novel indicator that raises current thresholds of PRO interpretation to a patient-centered maximum. This study found that CB status is associated with PROs at baseline and 2-years postoperatively. 2-year ASES and PROMIS PI thresholds provided the highest Youden index for CB status. The results allow surgeons to contextualize PROs and target values that maximize patient recovery.

Indexed as

ArthroscopyPatient Reported Outcome MeasuresRotator Cuff InjuriesAgedFemaleHumansMaleMiddle AgedPain MeasurementRecovery of FunctionRetrospective StudiesTreatment OutcomeClinical assessment/grading scalesMuscle injuriesRotator cuffShoulder

Identifiers

PMID40975734

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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.