2022 AOSSM Annual Meeting Recordings with CME-Only a Minority of Patients with Rotator Cuff Tear Achieve MCID for PROMIS Pain and Function Measures Following Initial Non-Operative Treatment

Only a Minority of Patients with Rotator Cuff Tear Achieve MCID for PROMIS Pain and Function Measures Following Initial Non-Operative Treatment

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Video Transcription

Video Summary

In this video presentation, the speaker discusses rotator cuff tears, which are a common cause of shoulder pain and dysfunction. They explain that while conservative management is often attempted initially, the decision to pursue surgery depends on various factors. The speaker highlights that the success of non-operative treatment for rotator cuff tears has not been clearly defined in the literature. They go on to describe a retrospective cohort study that aimed to establish the minimal clinically important difference (MCID) for patient-reported outcome measurement information system (PROMIS) scores in patients undergoing conservative therapy for rotator cuff tears. The study found that while the majority of patients showed improvements at six months, only about two-thirds achieved MCID for PROMIS upper extremity and even fewer for PROMIS pain interference. The speaker concludes by highlighting the difference in MCID between non-operative and operative treatment and raises questions about the acceptability of these results for non-operative management.

Asset Caption

Katherine Keith, MS

Keywords

rotator cuff tears

shoulder pain

conservative management

surgery

patient-reported outcome measurement information system