Identification of shoulder-specific @entity1 acceptable symptom state in XXXX with @entity627 undergoing shoulder surgery.

@entity1 @entity627 @entity158
STUDY DESIGN: Clinical measurement study with a longitudinal design. OBJECTIVE: Estimate @entity1 Acceptable Symptom State (PASS) thresholds in six shoulder outcome measures and two @entity158 scales. METHODS: @entity1 with @entity627 undergoing shoulder surgery were assessed at baseline and one-year follow-up (with Bostrom Shoulder Movement Impairment Scale, Constant, Disability of the Arm, Shoulder and Hand [DASH], Oxford Shoulder Score [Oxford], Shoulder Function Assessment Scale, Shoulder @entity158 and Disability Index [Spadi], and two visual analog @entity158 scales [VAS]). PASS thresholds were estimated using the 75th percentile and the receiver operating characteristic curve approach. RESULTS: One hundred @entity1 were included; 74 (74%) @entity1 considered their shoulder function to be acceptable (PASS+), which was significantly associated with being female, odds ratio (OR) 4.54, and having better functional status (Health Assessment Questionnaire), OR 0.17 (p<0.05). Activity-related @entity158 (VAS), the Oxford, and the Spadi showed best discriminative accuracy for PASS. All measures estimated changes exceeding the minimal clinical important difference. CONCLUSION: The Oxford and the Spadi showed better discriminant ability for PASS than the more commonly used Constant score and the DASH. The PASS thresholds for @entity158 showed that @entity1 accepted less @entity158 at rest than during activity, underlining the importance of assessing both aspects of @entity158 . LEVEL OF EVIDENCE: 3. Diagnostic study.
