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Evaluation of fluoroscopically guided transforaminal epidural steroid injections for cervical radiculopathy utilizing patient reported outcome measurement information system as an outcome measure.

BACKGROUND: Cervical radiculopathy is a common cause of pain. For patients who fail conservative management, a transforaminal epidural stero … ural PROMIS scores was performed. The percentage of patients who reported improvement exceeding the minimal clinically important difference was calculated for survey responders and for the worst case scenario. RESULTS: 87 patients met inclusion criteria. PROMIS PI at 3-, 6-, and 12-months follow-up statistically improved by 2.2 (95 % confidence interval [CI] 2.1-2.4, p = 0.02), 2.3 (95 …

Stress shielding of the Univers Revers system in reverse shoulder arthroplasty is minimal and does not progress substantially from short- to midterm follow-up.

BACKGROUND: The purpose of this study was to compare short- to midterm signs of stress shielding with an inlay press-fit reverse shoulder arthroplasty (rTSA) humeral component. METHODS: A retrospective review was conducted on primary rTSAs with a minimum 5-year follow-up that were implanted with a press-fit 135° inlay humeral component (Univers Revers and Revers Apex; Arthrex, Inc.) designed to achieve metaphyseal fixation. Patient-reported outcomes (PROs) and range of motion (ROM) values were collected preoperatively and compared with 2 and 5 years postoperative values. Radiographic signs of

Patients Show Similar Recovery Metrics Measured by Health-related Quality-of-life Scores Despite Differences in CT-graphic Fusion Status One Year After 1-level and 2-level Anterior Cervical Discectomy and Fusion.

STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To evaluate the clinical implications of an incomplete fusion status as determined by … No significant differences were found between the fusion status groups regarding the achievement of minimal clinically important difference and patient-acceptable symptom state for clinical outcomes, including Neck Disability Index, Numeric Rating Scale arm/neck, and Short-Form 12 Physical Component Questionnaire scores. Although a higher percentage of IF patients were former smokers an …

Patients Undergoing Hip Arthroscopy With Periportal and Puncture Capsulotomy Demonstrate Favorable Outcomes at Short-Term Follow-Up: A Systematic Review.

PURPOSE: To evaluate whether patients undergoing primary hip arthroscopy with periportal or puncture capsulotomy demonstrate improved patien … 97%). Average improvement in the visual analog scale for pain ranged from -2.5 to -5.3 (I2 = 94%). Minimal clinically important difference was achieved by 65.0% to 100% of patients for Hip Outcome Score - Activities of Daily Living, 71.8% to 88% for Hip Outcome Score-Sport, and 62.5% to 78% for analog scale for pain. Three studies reported rates of secondary total hip arthroplasty, ran …

Does Back Pain Improve Following Lumbar Decompression Alone?

STUDY DESIGN: Retrospective cohort study of a prospectively collected database at an academic institution. OBJECTIVE: (1) Evaluate if low b … sures (PROMs), clinical variables, and radiographic variables were evaluated. Patients who achieved minimal clinically important difference (MCID) in LBP were compared with those who did not at 12-month follow-up. LASSO methodology was used to identify related predictive variables. RESULTS: One hundred seventy-six patients were analyzed. The majority reached MCID for back pain (n=109, …

Clinical efficacy of manipulation under brachial plexus block anesthesia for primary adhesive capsulitis of shoulder: a retrospective cohort study.

OBJECTIVE: To evaluate the clinical efficacy of manipulation under brachial plexus block anesthesia (MUA) compared to standardized conservat … es were significantly higher in the MUA group (86.7 ± 3.9 vs. 73.5 ± 5.5, P < 0.001), exceeding the minimal clinically important difference. Visual Analog Scale (VAS) pain scores decreased more rapidly and substantially in the MUA group (from 7.2 ± 1.1 to 1.1 ± 0.4 vs. 7.0 ± 1.2 to 2.0 ± 0.6 in controls). Patient satisfaction was significantly higher in the MUA group (93.3% vs. 75.0%, P …

Real-World Efficacy of Beclomethasone Dipropionate/Formoterol Fumarate/Glycopyrronium on Diaphragmatic Workload Assessed by Ultrasound and Lung Function in Patients with Uncontrolled Asthma.

Background: Uncontrolled asthma remains a significant clinical challenge, often linked to impaired lung function and increased diaphragmatic … ean asthma control test (ACT) score increased by 5.6 points (p < 0.001), surpassing the established minimal clinically important difference (MCID) of 3 points and raising the cohort mean above the well-controlled threshold. The right diaphragmatic workload was significantly decreased, as shown by a reduction in thickening fraction (TF) (from 63.86 ± 17.67% to 40.29 ± 16.65%, p < 0.01). …

Combined Medial Meniscus Repair, Centralization, and High Tibial Osteotomy Are Associated With Improved Clinical, Radiological, and Arthroscopic Outcomes in Patients With Posterior Root Tears and Varus Alignment.

PURPOSE: To evaluate the radiological, clinical, and arthroscopic outcomes following meniscal centralization combined with pullout repair an … us extrusion was classified at the initial surgery and second-look arthroscopy. The cohort-specific minimal clinically important difference (MCID) was calculated. RESULTS: Of the 48 eligible patients, 37 were available for follow-up and were included in the analysis, with a mean follow-up of 45.7 ± 12.0 months (range, 24-71 months). The flexion angle and all clinical scores were signif …

The Presence or Absence of Cartilage Regeneration Following Medial Open-Wedge High Tibial Osteotomy Does Not Predict Long-Term Outcomes.

PURPOSE: To assess whether the patients who showed mature cartilage regeneration in the medial compartment in a second-look arthroscopy have … rthritis Index score, were compared between the groups using patient-reported outcome measures. The minimal clinically important difference (MCID) was assessed to determine clinical significance. Radiologic progression of osteoarthritis was evaluated using serial changes in the Kellgren-Lawrence grade, and survivorship, defined as conversion to arthroplasty, was analyzed using the Kapla …

Межкультурное подтверждение комплексной паллиативной шкалы результатов для неврологических пациентов (IPOS-Neuro S8) у многочисленных склерозов.

ЦЕЛИ: Отсутствуют стандартные меры по оценке неврологических пациентов, проходящих паллиативный уход. Комплексная шкала паллиативных результатов - самоотчет, ориентированный на неврологических пациентов (IPOS) Neuro-S8) помогает определить бремя симптомов, но не имеет подтверждения на немецком языке. Цель этого исследования заключалась в подтверждении ИМПС Neuro-S8 у сильно пострадавших пациентов, страдающих множественным склерозом. МЕТОДЫ: Настоящее аттестационное исследование представляет собой вторичный анализ данных, полученных в ходе клинического исследования на этапе II, проведенного с п

Совпадение в аннотации оригинала
OBJECTIVES: Standardized measures to evaluate neurological patients in palliative care are missing. The Integrated Palliative Outcome Scale, … s involvement, allowing findings to be transferable to other neurological diseases. A criterion for minimal clinically important difference was established to evaluate the sensitivity to change. Additional validation across different neurological conditions and disease severities is warranted to enhance generalizability and clinical utility.

Effectiveness and efficiency of aquatic therapy on independence in activities of daily living and mobility in post-acute spinal cord injury: A matched case-control study.

BACKGROUND AND PURPOSE: Aquatic therapy (AT), though potentially effective, lacks studies on clinical efficacy in patients with spinal cord … pinal Cord Independence Measure (SCIM-III), Walking Index for Spinal Cord Injury (WISCI-II) and its minimal clinically important difference (WISCI-II/MCID) were assessed. The AT group followed the Halliwick concept. We performed nonparametric nearest-neighbor k:1 matching for age, time since injury to admission, FIM at admission, level of injury (paraplegia/tetraplegia), completeness an …

Anterior Cruciate Ligament Reconstruction Surgery Outcomes: A Comparison Between Patients Who Underwent the Procedure During the COVID-19 Pandemic and a Cohort Treated Prior to the Pandemic.

Background and objective During the coronavirus disease 2019 (COVID-19) pandemic, many elective orthopedic surgeries, including anterior cru … , injury-to-surgery, and first visit-to-surgery were calculated. Subjective and objective outcomes, minimal clinically important difference (MCID) achievement, and complication rates were recorded for up to two years postoperatively. Statistical analysis included 𝛘2 or Fisher's exact tests for categorical data, and t- or Wilcoxon signed-rank tests for continuous data with significance s …

Quadriceps Tendon Autograft ACL Reconstruction With Suture Tape Augmentation: Safe Results Based on Minimum 2-Year Follow-up MRI.

BACKGROUND: The potential intra-articular effects of ≥1 year after anterior cruciate ligament reconstruction (ACLR) with independent suture … rthrometer, radiographs, and patient-reported outcome measures (PROMs). At the final follow-up, the minimal clinically important difference (MCID) and the Patient Acceptable Symptom State (PASS) for applicable PROMs were applied to each patient. Postoperative graft and joint integrity were assessed using the Howell classification and the MRI Osteoarthritis Knee Score (MOAKS) joint effus …

Impact of Preoperative Symptom Duration on Patient-Reported Outcomes Following Cervical Disc Replacement for Cervical Radiculopathy.

STUDY DESIGN: Retrospective review of prospectively collected data. OBJECTIVE: To determine the impact of preoperative symptom duration on … ded neck disability index (NDI), visual analog scale (VAS) neck and arm. Changes in PROM scores and minimal clinically important difference (MCID) rates were calculated. Analyses were conducted on the early (within 3 mo) and late (6 mo-2 y) postoperative periods. RESULTS: A total of 201 patients (43.6±8.7 y, 33.3% female) were included. In both early and late postoperative periods, the …

Which North American spine society disc herniation morphology descriptors are most associated with improvements in clinical outcomes after microdiscectomy?

BACKGROUND: The North American Spine Society (NASS) assembled the first ever comprehensive naming system for describing lumbar disc disease, … ion (κ=0.53). At 3 months, a sequestered herniation was associated with lower odds of achieving the minimal clinically important difference (MCID) for ODI (p=.004) and MCS (p=.032). At 12 months, a similar trend was observed for Oswestry Disability Index (ODI) MCID achievement (p=.001). At 3 months, a herniation with larger axial area was a predictor of MCID achievement in ODI (p=.004) …

Temporal Trends of Improvement After Minimally Invasive Transforaminal Lumbar Interbody Fusion.

STUDY DESIGN: Retrospective review of prospectively collected data. OBJECTIVE: To analyze temporal trends in improvement after minimally in … ; 12-Item Short Form Survey Physical Component Score, SF-12 PCS); 2) global rating change (GRC); 3) minimal clinically important difference (MCID); and 4) return to activities. Timepoints analyzed were preoperative, 2 weeks, 6 weeks, 3 months, 6 months, 1 year, and 2 years. Trends across these timepoints were plotted on graphs. RESULTS: 236 patients were included. VAS back and VAS leg …

Patient outcomes: One-stage vs. two-stage lumbar surgery for symptomatic low-grade spondylolisthesis: A quality outcomes database study.

OBJECTIVE: Controversy exists regarding treatment of symptomatic low-grade spondylolisthesis (LGS). Both one- and two-stage fusions are comm … g pain, Oswestry Disability Index (ODI), Quality-Adjusted Life Year (QALY), and satisfaction index. Minimal clinically important difference (MCID) values for VAS back pain, VAS leg pain, ODI, and QALY were 1.6, 1.7, 14.3, and 0.2, respectively. Patients with pre-existing scoliosis or kyphosis, missing data, and revision procedures were excluded. Categorical variables were compared with …

Cervical disc arthroplasty versus anterior cervical discectomy and fusion: an analysis of the Michigan Spine Surgery Improvement Collaborative Database.

BACKGROUND CONTEXT: Anterior cervical discectomy and fusion (ACDF) and cervical disc arthroplasty (CDA) are established surgical options for … .0 days; p<.001). Functional outcomes were similar, with comparable proportions of patients meeting minimal clinically important difference thresholds in neck pain, arm pain, PROMIS, EQ-5D, and mJOA score. After multivariate regression, no significant differences were seen in surgical or functional outcomes. CONCLUSIONS: This study demonstrates similar outcomes for those undergoing ACD …

Comparable Pain Levels and Functional Outcomes With and Without the Use of Dermal Allograft Augmentation in Endoscopic Gluteus Medius Repair.

PURPOSE: To compare retrospectively the clinical outcomes of patients undergoing endoscopic gluteal tendon repair with and without the use o … SSS); and the Single Assessment Numeric Evaluation (SANE). The proportion of patients achieving the minimal clinically important difference (MCID), patient acceptable symptom state (PASS), and substantial clinical benefit (SCB) for each PROM were compared between groups. RESULTS: Sixty-four patients were reached for follow-up (26 GMR, 38 GMR-A). No differences were found between the gr …

Comparison between Anatomic Total Shoulder Arthroplasty and Reverse Shoulder Arthroplasty for Older Adults with Osteoarthritis without Rotator Cuff Tears.

BACKGROUND: Many older adults with glenohumeral osteoarthritis without rotator cuff tears experience muscle atrophy and fatty degeneration. … as external and internal rotations (p < 0.001). All patients in the RSA and TSA groups exceeded the minimal clinically important difference. CONCLUSIONS: In older adult patients with degenerative glenohumeral osteoarthritis wherein the rotator cuff is preserved without excessive bone loss, anatomic TSA and RSA can improve pain, ROM, and clinical outcomes. However, clinical results and …