Abstract：
BACKGROUND: The goal of this research is to identify the factors that negatively impact the achievement of the minimum clinically significant change (MCID) for the American Shoulder and Elbow Surgeons (ASES) score within the realm of various orthopedic shoulder procedures.
METHODS: We conducted a comprehensive review of studies published from 2002 to 2023, utilizing OvidMedline and PubMed databases. Our search criteria included terms such as \"minimal clinically important difference\" or \"MCID\" along with associated MeSH terms, in addition to \"American shoulder and elbow surgeon\" or \"ASES.\" We selectively included primary investigations that assessed factors linked to the failure to achieve MCID for the ASES score subsequent to orthopedic shoulder procedures, while excluding papers addressing anatomical, surgical, or injury-related aspects.
RESULTS: Our analysis identified 149 full-text articles, leading to the inclusion of 12 studies for detailed analysis. The selected studies investigated outcomes following various orthopedic shoulder procedures, encompassing biceps tenodesis, total shoulder arthroplasty, and rotator cuff repair. Notably, factors, such as gender, body mass index, diabetes, smoking habits, opioid usage, depression, anxiety, workers\' compensation, occupational satisfaction, and the preoperative ASES score, were all associated with the inability to attain MCID.
CONCLUSIONS: In summary, numerous factors exert a negative influence on the attainment of MCID following shoulder procedures, and these factors appear to be irrespective of the specific surgical technique employed. Patients presenting with these factors may perceive their surgical outcomes as less successful when compared to those without these factors. Identifying these factors can enable healthcare providers to provide more effective counseling to patients regarding their expected outcomes and rehabilitation course. Furthermore, these findings can aid in the development of a screening tool to better identify these risk factors and optimize them before surgery.
METHODS: We conducted a comprehensive review of studies published from 2002 to 2023, utilizing OvidMedline and PubMed databases. Our search criteria included terms such as \"minimal clinically important difference\" or \"MCID\" along with associated MeSH terms, in addition to \"American shoulder and elbow surgeon\" or \"ASES.\" We selectively included primary investigations that assessed factors linked to the failure to achieve MCID for the ASES score subsequent to orthopedic shoulder procedures, while excluding papers addressing anatomical, surgical, or injury-related aspects.
RESULTS: Our analysis identified 149 full-text articles, leading to the inclusion of 12 studies for detailed analysis. The selected studies investigated outcomes following various orthopedic shoulder procedures, encompassing biceps tenodesis, total shoulder arthroplasty, and rotator cuff repair. Notably, factors, such as gender, body mass index, diabetes, smoking habits, opioid usage, depression, anxiety, workers\' compensation, occupational satisfaction, and the preoperative ASES score, were all associated with the inability to attain MCID.
CONCLUSIONS: In summary, numerous factors exert a negative influence on the attainment of MCID following shoulder procedures, and these factors appear to be irrespective of the specific surgical technique employed. Patients presenting with these factors may perceive their surgical outcomes as less successful when compared to those without these factors. Identifying these factors can enable healthcare providers to provide more effective counseling to patients regarding their expected outcomes and rehabilitation course. Furthermore, these findings can aid in the development of a screening tool to better identify these risk factors and optimize them before surgery.
摘要：
背景：这项研究的目的是确定在各种骨科肩部手术领域内，对美国肩肘外科医生（ASES）最小临床显着变化（MCID）评分的实现产生负面影响的因素。
方法：我们利用OvidMedline和PubMed数据库对2002年至2023年发表的研究进行了全面回顾。我们的搜索标准包括“最小临床重要差异”或“MCID”等术语以及相关的MeSH术语，除了“美国肩部和肘部外科医生”或“ASES。“我们选择性地纳入了初步调查，这些调查评估了与骨科肩部手术后ASES评分未能达到MCID相关的因素，虽然不包括涉及解剖学的论文，外科,或与伤害有关的方面。
结果：我们的分析确定了149篇全文文章，导致纳入12项研究进行详细分析。选定的研究调查了各种矫形肩部手术后的结果，包括肱二头肌肌腱固定术，全肩关节置换术,和肩袖修复。值得注意的是,因素，比如性别,身体质量指数,糖尿病,吸烟习惯,阿片类药物的使用，抑郁症,焦虑,工人补偿，职业满意度,和术前ASES评分，都与无法获得MCID有关。
结论：总之，许多因素对肩关节手术后MCID的获得产生负面影响，这些因素似乎与所采用的特定手术技术无关。与没有这些因素的患者相比，有这些因素的患者可能认为他们的手术结果不太成功。识别这些因素可以使医疗保健提供者为患者提供有关其预期结果和康复过程的更有效的咨询。此外，这些发现有助于开发筛查工具,以更好地识别这些危险因素,并在手术前对其进行优化.
方法：我们利用OvidMedline和PubMed数据库对2002年至2023年发表的研究进行了全面回顾。我们的搜索标准包括“最小临床重要差异”或“MCID”等术语以及相关的MeSH术语，除了“美国肩部和肘部外科医生”或“ASES。“我们选择性地纳入了初步调查，这些调查评估了与骨科肩部手术后ASES评分未能达到MCID相关的因素，虽然不包括涉及解剖学的论文，外科,或与伤害有关的方面。
结果：我们的分析确定了149篇全文文章，导致纳入12项研究进行详细分析。选定的研究调查了各种矫形肩部手术后的结果，包括肱二头肌肌腱固定术，全肩关节置换术,和肩袖修复。值得注意的是,因素，比如性别,身体质量指数,糖尿病,吸烟习惯,阿片类药物的使用，抑郁症,焦虑,工人补偿，职业满意度,和术前ASES评分，都与无法获得MCID有关。
结论：总之，许多因素对肩关节手术后MCID的获得产生负面影响，这些因素似乎与所采用的特定手术技术无关。与没有这些因素的患者相比，有这些因素的患者可能认为他们的手术结果不太成功。识别这些因素可以使医疗保健提供者为患者提供有关其预期结果和康复过程的更有效的咨询。此外，这些发现有助于开发筛查工具,以更好地识别这些危险因素,并在手术前对其进行优化.
