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عضویت

جستجوی مقالات مرتبط با کلیدواژه « SANE » در نشریات گروه « پزشکی »

  • Michael Gutman, Manan Patel, Matthew Weintraub, Arjun Singh, Eric Padegimas, Joseph Abboud, Surena Namdari *
    Background
    Accurate analysis of preoperative shoulder pain and function is important for understanding treatment efficacy and producing high-quality research. Oftentimes, preoperative patient-reported outcomes (PROs) are missing. Therefore the accuracy of recalled preoperative PROs may be significant. We investigate the ability of patients who underwent rotator cuff repair (RCR) or shoulder arthroplasty (TSA) to recall their preoperative PROs.
    Methods
    We identified 145 patients who underwent either RCR or TSA and had preoperative PROs. All patients completed the ASES, SANE, SST, and VAS surveys within 3 months prior to surgery. Patients were contacted between one and four years after surgery and asked to recall their baseline pain and shoulder function prior to surgery. The mean difference was calculated by determining the difference between the mean recalled score and the mean actual score. Intraobserver reliability analysis was performed, comparing recall and actual score for each using the 2-way mixed-effects intraclass correlation coefficient (ICC) model. The ICC values > 0.75 were considered excellent, values between 0.4 and 0.75 were considered moderate, and values of < 0.4 demonstrated a weak agreement. 
    Results
    For patients who underwent RCR, the mean differences between actual and recalled ASES, SANE, SST and VAS pain were 6.3 (P=0.004), 2.0 (P=0.155), -0.04 (P=0.625) and - 1.0 (P<0.001), respectively. In patients who underwent TSA, the mean differences between actual and recalled ASES, SANE, SST and VAS pain were 4.5 (P =0.038), -3.9 (P=0.262), -1.2 (P=0.001) and -1.5 (P<0.001), respectively. ASES, SST, and VAS show moderate reliability, and SANE reliability was weak in both RCR and TSA populations. Patients had a tendency to recall higher pain scores than actual preoperative pain scores. 
    Conclusion
    In patients who underwent RCR or TSA, there was too much variability between individual patient’s ability to accurately recall preoperative pain and function to reliably use recall data for research purposes. Level of evidence: IV
    Keywords: ASES, Recall, Rotator cuff repair, SANE, SST, Total shoulder arthroplasty VAS}
  • Justin Zhang *, John Barron, John Arvesen, Heidi Israel, Christopher Kim, Scott Kaar
    Background
    This study aims to determine the effect of resilience, as measured by the Brief Resilience Scale(BRS), and perceived self-efficacy of knee function, as measured by the Single Assessment Numeric Evaluation(SANE) score on return to sport outcomes following ACL Reconstruction (ACLR) surgery.
    Methods
    Seventy-one patients undergoing ACLR surgery were followed up for a minimum of one year. At sixmonthspost-op, ACLR patients completed the BRS and the SANE score. Patients were stratified into low, normal,and high resilience groups, and outcome scores were calculated.
    Results
    The median return to sports participation, in months post-operatively, for the low, normal, and highresiliency groups were 7.1, 7.3, and 7.2 months, respectively (P=0.78). A multiple logistic regression analysisrevealed that the SANE score was a significant predictor of return to sport at nine months when adjusted for age,sex, and BRS score (P=0.01). Patients that returned to sport by nine months demonstrated a mean SANE scoreof 92.7, compared to a mean of 85.7 (P=0.08). In patients who had returned to sport, neither the BRS resiliencegroup nor the SANE score were significant predictors of the retu rned level of competition status (P=0.06; P=0.18).
    Conclusion
    The SANE score may serve as a significant predictor of return to sport when adjusted for age, sex,and BRS score. Resilience, as measured by the BRS, was not significantly associated with return to sport, but mayhave utility in specific patient populations.Level of evidence: IV
    Keywords: ACL, ACLR, BRS, Resilience, SANE}
  • Casey M. O’Connor, David Ring *
    Background
    The Single Assessment Numeric Evaluation (SANE) is a simple, one-question patient-reported outcomemeasure (PROM). We systematically reviewed correlations between SANE and more extensive PROMs.
    Methods
    We identified studies with correlation coefficients between SANE and other shoulder, knee, and anklespecificPROMs. We calculated mean, median and range across studies and time points of data collection.
    Results
    Eleven studies provided 14 correlations, six shoulder-specific PROMs in four studies, six knee-specific PROMsin six studies and two ankle specific PROMs in one study. The mean correlation comparing SANE and knee-specificPROMs was 0.60 (SD 0.24), median 0.66, and range 0.12 to 0.88. Among studies comparing SANE and shoulderspecificPROMs mean correlation was 0.59 (SD 0.20), median 0.62 and range 0.20 to 0.89. The mean correlationbetween SANE and ankle-specific PROMs was 0.69 (SD 0.17), median 0.69 and range 0.75 to 0.81.
    Conclusion
    There seems to be moderate correlation amongst PROMs, even those that are a single question. Futureresearch might address whether patient reported outcome measure a common underlying construct even when theyconsist of a single question.Level of evidence: V
    Keywords: Patient-reported outcome measures, PROMs, SANE, Single Assessment Numeric Evaluation}
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