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Establishing the Minimum Clinically Significant Difference (MCID) and the Patient Acceptable Symptom Score (PASS) for the Hospital Anxiety and Depression Scale (HADS) in Patients with Rotator Cuff Disease and Shoulder Prosthesis

Insufficiently treated shoulder pain may cause mental disturbances, including depression and anxiety. The Hospital Anxiety and Depression Scale (HADS) is a patient-reported outcome measure (PROM) that aims to identify depression and anxiety in patients in nonpsychiatric wards. The aim of this study...

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Autores principales: Longo, Umile Giuseppe, Papalia, Rocco, De Salvatore, Sergio, Marinozzi, Andrea, Piergentili, Ilaria, Lalli, Alberto, Bandini, Benedetta, Franceschetti, Edoardo, Denaro, Vincenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967741/
https://www.ncbi.nlm.nih.gov/pubmed/36836074
http://dx.doi.org/10.3390/jcm12041540
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author Longo, Umile Giuseppe
Papalia, Rocco
De Salvatore, Sergio
Marinozzi, Andrea
Piergentili, Ilaria
Lalli, Alberto
Bandini, Benedetta
Franceschetti, Edoardo
Denaro, Vincenzo
author_facet Longo, Umile Giuseppe
Papalia, Rocco
De Salvatore, Sergio
Marinozzi, Andrea
Piergentili, Ilaria
Lalli, Alberto
Bandini, Benedetta
Franceschetti, Edoardo
Denaro, Vincenzo
author_sort Longo, Umile Giuseppe
collection PubMed
description Insufficiently treated shoulder pain may cause mental disturbances, including depression and anxiety. The Hospital Anxiety and Depression Scale (HADS) is a patient-reported outcome measure (PROM) that aims to identify depression and anxiety in patients in nonpsychiatric wards. The aim of this study was to identify the minimum clinically important difference (MCID) and patient acceptable symptom state (PASS) scores for the HADS in a cohort of individuals with rotator cuff disease. Using the HADS, participants’ degrees of anxiety and depression were assessed at inception and at their final assessment 6 months after surgery. To calculate the MCID and the PASS, distribution and anchor approaches were employed. The MCID from inception to final assessment was 5.7 on the HADS, 3.8 on the HADS-A, and 3.3 on the HADS-D. A 5.7 amelioration on the HADS score, 3.8 on the HADS-A, and 3.3 on the HADS-D, from inception to final assessment, meant that patients had reached a clinically meaningful improvement in their symptom state. The PASS was 7 on the HADS, 3.5 on the HADS-A, and 3.5 on the HADS-D; therefore, for the majority of patients, a score of at least 7 on the HADS, 3.5 on the HADS-A, and 3.5 on the HADS-D at final evaluation was considered a satisfactory symptom state.
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spelling pubmed-99677412023-02-27 Establishing the Minimum Clinically Significant Difference (MCID) and the Patient Acceptable Symptom Score (PASS) for the Hospital Anxiety and Depression Scale (HADS) in Patients with Rotator Cuff Disease and Shoulder Prosthesis Longo, Umile Giuseppe Papalia, Rocco De Salvatore, Sergio Marinozzi, Andrea Piergentili, Ilaria Lalli, Alberto Bandini, Benedetta Franceschetti, Edoardo Denaro, Vincenzo J Clin Med Article Insufficiently treated shoulder pain may cause mental disturbances, including depression and anxiety. The Hospital Anxiety and Depression Scale (HADS) is a patient-reported outcome measure (PROM) that aims to identify depression and anxiety in patients in nonpsychiatric wards. The aim of this study was to identify the minimum clinically important difference (MCID) and patient acceptable symptom state (PASS) scores for the HADS in a cohort of individuals with rotator cuff disease. Using the HADS, participants’ degrees of anxiety and depression were assessed at inception and at their final assessment 6 months after surgery. To calculate the MCID and the PASS, distribution and anchor approaches were employed. The MCID from inception to final assessment was 5.7 on the HADS, 3.8 on the HADS-A, and 3.3 on the HADS-D. A 5.7 amelioration on the HADS score, 3.8 on the HADS-A, and 3.3 on the HADS-D, from inception to final assessment, meant that patients had reached a clinically meaningful improvement in their symptom state. The PASS was 7 on the HADS, 3.5 on the HADS-A, and 3.5 on the HADS-D; therefore, for the majority of patients, a score of at least 7 on the HADS, 3.5 on the HADS-A, and 3.5 on the HADS-D at final evaluation was considered a satisfactory symptom state. MDPI 2023-02-15 /pmc/articles/PMC9967741/ /pubmed/36836074 http://dx.doi.org/10.3390/jcm12041540 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Longo, Umile Giuseppe
Papalia, Rocco
De Salvatore, Sergio
Marinozzi, Andrea
Piergentili, Ilaria
Lalli, Alberto
Bandini, Benedetta
Franceschetti, Edoardo
Denaro, Vincenzo
Establishing the Minimum Clinically Significant Difference (MCID) and the Patient Acceptable Symptom Score (PASS) for the Hospital Anxiety and Depression Scale (HADS) in Patients with Rotator Cuff Disease and Shoulder Prosthesis
title Establishing the Minimum Clinically Significant Difference (MCID) and the Patient Acceptable Symptom Score (PASS) for the Hospital Anxiety and Depression Scale (HADS) in Patients with Rotator Cuff Disease and Shoulder Prosthesis
title_full Establishing the Minimum Clinically Significant Difference (MCID) and the Patient Acceptable Symptom Score (PASS) for the Hospital Anxiety and Depression Scale (HADS) in Patients with Rotator Cuff Disease and Shoulder Prosthesis
title_fullStr Establishing the Minimum Clinically Significant Difference (MCID) and the Patient Acceptable Symptom Score (PASS) for the Hospital Anxiety and Depression Scale (HADS) in Patients with Rotator Cuff Disease and Shoulder Prosthesis
title_full_unstemmed Establishing the Minimum Clinically Significant Difference (MCID) and the Patient Acceptable Symptom Score (PASS) for the Hospital Anxiety and Depression Scale (HADS) in Patients with Rotator Cuff Disease and Shoulder Prosthesis
title_short Establishing the Minimum Clinically Significant Difference (MCID) and the Patient Acceptable Symptom Score (PASS) for the Hospital Anxiety and Depression Scale (HADS) in Patients with Rotator Cuff Disease and Shoulder Prosthesis
title_sort establishing the minimum clinically significant difference (mcid) and the patient acceptable symptom score (pass) for the hospital anxiety and depression scale (hads) in patients with rotator cuff disease and shoulder prosthesis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967741/
https://www.ncbi.nlm.nih.gov/pubmed/36836074
http://dx.doi.org/10.3390/jcm12041540
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