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Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Pittsburgh Sleep Quality Index in Patients Who Underwent Rotator Cuff Tear Repair

Author

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  • Umile Giuseppe Longo

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy)

  • Alessandra Berton

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy)

  • Sergio De Salvatore

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy)

  • Ilaria Piergentili

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy)

  • Erica Casciani

    (Research Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy)

  • Aurora Faldetta

    (Research Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy)

  • Maria Grazia De Marinis

    (Research Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy)

  • Vincenzo Denaro

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy)

Abstract

The Pittsburgh Sleep Quality Index (PSQI) is a valid patient-reported outcome measure developed to assess sleep quality and disturbances in clinical populations. This study aimed to calculate the minimum clinically important difference (MCID) and the patient acceptable symptom state (PASS) for the PSQI in patients who underwent rotator cuff repair (RCR). Preoperative and six-month postoperative follow-up questionnaires were completed by 50 patients (25 males and 25 females, mean age 58.7 ± 11.1 years). The MCID of the PSQI was calculated using distribution-based and anchor methods. To calculate the PSQI’s PASS, the 75th percentile approach and the receiver operating characteristic (ROC) curve were used. The MCID from preoperative to 6 months postoperative follow-up is 4.4. Patients who improved their PSQI score of 4.4 from baseline to 6 months follow-up had a clinically significant increase in their health status. The PASS is 5.5 for PSQI; therefore, a value of PSQI at least 5.5 at six months follow-up indicates that the symptom state can be considered acceptable by most patients.

Suggested Citation

  • Umile Giuseppe Longo & Alessandra Berton & Sergio De Salvatore & Ilaria Piergentili & Erica Casciani & Aurora Faldetta & Maria Grazia De Marinis & Vincenzo Denaro, 2021. "Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Pittsburgh Sleep Quality Index in Patients Who Underwent Rotator Cuff Tear Repair," IJERPH, MDPI, vol. 18(16), pages 1-9, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8666-:d:615677
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    References listed on IDEAS

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    1. Umile Giuseppe Longo & Sergio De Salvatore & Ilaria Piergentili & Anna Indiveri & Calogero Di Naro & Giulia Santamaria & Anna Marchetti & Maria Grazia De Marinis & Vincenzo Denaro, 2021. "Total Hip Arthroplasty: Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Forgotten Joint Score 12," IJERPH, MDPI, vol. 18(5), pages 1-11, February.
    2. Umile Giuseppe Longo & Vincenzo Candela & Sergio De Salvatore & Ilaria Piergentili & Nicolò Panattoni & Erica Casciani & Aurora Faldetta & Anna Marchetti & Maria Grazia De Marinis & Vincenzo Denaro, 2021. "Arthroscopic Rotator Cuff Repair Improves Sleep Disturbance and Quality of Life: A Prospective Study," IJERPH, MDPI, vol. 18(7), pages 1-9, April.
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