{"doi":"10.1016/j.bjpt.2019.02.003","title":"Do older adults with shoulder disorders who meet the minimal clinically important difference also present low disability at discharge? An observational study","abstract":null,"journal":"Brazilian Journal of Physical Therapy","year":2020,"id":663280,"datarank":0.20794415416798362,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"self_citation_contribution":0.20794415416798362,"citation_network_contribution":0.0,"self_endowment_contribution":0.20794415416798362,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":298571,"name":"Charles A. Thigpen","orcid":"0000-0003-2487-1399","position":1,"is_corresponding":false},{"id":1731672,"name":"Ashley Davis Lake","orcid":null,"position":2,"is_corresponding":false},{"id":1130827,"name":"Corina Martinez","orcid":"0000-0002-4903-1241","position":3,"is_corresponding":false},{"id":1731673,"name":"Heather Myers","orcid":null,"position":4,"is_corresponding":false},{"id":427761,"name":"Chad Cook","orcid":"0000-0001-8622-8361","position":5,"is_corresponding":false},{"id":1731671,"name":"Alessandra Narciso Garcia","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Do older adults with shoulder disorders who meet the minimal clinically important difference also present low disability at discharge? An observational study","abstract":"<h4>Background</h4>The choice of outcome success thresholds may influence clinical management, pay-for-performance, and assessment of value-based care.<h4>Objective</h4>To evaluate outcomes success thresholds in older adults using two different methods: 1) Minimal clinically important differences (MCIDs) of the Quick-DASH and 2) Dichotomization of the Quick-DASH based on low disability rating at discharge DESIGN: An observational design (retrospective database study).<h4>Setting</h4>Dataset of 1109 patients with shoulder disorders.<h4>Participants</h4>297 older adults patients who were diagnosed with rotator cuff related shoulder disorders and were managed through physical therapy treatment.<h4>Main outcome measures</h4>We categorized and calculated how many patients met 8.0 and 16.0 point changes on the Quick-DASH. To evaluate outcomes success thresholds using dichotomization, patients who discharge score of ≤20 on the Quick-DASH were considered positive responders with successful outcomes.<h4>Results</h4>The percentage of positive responders who met the MCID thresholds for the Quick-DASH were 63.3% using MCID of 8.0 points, 39.7% using the MCID of 16.0 points, and 46.12% who met discharge score of ≤ 20 on the Quick-DASH. 39.0% met both MCID of 8.0 points and discharge score of ≤ 20 on the Quick-DASH. Only 28% met both MCID of 16.0 points and discharge score of = 20 on the Quick-DASH.<h4>Conclusion</h4>Three different success threshold derivations classified patients into three very different assessments of success. Quick-DASH scores of ≤ 20 represent low levels of self-report disability at discharge and can be a stable clinical option for a measure of success to capture whether a treatment results in meaningful improvement.","is_dataset_classified":null,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"30885628","pmcid":"PMC7082669","openalex_id":"https://openalex.org/W2916045405","authors":[],"funders":[],"total_grants":0,"fwci":0.2088,"citation_percentile":0.51960395,"influential_citations":0,"citation_trend":[{"year":2021,"count":1},{"year":2023,"count":2}],"oa_status":"bronze","license":"https://www.elsevier.com/legal/tdmrep-license","oa_locations":[{"url":"https://www.sciencedirect.com/science/article/pii/S1413355518308323","host_type":"journal"},{"url":"https://europepmc.org/articles/pmc7082669?pdf=render","host_type":"GREEN"},{"url":"https://www.sciencedirect.com/science/article/pii/S1413355518308323","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S1413355518308323?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S1413355518308323?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.bjpt.2019.02.003","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/30885628","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7082669","host_type":"repository"}],"fields_of_study":["Shoulder Injury and Treatment","Total Knee Arthroplasty Outcomes","Musculoskeletal pain and rehabilitation","Medicine","Aged","Persons with Disabilities","Humans","Minimal Clinically Important Difference","Patient Discharge","Physical Therapy Modalities","Reimbursement, Incentive","Retrospective Studies","Rotator Cuff","Self Report","Shoulder","Treatment Outcome"],"mesh_terms":["Minimal Clinically Important Difference","Aged","Persons with Disabilities","Disabled Persons","Humans","Patient Discharge","Reimbursement, Incentive","Retrospective Studies","Shoulder","Treatment Outcome","Rotator Cuff","Physical Therapy Modalities","Self Report"],"keywords":["Dash","Minimal clinically important difference","Medicine","Observational study","Physical therapy","Physical medicine and rehabilitation","Surgery","Internal medicine","Randomized controlled trial","Quick-dash","Rotator Cuff Disorder"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[{"name":"nct"}],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-12T20:53:17.063608Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}