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Calculating thresholds for the absolute postoperative OHS values, referred to as the patient acceptable symptom state, provides another perspective of patient-perceived outcome [6].
The achievement of an absolute score equivalent to a patient acceptable symptom state (PASS) may be a more stringent measure to indicate treatment success.
To assess the influence of baseline score on concordance between the Minimal Clinically Important Difference (MCID) and Patient Acceptable Symptom State (PASS) estimates obtained on persons following total knee arthroplasty (TKA).
To determine the minimal clinically important difference and the patient acceptable symptom state for visual acuity and visual function, 2 key visual outcomes for patients undergoing cataract extraction, as an aid for evaluating the outcome of cataract extraction.
The definition of clinically significant changes in motion (such as minimal clinically important difference [MCID]; minimal detectable change [MDC]) or minimal acceptable motion (such as patient acceptable symptom state [PASS]) for joint range of motion is not well established within the literature.
The minimal clinically important difference (MCID) and the patient acceptable symptom state (PASS) are cutoffs dichotomizing continuous values into variables such as improved or not improved (MCID), or in an acceptable state or not in an acceptable state (PASS), allowing to report the success rate (proportion of patients improved or in an accesptable state) in trial arms.
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As for the improvement thresholds, all the thresholds proposed for defining an acceptable symptom-state had a corresponding positive LR > 1 (see Figure 7).
Using this methodology, we were able to propose an absolute change of at least 3, a relative change of at least 50%, and a maximum score of 2, as optimal thresholds for the RAID score, to define an absolute and relative MCII, and an acceptable symptom-state respectively.
At follow-up, patients will further report fulfilment of expectations, patient global treatment outcome 31 and patient-acceptable symptom state.
The patient-acceptable symptom state (PASS) is defined as the highest level of symptoms that patients consider acceptable or satisfactory (Tubach et al. 2006).
The increased use of patient-reported outcomes (PROs) in orthopedics requires data on estimated minimal clinically important improvements (MCIIs) and patient-acceptable symptom states (PASSs).
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