The American Shoulder and Elbow Score Is Highly Correlated With the Western Ontario Rotator Cuff Index and Has Less Responder and Administrator Burden

Abstract

Purpose To compare the correlation, responsiveness, and responder and administrator burdens of the American Shoulder and Elbow Score (ASES) with the Western Ontario Rotator Cuff Index (WORC) for patients undergoing arthroscopic rotator cuff repair to determine whether one score is superior to the other to limit the use of multiple scoring measures when tracking patient outcomes. Methods A retrospective review of a database of patients undergoing arthroscopic rotator cuff repair was reviewed where the ASES was simultaneously recorded with the WORC. Correlations were determined using the Pearson coefficient. Subgroup analysis was performed to determine if correlations differed in (1) preoperative outcome and (2) postoperative outcome determinations. Responsiveness was determined by calculating the standardized response mean and the effect size of both scores. Responder and administrator burden was examined using 50 consecutively scored WORC and ASES scores by determining the number of questions accurately answered and the length of time taken to score each questionnaire. Results Correlation was excellent for the ASES and WORC (r = 0.90). The correlation of preoperative scores was strong-moderate (r = 0.69), and the correlation of postoperative scores was excellent (r = 0.86). The standardized response mean WORC = 2.3; ASES = 2.2) and the effect size (WORC = 2.9; ASES = 2.8) demonstrated comparable responsiveness. In total, 71.5% of the WORC questions were able to be scored compared with 93.3% for the ASES ( P < .0001). The mean time to score the WORC was significantly greater than the ASES (154 vs 23 seconds; P < .0001). Conclusions There is excellent correlation and comparable responsiveness between the ASES and WORC. Since there is greater responder and administrative burden for the WORC score, the authors recommend using the ASES over the WORC in patients undergoing rotator cuff repair. Level of Evidence Level IV, diagnostic series.

Prognostic Factors for Clinical Outcomes After Arthroscopic Rotator Cuff Repair

“…These are the second and third most used scales in the main scientific publications. 23 The ASES scale is highly correlated with the WORC and has less responder and administrator burden, 2 which at least partially supports the scale used as the main outcome in our study.…”

Development and Validation of a Predictive Model for Chronic Postsurgical Pain After Arthroscopic Rotator Cuff Repair: A Prospective Cohort Study

“…Its superiority over other specific patient self-reported outcome measurement tools in detecting changes in clinical status after ARCR and shoulder arthroplasty has been demonstrated in previous research studies. 46,47 In our study, patients with lower ASES scores are more prone to chronic pain, and their post-surgery shoulder function recovery is considerably less compared to patients with higher ASES scores before undergoing surgery. Previous studies have shown that preoperative pain related status measured using the patient self-reported outcome assessment tool can predict the pain intensity of patients after surgery.…”