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Introduction/Purpose: Over the last few years an increasing focus has been directed to define cut-off points for important health improvement. Minimal clinically important difference (MCID) values have traditionally been used to determine if a statistical change translates to a clinical improvement to the patient. Although MCID is helpful, it may be even more important to identify if the current treatment is adequate or that the patient has achieved an acceptable symptom state (symptoms minimal enough to live with). The purpose of this study was to determine if gender influenced patient reported outcomes (patient acceptable symptom state (PASS) and PROMIS Physical Function, Pain Interference and Depression) in patients with foot and ankle problems.


Originally published in Foot & Ankle Orthopaedics, 3(3) DOI: 10.1177/2473011418S00154 ©The Author(s) 2018