PMID- 29796402
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220408
IS  - 2325-9671 (Print)
IS  - 2325-9671 (Electronic)
IS  - 2325-9671 (Linking)
VI  - 6
IP  - 5
DP  - 2018 May
TI  - Self-reported Mental Disorders Negatively Influence Surgical Outcomes After 
      Arthroscopic Treatment of Femoroacetabular Impingement.
PG  - 2325967118773312
LID - 10.1177/2325967118773312 [doi]
LID - 2325967118773312
AB  - BACKGROUND: Femoroacetabular impingement (FAI) is responsible for hip pain and 
      dysfunction, and surgical outcomes depend on multiple factors. The presence of 
      mental disorders negatively influences outcomes of multiple orthopaedic 
      conditions, although the impact on FAI surgery is unclear. HYPOTHESIS: The 
      authors hypothesized that a preoperative self-reported history of mental 
      disorders would negatively influence patient-reported outcome measures after FAI 
      surgery. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: A 
      matched-cohort study was performed by reviewing a prospectively collected 
      database of cases of arthroscopic management of FAI with a single surgeon over a 
      2-year period. Demographics and radiographic parameters were recorded for all 
      patients. Patients completed the Hip Outcome Score-Activity of Daily Living 
      Subscale (HOS-ADL), Hip Outcome Score-Sport-Specific Subscale (HOS-SSS), and 
      modified Harris Hip Score (mHHS) prior to surgery and 2 years after surgery. 
      Unpaired and paired t tests were used to compare results between and within 
      cohorts at baseline and follow-up. Statistical significance was defined as P < 
      .05. RESULTS: The cohort included 301 patients, with 75 and 226 patients 
      reporting and not reporting a history of mental disorders, respectively. Before 
      treatment, all patient-reported outcome measures were significantly lower among 
      patients reporting a history of mental disorders (P < .01 for HOS-ADL, HOS-SSS, 
      and mHHS). Patients in both groups demonstrated significant improvements (P < 
      .0001) in HOS-ADL, HOS-SSS, and mHHS when preoperative outcome measures were 
      compared with follow-up. Patients with reported mental disorders had 
      significantly lower scores after surgery as compared with patients without mental 
      disorders (P < .0001 for HOS-ADL, HOS-SSS, and mHHS). CONCLUSION: The presence of 
      a reported mental disorder is associated with lower patient-reported outcomes 
      before and after surgical management of FAI. Statistically significant and 
      clinically relevant improvements were observed for patients who reported mental 
      disorders. The magnitude of these improvements was not as large as that for an 
      age- and sex-matched control group without a self-reported mental disorder.
FAU - Lansdown, Drew A
AU  - Lansdown DA
AD  - Division of Sports Medicine, Department of Orthopaedic Surgery, University of 
      California, San Francisco, San Francisco, California, USA.
FAU - Ukwuani, Gift
AU  - Ukwuani G
AD  - Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University 
      Medical Center / Midwest Orthopedics, Chicago, Illinois, USA.
FAU - Kuhns, Benjamin
AU  - Kuhns B
AD  - Department of Orthopaedic Surgery, University of Rochester, Rochester, New York, 
      USA.
FAU - Harris, Joshua D
AU  - Harris JD
AD  - Houston Methodist Orthopedic and Sports Medicine, Houston, Texas, USA.
FAU - Nho, Shane J
AU  - Nho SJ
AD  - Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University 
      Medical Center / Midwest Orthopedics, Chicago, Illinois, USA.
LA  - eng
PT  - Journal Article
DEP - 20180518
PL  - United States
TA  - Orthop J Sports Med
JT  - Orthopaedic journal of sports medicine
JID - 101620522
PMC - PMC5960865
OTO - NOTNLM
OT  - femoroacetabular impingement
OT  - hip arthroscopy outcomes
OT  - mental disorders
COIS- One or more of the authors has declared the following potential conflict of 
      interest or source of funding: D.A.L. receives research support from Arthrex and 
      Smith & Nephew. J.D.H. is a paid consultant for Applied Biologics, NIA Magellan, 
      and Smith & Nephew; receives research support from DePuy and Smith & Nephew; 
      receives educational support from MedInc; is a paid speaker/presenter for Ossur 
      and Smith & Nephew; and receives royalties from SLACK Inc. S.J.N. receives 
      research support from Allosource, Arthrex, Athletico, DJ Orthopaedcs, Linvatec, 
      Miomed, Smith & Nephew, and Stryker; receives royalties from Ossur and Springer; 
      is a paid consultant for Ossur and Stryker; and receives educational support from 
      Stryker.
EDAT- 2018/05/26 06:00
MHDA- 2018/05/26 06:01
PMCR- 2018/05/18
CRDT- 2018/05/26 06:00
PHST- 2018/05/26 06:00 [entrez]
PHST- 2018/05/26 06:00 [pubmed]
PHST- 2018/05/26 06:01 [medline]
PHST- 2018/05/18 00:00 [pmc-release]
AID - 10.1177_2325967118773312 [pii]
AID - 10.1177/2325967118773312 [doi]
PST - epublish
SO  - Orthop J Sports Med. 2018 May 18;6(5):2325967118773312. doi: 
      10.1177/2325967118773312. eCollection 2018 May.