PMID- 31735577 OWN - NLM STAT- MEDLINE DCOM- 20201102 LR - 20201102 IS - 1526-3231 (Electronic) IS - 0749-8063 (Linking) VI - 36 IP - 3 DP - 2020 Mar TI - Defining Meaningful Functional Improvement on the Visual Analog Scale for Satisfaction at 2 Years After Hip Arthroscopy for Femoroacetabular Impingement Syndrome. PG - 734-742.e2 LID - S0749-8063(19)30838-2 [pii] LID - 10.1016/j.arthro.2019.09.028 [doi] AB - PURPOSE: To (1) define Substantial Clinical Benefit (SCB), Patient Acceptable Symptomatic State (PASS), and Minimal Clinically Important Difference (MCID) for the visual analog scale (VAS) Satisfaction in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS), and (2) identify preoperative predictors of achieving each outcome end-point. METHODS: Data from consecutive patients who underwent primary hip arthroscopy between November 2014 and January 2017 were prospectively collected and retrospectively analyzed. Inclusion criteria consisted of patients with clinical and radiographic diagnosis of FAIS, who failed nonoperative treatment, underwent primary hip arthroscopy to address the FAIS, and had at minimum 2-year follow-up. Baseline data and postoperative patient-reported outcome scores were recorded at 2 years postoperatively. To quantify clinical significance of outcome achievement on the VAS)Satisfaction, we calculated MCID, PASS, and SCB for this outcome measure. A multivariate logistic regression analysis was used to identify preoperative predictors of achieving SCB, PASS, and MCID satisfaction. RESULTS: A total of 335 patients were included in the final analysis, with an average age and body mass index (BMI) of 32.8 (standard deviation +/- 12.4) years and 25.2 (standard deviation +/- 5.3), respectively, and the majority being female (69.3%). The values on the VAS satisfaction were identified to represent MCID, PASS, and SCB, respectively: 52.8, 80.9, and 89.7. The rates of achieving clinically significant improvement on the VAS Satisfaction was 85.6%, 68.1%, and 56.9% for MCID, PASS, and SCB, respectively. A larger preoperative alpha angle was predictive for achieving SCB (odds ratio [OR], 1.076; P = .046), whereas lower BMI (OR, 0.955; P = .047) and larger preoperative alpha angle (OR, 1.12; P = .025) were predictors for achieving PASS. CONCLUSIONS: This study identified threshold VAS satisfaction scores of 52.8, 80.9, and 89.7 for achieving MCID, SCB, and PASS, respectively, at 2-year follow-up following hip arthroscopy for FAIS. Furthermore, preoperative variables including larger preoperative alpha angles and lower BMI are predictors of achieving superior clinical satisfaction. LEVEL OF EVIDENCE: Level IV, Case Series. CI - Copyright (c) 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. FAU - Beck, Edward C AU - Beck EC AD - Division of Sports Medicine Surgery, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A. Electronic address: Edward.Beck@rushortho.com. FAU - Nwachukwu, Benedict U AU - Nwachukwu BU AD - Division of Sports Medicine Surgery, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Mehta, Nabil AU - Mehta N AD - Division of Sports Medicine Surgery, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Jan, Kyleen AU - Jan K AD - Division of Sports Medicine Surgery, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Okoroha, Kelechi R AU - Okoroha KR AD - Division of Sports Medicine Surgery, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Rasio, Jonathan AU - Rasio J AD - Division of Sports Medicine Surgery, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Nho, Shane J AU - Nho SJ AD - Division of Sports Medicine Surgery, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191114 PL - United States TA - Arthroscopy JT - Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association JID - 8506498 SB - IM CIN - Arthroscopy. 2020 Mar;36(3):743-744. PMID: 32139053 MH - Activities of Daily Living MH - Adult MH - Arthroscopy/*methods MH - Body Mass Index MH - Female MH - Femoracetabular Impingement/*diagnosis/*surgery MH - Humans MH - Male MH - Middle Aged MH - Minimal Clinically Important Difference MH - Multivariate Analysis MH - Odds Ratio MH - Outcome Assessment, Health Care MH - Patient Reported Outcome Measures MH - Patient Satisfaction MH - Postoperative Period MH - Prospective Studies MH - Radiography MH - Retrospective Studies MH - Treatment Outcome MH - *Visual Analog Scale MH - Young Adult EDAT- 2019/11/19 06:00 MHDA- 2020/11/03 06:00 CRDT- 2019/11/19 06:00 PHST- 2019/05/28 00:00 [received] PHST- 2019/09/13 00:00 [revised] PHST- 2019/09/13 00:00 [accepted] PHST- 2019/11/19 06:00 [pubmed] PHST- 2020/11/03 06:00 [medline] PHST- 2019/11/19 06:00 [entrez] AID - S0749-8063(19)30838-2 [pii] AID - 10.1016/j.arthro.2019.09.028 [doi] PST - ppublish SO - Arthroscopy. 2020 Mar;36(3):734-742.e2. doi: 10.1016/j.arthro.2019.09.028. Epub 2019 Nov 14.